Application of the RE-AIM framework to evaluate the impact of a worksite-based financial incentive intervention for smoking cessation.

OBJECTIVE: To apply the RE-AIM framework to examine factors that may have influenced the impact of a financial incentive smoking cessation intervention delivered at General Electric (GE) worksites. METHODS: Intervention reach and efficacy were examined alone and in combination across worksites. Telephone interviews were conducted with worksite staff to explore organizational-level factors that may have influenced program adoption, implementation, and maintenance. Focus groups were conducted with employees to explore barriers and facilitators to program participation. RESULTS: Intervention impact varied considerably across GE business industries when reach and efficacy both were examined instead of efficacy alone. Barriers that may have hindered program success include time constraints, competing priorities, work stress, and the lack of public visibility. CONCLUSION: Employers considering financial incentive interventions for smoking cessation should examine how organizational context and real-world constraints may influence differential impact across sites.

The public health view on closing the gap between public health and primary care.

This paper outlines the public health issues relating to the north-west region of England. The role of Primary Care Trusts in addressing the health and well-being issues is described and the development of Teaching Public Health Networks to support capacity and capability building in the public health workforce is outlined. Healthy weight management is used as a case study of how public health and primary care can be brought closer together by describing the role of the Food and Health Action Plan in addressing healthy weight management and its relationship with primary care.