Transcript Document

Prepared for 2002 National Conference on Tobacco or Health
Wednesday - November 20, 2002 - 10:30 AM
The American Cancer Society:
The nationwide community-based
voluntary health organization
dedicated to eliminating cancer as a
major health problem by preventing
cancer, saving lives and diminishing
suffering from cancer through
research, education, advocacy and
service.
The American Cancer Society
2015 Goals:
•Reduce Cancer Mortality by 50%
•Reduce Cancer Incidence by 25%
•Measurably Improve the Quality of Life
for Cancer Patients and Families
The American Cancer Society
Objectives / Tobacco:
•Reduce to 12% the proportion of adults
(18 and older) who use tobacco
products by 2015
•Decrease the prevalence of tobacco use in
adults by 8% by 2005
The American Cancer Society
Objectives / Tobacco:
What does this mean for New Jersey?
•Reach a projected 490,419 adults by
2005
•Reach a projected 122,605 adults each
year
The New Jersey Worksite Tobacco Program
Worksite Program Goals
1. Increase barriers and provide
disincentives to workplace
smoking behavior by affecting
meaningful, comprehensive
worksite policy change.
2. Decrease barriers and provide
incentives for cessation by
increasing the availability,
utilization and effectiveness of
tobacco dependence treatment
resources in worksites throughout
New Jersey.
Program Objectives:
•Affect meaningful systems change in
large worksites
•Expose large corporate populations to
the message of tobacco control
•Enhance utilization of state-sponsored
resources
•Expand restrictions on smoking in the
workplace
•Increase demand for, and access to,
cessation services and products
The New Jersey Worksite Tobacco Program
•Cooperative effort between ACS and
DHSS, Comprehensive Tobacco Control
Program, with funding by the Master
Settlement Agreement
•Systems-based interventions designed to
assist corporate worksites to take
ownership of the tobacco issue and
promote New Jersey Quitline, Quitnet, &
Quitcenters
Partner with worksites
by:
•Create & strengthen policy
•Promote company ownership of
tobacco issue
•Promote NJ Quitnet, NJ Quitline and
NJ Quitcenters in support of
policy change
•Incentives package to promote
company buy-in & employee
involvement
Worksite Incentives to
Promote Policy Change:
•$500 ACS in-kind on-site
“Tobacco Control Resource Center”
•$1000 for program promotion/participant
incentives (with ACS guidance)
•Opportunity to take part in Billboard
Initiative
Incentive Development:
“Health Promotion & Smokefree
Recreation”
•Health club membership
•Subsidize NRT’s
•Smokefree Restaurants
•Movies
•Spa
•Lunch/refreshments
•Special event
Billboard Initiative:
•Billboards throughout New Jersey
• “Smokefree Facilities. Smokefree
Employees.”
• 4 corporations exhibiting “excellence
in worksite tobacco control” in
2002 – 2003
•Celebrate partnership, promote
corporate ownership of issue,
recruit new partners
Worksite Process:
•Step 1: Recruitment
•Step 2: Implementation / Support
•Step 3: Evaluation
Recruitment:
•Recruit through ACS existing protocol /
collaborate with corporate relations
• Promote Quitline, Quitnet, Quitcenters
•“Proactive step in promoting the health and
wellness of employee population”
•Administrative buy in / internal mechanism to
support program
•“Worksite Partner Agreement”
Worksite Partner
Agreement:
•Provide/maintain on-site coordinator
•Training space/materials/promotion
•Consideration of policy change,
benefits analysis, company
sponsored incentives
•Content disclaimer
•Utilize funds to promote program and
reward participants via health
promotion/smokefree recreation
Implementation /
Support:
•Hands on assistance planning /
implementing “Clearing the Air”
policy change and cessation services
•Available for telephone/e-mail support and
troubleshooting, as needed
•Informal & formal (2-month & 6-month)
follow up
•Quarterly site visits, at worksite discretion
Evaluation:
Six month evaluation via ACS
Tracking Tool:
•Number of partnerships established
•Number of cessation programs run
through referral resources
•Number of participants/successes
•Number of worksite tobacco control
policies created/strengthened
The New Jersey Worksite Tobacco
Control Program
has 4 components
I.
II.
III.
IV.
Tobacco Education
Clearing the Air
Nicotine Dependence Treatment
Advocacy & Outreach
I. Tobacco Education
• Tobacco Facts
• Phases of Tobacco Use
• Initiation
• Addiction
• Stopping
• Treatment
• Maintenance
II. Clearing the Air
Inform corporate decisionmakers about policies
proven to reduce smoking.
Provide technical assistance
related to health insurance,
smoke-free policies and
employee incentives to quit
smoking.
Overview of
Clearing the Air
• Costs of Tobacco Use
• Workplace Policies
•Smokefree Workplace
•Cessation Coverage
• Four Steps to a New Policy
Average Annual Loss Per Smoking Employee
$1,800
$1,600
$1,400
$1,200
$1,000
$800
$600
$400
$200
$0
1
2
3
Healthcare Costs
$716
Lost Productivity
$840
Total Costs
$1556
Each year smoking costs U.S. employers an average of $1556 in additional
health care costs and lost productivity per smoking employee
(Towers Perrin, 1999)
WORKPLACE POLICIES
Benefits of a Smokefree Workplace for the
Employer
• Reduced health care costs
• Decreased absenteeism
• Reduced smoking and relapse
• Increased productivity
• Decreased maintenance costs
WORKPLACE POLICIES Benefits of a
Smokefree
Workplace for the Employer
• Increased life of office
equipment, carpets and
furniture
• Lower health, life, disability, and
facility insurance costs
• Decreased risk of fires
• Decreased risk of liability
• A more attractive workplace
WORKPLACE POLICIES Benefits of a
Smokefree
Workplace for the Employee
• Helps create a safe, healthful
workplace
• Decreased resentment among
employees
• Smokers appreciate a clear
company policy about smoking
at work
• Managers are relieved by a
clearly defined policy
Factors to Consider When Creating a Policy
• Greatest benefits
• Easy implementation
• Laws and ordinances
• Customer and community
expectations
Smokefree Campus Policy
“_______________ and its affiliates
desire to promote the wellness of our
employees by incorporating a total
‘smokefree’ campus, effective
_______________.”
Date
Smokefree Campus Policy
Purpose:
“The health hazards of smoking have
been well documented as they impact
both the smoker and the non-smoker
who is exposed to second hand
smoke. It is our intent to provide all
employees with an environment
conducive to good health and a
productive atmosphere.”
Smokefree Campus Policy
“Applicable to all team players,
contractors, guests, and visitors
while on the property or in any
of our New Jersey based
locations.”
Smokefree Campus Policy
“All employees, contractors and
visitors are prohibited from smoking
cigarettes, pipes, cigars, and/or
chewing tobacco on site at
___________. On site is defined as
inside all New Jersey facilities, as
well as on the grounds and parking
lots, and inside company owned and
personal vehicles on company
property.”
Smokefree Campus Policy
“Employee non-compliance with the
policy will result in disciplinary
action, up to and including
termination from employment. All
cases of non-compliance with this
policy will be reviewed with Human
Resources and action will be taken in
accordance with established
company policies and procedures.”
Workplace Policies
• Cessation Coverage
and Incentives
• Fully Cover
Cessation Services
and Products
• Provide Incentives
to Stop Smoking
Reduce Barriers and Offer Incentives to Encourage
Participation
• Hold cessation classes during
work hours
• Incentives also demonstrate
support for smokers
• Bonus vacation days
• Reduced employee
contributions for benefits
• Refund payment upon
completing program
• Monetary awards
Four Steps to
a New Policy
1
ASSESS
DECIDE
3
2
COMMUNICATE
ANNOUNCE
4
III. Nicotine Dependence Treatment
•State-specific resources for
cessation
•On-site resource provision
and referral
•Worksite cessation and
support.
Nicotine Dependence Treatment
• More intensive treatment and
follow-up leads to better results
• Tobacco dependence should
be viewed as a chronic disease
that will require long-term
intervention
NJ QUITNET
nj.quitnet.com
NJ QUITLINE
1-866-NJ-STOPS
NJ QUITCENTERS
Contact NJ QUITNET or
QUITLINE
NEW JERSEY ADULT
TOBACCO SURVEY
For those who have never tried to
quit:
 39% would use toll- free
telephone counseling service
 48% with internet access would
use internet help
NJ QUITLINE
• Officially opened 10/26/2000
• A professional telephone counseling
service
• Managed by Mayo Foundation
•New Jersey area codes call 1-866-NJSTOPS
• Counselors available Monday-Friday
from 8 am until 8 pm (except
holidays), and Saturday from 11 am
until 5 pm.
• Counseling available in twenty six
languages
NJ QUITLINE
FEATURES
• Telephone counseling appropriate to
the client’s stage of change.
• Primary treatment -initial assessment
and counseling followed by a
minimum of three additional calls.
• Scheduling of calls accommodates the
client’s need.
• Mails supportive written materials
NJ QUITLINE
6 Month Follow Up Program To Date
• 37% Cohort Quit and Reduced
Use
• 45% Respondents Quit and
Reduced Use
Household Income
•
•
•
•
•
•
•
•
<$15,000
>$15,000-<$25,000
>$25,000-<$35,000
>$35,000-<$50,000
>$50,000-<$75,000
>$75,000-<$100,000
>$100,000-<$125,000
>$125,000
21%
15%
16%
16%
16%
8%
5%
3%
Age
•
•
•
•
•
•
•
•
17 yrs and under
18-24 yrs.
25-34 yrs.
35-44 yrs.
45-54 yrs.
55-64 yrs.
65-74 yrs.
75-84 + yrs.
< 1%
8%
19%
30%
23%
14%
5%
< 1%
Ethnicity
•
•
•
•
•
•
•
•
•
•
•
White Caucasian
Black/African American
Hispanic
Other Asian
Asian Indian
Portuguese
American Indian
Korean
Vietnamese
Chinese
Filipino
66%
21%
11%
>1%
>1%
>1%
>1%
>1%
>1%
>1%
>1%
NJ QUITNET
• Officially opened 10/26/00
• An online service with URL at
www.nj.quitnet.com
• Accessible 24 hours a day 7 days a
week
• Developed by Join Together and
Boston University
NJ QUITNET
FEATURES
Resources for Everyone
• Quit Tip of the Day
• Quitting Calendar
• Directory of Local
Programs
• Quitting Guides
• Print Materials
• Pharmaceutical Guide
• ¿Habla español?
Personalized Services
• Peer to Peer Support
• Expert Q&A
• Consult an Expert
• Quitting Tools
• Quit Date Wizard
• Quit Tips and
Anniversary E-mails
NJ QUITNET
Visitors
YTD
( 10/25/00-8/31/02)
Once
45,667
More than Once
20,921
Total Visitors
66,588
Registrants
9,750
NEW JERSEY
QUITCENTERS
•
•
•
•
•
15 Centers
Population Density Based
Training by UMDNJ
Provide 35 hours of Counseling
per Week
Provide subsidized NRT
Quitcenter Services
Information regarding Tobacco Dependence
Individual,comprehensive assessment by a trained
tobacco dependence specialist
Measurement of expired carbon monoxide at each
appointment
Individual or group counseling
Pharmacotherapy (NRT, buproprion and
combinations)
One and six month post quit date follow up
NJ Comprehensive Tobacco
Program Cessation Services
Results
• New Jersey has 1.16 million smokers
• By 1/1/03, 8.6% of New Jersey smokers
will have utilized the
• Quit resources
IV. ADVOCACY & OUTREACH
•Internal and external promotion of
smokefree worksite
•Encouragement of smoking workers,
dependents, and community
members to utilize treatment
resources for tobacco
dependence
New Jersey Worksite Program
Highlights:
•Training, Support, & Technical Assistance
for programs and policies impacting over
60,000 employees in NJ and many in PA &
NY
•ACS Trained over 100 Tobacco Control
Coordinators from 80 individual worksites
representing 25 companies
•Many of the partners are actively engaging
in smokefree policy dialogue, and several
have implemented successful policy change
Highlights:
THANK YOU!