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APPENDIX A: EFFECTIVE TOBACCO-CONTROL PROGRAMS
Pages 327-338

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From page 327...
... In 2000, IOM and the President's Cancer Panel issued landmark reports that concluded that there is overwhelming evidence that comprehensive state tobacco-control programs substantially reduce tobacco use; they recommended that every state fund such programs at certain specified per capita levels (IOM, 2000; US Surgeon General, 2000)
From page 328...
... capacity-building, including the administration and management procedures. Direct interventions on an individual level, including health promotion and cessation, are important, but the other strategies -- including the implementation of evidence-based policies such as price increases, reduced access to tobacco products, tobacco-free environments, advertising bans, decreases in out-of-pocket costs of treatment, and countermarketing campaigns to change social norms around tobacco use -- all encourage cessation.
From page 329...
... Because the program is new, outcomes are not yet known. Despite tremendous challenges in maintaining and sustaining funding for the MTCP, the state witnessed a drop in cigarette consumption (statewide number of packs sold)
From page 330...
... It was TABLE A-1 Components of a Comprehensive Tobacco-Control Program Program Components Program Specifics State and community Support tobacco-control coalition development interventions Establish strategic plan with partners Implement evidence-based policy interventions Collect community-specific data, implement culturally appropriate interventions Sponsor training, conferences, technical assistance for all levels Monitor protobacco influences Support demonstration, research projects Provide funding to community-based organizations to build capacity, including funding grants, local public-health infrastructure Ensure that disparity issues are part of all strategic plans Ensure that quitline services are culturally competent and have adequate reach, intensity Health-communication Sustain media campaigns of tobacco interventions countermarketing Conduct market research Conduct countermarketing surveillance Conduct grassroots promotions, local media advocacy, event sponsorships Target specific audiences Use innovative technologies, such as text messaging, blogs Re-evaluate processes and outcomes Use messages that elicit strong emotional response or that confront tobacco-industry marketing tactics Promote available services Cessation interventions Sustain, expand, promote counseling, treatment programs
From page 331...
... APPENDIX A 331 Program Components Program Specifics Eliminate cost, other barriers for underserved populations Make health-care system changes recommended by Public Health Service guidelines Provide telephone-based cessation counseling Reduce out-of-pocket expenses for patients Implement health-care provider reminder system Combine counseling with medication for optimal effectiveness Increase prices of tobacco products Use targeted promotion of cessation programs Surveillance Monitor reduction in tobacco-use initiation among youth, young adults Monitor quit rate among adults, youth Monitor reduction in exposure to secondhand smoke Monitor reduction in tobacco-related disparities Participate in national surveillance systems, such as Youth Risk Behavior Surveillance System, modify as appropriate for specific states Collect evaluation data Evaluation Use flexible survey instruments with core, state specific components Make process and outcome evaluation continuous Measure such indicators as policy changes, changes in social norms, exposure of individuals and communities to state, local program efforts Collect baseline data Administration and Engage in strategic planning management Recruit qualified staff Award and monitor program contracts and grants, coordinate across program areas, assess grantee performance Develop, maintain fiscal-management systems Increase local capacity by training, technical assistance Create effective communication systems internally and with local partners Educate public and policy-makers on health effects of tobacco and evidence-based cessation programs and policy interventions SOURCE: CDC (2007)
From page 332...
... The statewide tobacco-control plans were carried out in the 17 ASSIST states by a network of state and local coalitions. The ASSIST evaluation was one of the largest evaluation efforts conducted by NCI and compared changes in tobacco-control policies, state per-capita cigarette consumption, and adult smoking prevalence in the 17 ASSIST states with those in the 33 non-ASSIST states and the District of Columbia.
From page 333...
... . The finding supports the claim that comprehensive tobacco-control programs can increase adult cessation rates in the population and have an effect beyond that predicted by tobacco-control policies alone.
From page 334...
... Strong evidence was also found to support the effectiveness of telephone cessation support to increase tobacco cessation in adults and of strategies based on the health-care system that used provider reminders, provider education, and multicomponent interventions that include client telephone support (HHS, 2006)
From page 335...
... Recommended strategies to reduce tobacco-use initiation include tobacco-free policies, increases in the unit prices of tobacco products, and mass-media campaigns combined with other interventions. Those strategies are also recommended to increase tobacco cessation in addition to a number of interventions appropriate for healthcare systems, including provider-reminder systems and providereducation programs.
From page 336...
... Key results attributed to the program include increased excise taxes in 35 states, clean–indoor-air legislation in 10 states, and ordinances to restrict youth access to tobacco in 13 states. Ending the Tobacco Problem: A Blueprint for the Nation is a report from the IOM Committee on Reducing Tobacco Use: Strategies, Barriers, and Consequences (IOM, 2007)
From page 337...
... 1999. The American stop smoking intervention study: Conceptual framework and evaluation design.
From page 338...
... 2001. Can media advocacy influence newspaper coverage of tobacco: Measuring the effectiveness of the American stop smoking intervention study's (ASSIST)


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