Effects on cigarette consumption of a work-family supportive organisational intervention: 6-month results from the work, family and health network study

David A. Hurtado, Cassandra A. Okechukwu, Orfeu M. Buxton, Leslie Hammer, Ginger C. Hanson, Phyllis Moen, Laura Klein, Lisa F. Berkman

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Background Observational studies have linked work- family issues with cigarette consumption. This study examined the 6-month effects on cigarette consumption of a work-family supportive organisational intervention among nursing home workers. Methods Group randomised controlled trial where 30 nursing homes across New England states were randomly assigned to either usual practice or to a 4- month intervention aimed at reducing work-family conflict via increased schedule control and family supportive supervisory behaviours (FSSB). Cigarette consumption was based on self-reported number of cigarettes per week, measured at the individual level. Results A total of 1524 direct-care workers were enrolled in the trial. Cigarette consumption was prevalent in 30% of the sample, consuming an average of 77 cigarettes/week. Smokers at intervention sites reduced cigarette consumption by 7.12 cigarettes, while no reduction was observed among smokers at usual practice sites (b=-7.12, 95% CI -13.83 to -0.40, p < 0.05) (d=-0.15). The majority of smokers were USborn White nursing assistants, and among this subgroup, the reduction in cigarette consumption was stronger (b=-12.77, 95% CI -22.31 to -3.22, p < 0.05) (d=-0.27). Although the intervention prevented a decline in FSSB (d=0.08), effects on cigarette consumption were not mediated by FSSB. Conclusions Cigarette consumption was reduced among smokers at organisations where a work-family supportive intervention was implemented. This effect, however, was not explained by specific targets of the intervention, but other psychosocial pathways related to the work-family interface.

Original languageEnglish (US)
Pages (from-to)1155-1161
Number of pages7
JournalJournal of Epidemiology and Community Health
Issue number12
StatePublished - Dec 1 2016


All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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