運用MAP-IT架構於職場戒菸服務成效之推動經驗

Applying the MAP-IT Framework to Enhance the Effectiveness of Workplace Smoking Cessation Services: A Practical Experience

目的：吸菸對健康與職場的負面影響，包括導致多種疾病與生產力損失。戒菸對所有年齡層的人都有顯著的健康結果，職場被認為是規劃和介入戒菸服務最適合的場域，在職場實施戒菸服務對於改善員工健康、降低吸菸導致的疾病負擔、缺勤比率、工作無效率以及醫療費用支出極具效益。本研究乃是運用系統性的架構(MAP-IT)提供職場員工的戒菸服務，進而探討吸菸者戒菸自我效能的變化及戒菸成功率。

方法：本研究於2024年5月至12月在一家員工超過500人的職場，以「動員-評估-規劃-執行-追蹤(MAP-IT)」五步驟架構設計戒菸介入。組建跨專業戒菸團隊；調查職場吸菸盛行率、現行菸害防制政策與員工參與意願；制定戒菸服務流程、工作職責、介入策略(5A’s、5R’s及SDM)與獎勵機制；於職場設置戒菸門診與衛教空間，提供戒菸諮詢和輔助工具；以尼古丁成癮程度、一氧化碳濃度、滿意度、戒菸自我效能及戒菸率評估成效。

結果：結果共計38位吸菸員工參加，出席率73.7%，全勤參加率36.8%。參加者戒菸自我效能經介入後均提升且達統計上顯著差異(p<0.05)；戒菸成功率三個月為44.7%、六個月為42.1%。

結論：運用MAP-IT架構的職場戒菸服務在職場取得了正面成效，具有擴大應用的潛力。

 

Purpose: Smoking has adverse effects on both individual health and workplace productivity, increasing the risk of various diseases and contributing to reduced productivity. Quitting smoking delivers substantial health benefits for individuals of all ages. The workplace serves as an ideal setting for planning and implementing smoking cessation programs, which has been shown to improve employee health, reduce the disease burden caused by smoking, lower absenteeism rates, enhance productivity, and decrease medical costs. The study applies the MAP-IT framework to provide smoking cessation services for employees and examines changes in smokers’ self-efficacy and cessation success rates.

Methods: The study was conducted from May to December 2024 in a workplace with over 500 employees, adopting the five-step MAP-IT framework—Mobilize, Assess, Plan, Implement, and Track—to design a smoking cessation intervention. A multidisciplinary smoking cessation team was established, and the prevalence of smoking in the workplace, existing tobacco control policies, and employees’ willingness to participate were assessed through surveys. Based on the findings, the team developed the service process, defined work responsibilities, and designed intervention strategies incorporating the 5A’s, 5R’s, and Shared Decision-Making models, along with incentive mechanisms. A workplace smoking cessation clinic and health education corner were then established to provide counseling and supportive tools. Intervention effectiveness was assessed using relevant indicators such as nicotine dependence level, carbon monoxide concentration, satisfaction, smoking cessation self-efficacy, and cessation rates.

Results: A total of 38 smoking employees participated in the program, with an attendance rate of 73.7% and a full participation rate of 36.8%. Participants’ smoking cessation self-efficacy improved significantly after the intervention (p < 0.05). The smoking cessation success rate was 44.7% at three months and 42.1% at six months.

Conclusion: The workplace smoking cessation intervention implemented using the MAP-IT framework achieved positive outcomes, showing potential for broader application in other organizations.