Objective: To evaluate effectiveness of an Internet-based smoking cessation program as part of a comprehensive health risk reduction initiative in a large, geographically dispersed employee population.
Methods: A financial incentive for participation was offered during 2003 health benefits enrollment. The primary cessation outcome was 7-day point prevalence abstinence at 12 months.
Results: A total of 1776 employees used the Internet program. Among those surveyed, the response rate was 32%. Quit rates ranged from 13% using intention to treat analysis (nonresponders counted as smokers) to 43% among survey responders. Higher Web site utilization was associated with better cessation outcomes, even after controlling for baseline motivation.
Conclusions: The Internet program was successful at reaching a large number of geographically dispersed employees. The range of quit rates suggests that Internet cessation programs can be effective in promoting cessation and preventing relapse in a worksite setting.
From the Department of Oncology (Dr Graham), Georgetown University Medical Center, Washington, DC; Pulmonary & CC Unit (Dr Cobb), Massachusetts General Hospital, Boston, Massachusetts; MediFit Corporate Services (Dr Raymond), Norwalk, Connecticut; and Global Well-being Services and Health Benefits, (Mr Sill, Dr Young), IBM, Durham, North Carolina.
CME Available for this Article at ACOEM.org
Amanda L. Graham is a consultant to MediFit; Nathan K. Cobb is a consultant to MediFit and in the past has owned QuitNet® stock.
Address correspondence to: Amanda L. Graham, PhD., Department of Oncology, Georgetown University Medical Center, Cancer Control Program, Lombardi Comprehensive Cancer Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC 20007; E-mail: firstname.lastname@example.org.