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2003 National Conference on Tobacco or Health. Thursday, 11 December 2003: 1:30 pm – 3:00 pm Boston Marriott Copley Place Regis Suite EVAL-143: Local Evaluation and Surveillance Programs. Session Overview. Local Evaluation and Surveillance Programs. Thursday, 11 December 2003

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2003 national conference on tobacco or health

2003 National Conference on Tobacco or Health

Thursday, 11 December 2003: 1:30 pm – 3:00 pm

Boston Marriott Copley Place Regis Suite

EVAL-143: Local Evaluation and Surveillance Programs

local evaluation and surveillance programs

Session Overview

Local Evaluation and Surveillance Programs

Thursday, 11 December 2003

1:30 pm – 3:00 pm

Marriott Copley Place Regis Suite

slide3

Session Speakers

Seth Emont, Ph.D.* & Jeff Soukup**

*White Mountain Research Associates, L.L.C.

**Tobacco Free Nebraska, Nebraska Health and Human Services

Evaluating a Tobacco Control Program with Uncertain Funding Levels

slide4

Session Speakers

Argelia Figueroa, MSc & Scott Pollack, MS

Tobacco Use Prevention Program

Georgia Division of Public Health

Georgia Local Tobacco Ordinance Study

slide5

Session Speakers

Thomas Melnik, DrPH

Division of Chronic Disease Prevention & Adult Heath

New York State Department of Health

Local Level Tobacco Surveillance in New York State

slide6

Session Speakers

Jim Chen, MD, PhD

Department of Pediatrics

Wayne State University School of Medicine

State-Specific Smoking Prevalence Affecting National Trends in the U.S., 1990-2001

evaluating a tobacco control program with uncertain funding levels

Evaluating a Tobacco Control Program with Uncertain Funding Levels

Jim Chen

Peter Finn

Sherry Mills

Tandi Njobe

Abt Associates Inc.

Cheryl Wiese

Jeff Willett

Ian Newman

Seth Emont (consultant)

University of Nebraska - Lincoln

Jeff Soukup

Judy Martin

Tobacco Free Nebraska

NE Health & Human Services System

evaluating a tobacco control program with uncertain funding levels learner objectives
Evaluating a Tobacco Control Program with Uncertain Funding LevelsLearner Objectives
  • At the end of the presentation, attendees will be able to plan and implement a scaled-down evaluation, which utilizes:
    • data-driven briefs
    • evaluation technical assistance, and
    • “built-in” monitoring strategies to track the impact of local tobacco control programming.
tobacco free nebraska evaluation advisory panel
Tobacco Free NebraskaEvaluation Advisory Panel
  • Monica Eischen, Office on Smoking and Health, Centers for Disease Control and Prevention
  • Pebbles Fagan, Ph.D., National Cancer Institute, National Institutes of Health
  • Jean Forster, Ph.D., Director, Prevention and Policy Program, University of Minnesota
  • Karen Gerlach, Ph.D., Senior Program Officer, The Robert Wood Johnson Foundation
  • Eric Wiesen, Office on Smoking and Health, Centers for Disease Control and Prevention
tobacco free nebraska program goals
Tobacco Free Nebraska:Program Goals
  • Prevent the initiation of tobacco use among young people
  • Eliminate exposure to second hand smoke
  • Identify and eliminate disparities related to tobacco use
  • To promote tobacco use cessation among adults and youths
tobacco free nebraska program summary continued

$405,000 (3.0%)

Tobacco Free Nebraska:Program Summary (continued)

Source of Chart: A Broken Promise to Our Children, The 1998 State Tobacco Settlement Five Years Later. American Heart Association, Campaign for Tobacco Free Kids, American Cancer Society, American Lung Association, November 12, 2003 (page 67).

tobacco free nebraska program summary continued1

0.40

Tobacco Free Nebraska:Program Summary (continued)

Source of Chart: A Broken Promise to Our Children, The 1998 State Tobacco Settlement Five Years Later. American Heart Association, Campaign for Tobacco Free Kids, American Cancer Society, American Lung Association, November 12, 2003 (page 67).

slide15

Expect the Unexpected?

  • Program Components
  • Community/School-based
  • interventions
  • Policy initiatives
  • Media-based
  • interventions
  • Statewide Quitline
  • Outreach to racial/ethnic minorities
  • Youth empowerment (“No Limits”)

Outcomes

  • Implementation/
  • Mediating Factors
  • Level of exposure to TFN programs
  • Compliance with CDC Best Practices
  • County-specific variations of model
  • Level of policy tracking and
  • enforcement
  • Data Sources (Existing)
  • Youth Risk Behavior Survey
  • Adult Behavior Risk Factor Survey
  • Youth Tobacco Survey
  • Adult Tobacco Survey
  • School Administrator Survey
  • Social Climate Survey
  • Pregnancy Risk Assessment Monitoring System
  • NCIAA/Youth Access Compliance Data
  • TRAIN
  • Media print monitoring - UNL
  • Data Sources (in Development)
  • Quitline database
  • Measures
  • Tobacco use
  • Quit attempts
  • ETS exposure
  • Policies/ordinances
  • (state, county, local,
  • workplace)
  • Attitude/risk perception
  • External Influences
  • Budget allocations to TFN and staffing
  • Tobacco control advocacy
  • Social climate
  • Effect of other agencies’
  • programs and Federal policies
  • (e.g., RWJF, HCFA, ALA, CDC)
  • Documenting Achievement of TFN Goals
  • Short-Term Goals
  • TFN Program growth (e.g., implementation of
  • program components)
  • Youth empowerment
  • Public/stakeholder awareness of TFN programs
  • Establishing local infrastructure for tobacco control
  • Long-Term Goals
  • Policy change (e.g., tobacco-free schools, youth
  • access, smoke-free workplaces)
  • Changes in public attitudes
  • Changes in tobacco use behaviors
  • Comparison of program success with “model” states

Program modifications

based on interim findings

user friendly evaluation logic model documenting strategies for achieving change

Tracking &

Surveillance

User Friendly Evaluation Logic Model: Documenting Strategies for Achieving Change

Facilitators of

Change

Statewide/Community

Implementation &

Interventions

Mediating Factors

Achievement

of TFN Goals

Barriers to

Change

bird s eye view of evaluation activities
Bird’s-Eye View of Evaluation Activities
  • Monitor trends in adult and youth tobacco use through existing statewide surveys
  • Compare trends in adult and youth tobacco use to surrounding states and the nation
  • Monitor trends in adult tobacco use cessation through State Quitline
  • Media monitoring
  • Evaluation technical assistance (to state and to local grantees)
  • TRAIN: Tobacco Reporting and Information Network
  • Coalition leaders and participants survey
  • Qualitative interviews of key stakeholders
  • Focus group of TFN staff
  • Variety of Evaluation-Based Publications:
    • State Snapshots: 2001-2003
    • Local Briefs: “No Limits Snapshot”, “Building Public Health Infrastructure”
    • Process and outcome measures blueprint
evaluation activities revisited
Evaluation Activities...Revisited
  • Monitor trends in adult and youth tobacco use through existing statewide surveys
  • Compare trends in adult and youth tobacco use to surrounding states and the nation
  • Monitor trends in adult tobacco use cessation through State Quitline
  • Media monitoring
  • Evaluation technical assistance (to state and to local grantees)
  • TRAIN: Tobacco Reporting and Information Network
  • Coalition leaders and participants survey
  • Qualitative interviews of key stakeholders
  • Focus group of TFN staff
  • Variety of Evaluation-Based Publications:
    • State Snapshots: 2001-2003
    • Local Briefs: “No Limits Snapshot”, “Building Public Health Infrastructure”
    • Process and outcome measures blueprint
evaluation activities revisited1

“Built In” Evaluation Capacity

and Sustainability

Local evaluation technical assistance

T.R.A.I.N.: Tobacco Reporting and Information Network

Evaluation Activities...Revisited

Monitor trends in adult and youth tobacco use through existing statewide surveys

Tracking Outcome Measures

Tracking Process Measures/

Program Implementation

data driven briefs
“Data-Driven” Briefs
  • Very targeted topics
  • Brief and to the point! (3 pages)
  • Highlights complementary activities at state and local levels
  • Developed by an independent evaluation team
  • Balances qualitative and quantitative data
  • Written for policy makers as key audience
  • Easily communicates main messages
  • Key stakeholders’/partners’ perspectives are incorporated
examples of data driven briefs

State Funding Cuts to Tobacco Free Nebraska (TFN) Are Likely to Reverse Gains

Summary: Based on the experience of other states, funding cuts to Nebraska’s tobacco prevention and cessation program are expected to slow down or reverse the positive trends made in reducing adult smoking prevalence, youth access to tobacco products, and exposure to secondhand smoke in the state.

Examples of Data-Driven Briefs
examples of data driven briefs1
Examples of Data-Driven Briefs

Nebraskans Support Funding State Tobacco

Prevention and Cessation Initiatives

The 2003 Nebraska state legislature decided to no longer use money from the Tobacco Settlement Trust Fund, or use new money from a tax increase on cigarettes, to fund tobacco prevention and cessation initiatives. This decision will likely derail many of the state's tobacco control initiatives that were previously supported by settlement funds. However, a large majority of Nebraskans (including smokers) support using settlement or tobacco tax monies to fund these initiatives.

how have the data driven briefs been used by tobacco free nebraska
How Have the Data-Driven Briefs Been Used by Tobacco Free Nebraska?
  • Posted on website
  • Disseminated to:
    • Tobacco control coordinators
    • Partners
    • Advocates
    • Legislators
    • Media
  • Key tool for lobby team
for more information
For More Information...
  • Contact Jeff Willett, Cheryl Wiese, Ian Newman, Seth Emont–University of Nebraska - Lincoln
  • Contact Peter Finn–Abt Associates Inc.
  • Contact Jeff Soukup, Judy Martin – Tobacco Free Nebraska
  • For an electronic copy of these and other reports, please visit the Tobacco Free Nebraska website:http://www.hhs.state.ne.us/tfn/tfnpubrep.htm