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The Implementation of a Restrictive Worksite Smoking Policy in a Large Decentralized Organization

Department of Kinesiology and Health Education, the University of Texas at Austin, Center for Health Promotion Research and Development, the University of Texas Health Science Center at Houston

Chris Y. Lovato

Health Promotion, Student Health Services, San Diego State University

Riki Weinstein

Center for Health Promotion Research and Development, the University of Texas Health Science Center at Houston

Lawrence W. Green

Institute of Health Promotion Research, University of British Columbia

Michael P. Eriksen

University of Texas M.D. Anderson Cancer Center, Houston, Texas

This study investigates the implementation of a restrictive smoking policy in decen tralized worksites. A model which includes four elements—concept, context, process, and outcomes—is used as a framework for identifying characteristics that influence im plementation. The organization studied was a state human services agency with approx imately 400 worksites spread across 12 geographic regions. Quantitative data collection included three cross-sectional surveys of employees and supervisors administered before and after the date the policy became effective. Qualitative data were collected from three sources, including written comments on surveys, focus groups, and structured interviews with supervisors and top administrators. Tabular analyses and one-way analyses of vari ance were used to analyze quantitative data. Qualitative data were examined for key themes and have been used to elucidate findings. Those characteristics related to concept, context, and process which appeared to have the strongest influence on expected and unexpected outcomes of the restrictive smoking policy were degree of policy restrictive- ness, job characteristics, perceived level of participation in formulation and implemen-

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