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Helping Young Smokers Quit

Helping Young Smokers Quit. Sue Curry, PhD Sherry Emery, PhD Amy Sporer, MS University of Illinois at Chicago Health Research and Policy Centers. Topics. What is “Helping Young Smokers Quit” How will we find programs? What will we learn about the programs?

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Helping Young Smokers Quit

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  1. Helping Young Smokers Quit Sue Curry, PhD Sherry Emery, PhD Amy Sporer, MS University of Illinois at Chicago Health Research and Policy Centers

  2. Topics • What is “Helping Young Smokers Quit” • How will we find programs? • What will we learn about the programs? • Where are we now? - A preview of coming attractions

  3. YTCC National Blueprint for Action • Goals relevant to HYSQ • Develop and test effective TX programs • Develop infrastructure for TX research and translation into practice, including tools (e.g. standards for effectiveness & practice guidelines)

  4. HYSQ: Project Evolution • Precis developed by RWJF, Spring 2001 • Generous funding from RWJF ($8 million), CDC ($1.5 million), NCI ($2 million) • Primary focus was evaluation of youth cessation programs

  5. 4-Year, Two-Phase Initiative • Phase I • Identify national sample of existing cessation resources for youth • Survey to profile programs • Identify real world context (barriers & resources) in which programs operate

  6. 4-Year, Two-Phase Initiative • Phase II • Conduct 40-50 program evaluations • Develop tool-kits for program selection, evaluation • Repeat Phase I program survey

  7. Project Team • Includes many talented colleagues from: • HRPC • Survey Research Lab • Research Triangle Institute

  8. Guiding Principles for Phase I • The Three R’s • Rigorous • Representative • Resourceful

  9. How will we find programs? • Take a random sample from the “National Directory of Youth Smoking Cessation Programs” • Don’t we wish!!! • Advertise for programs to come to us • Not rigorous or representative (but resourceful)

  10. How will we find programs? • Use snowball key informant surveys in selected communities throughout the US to identify a national sample of existing cessation resources for youth

  11. Helping Young Smokers Quit Community Sectors Education Public Health Voluntaries Other Tier 1 Tier 2 Program Informants Tier 3

  12. Sampling Methodology • Sample counties or groups of contiguous counties with probability proportional to size • Size measure based on youth population (12-24 yrs) • Counties stratified on four criteria

  13. Stratification criteria

  14. Selection of counties • 2,453 counties arrayed into 17 strata • Collapsed MSA and non-MSA counties in low SES counties • Collapsed high and medium tobacco control expenditures in low SES/high prevalence counties

  15. Selection of counties • 408 counties selected • Selected with probability proportional to population total number of youth in each county • Over-allocation of high tobacco control expenditure counties into 17 cells(30-24-18) • Sample randomly allocated to 4 replicates

  16. 20+ 16-20 11-15 6-10 1-5 none

  17. What is a program? • Operational definition of youth tobacco cessation program • Tobacco cessation recognized component of TX program • Provides direct services to youth aged 12-24 • At least 50% of program participants are aged 12-24 • Program is not part of research initiative • Program in operation for at least 6 months

  18. Management $$$$$ ProgramSelection Providers Physical Location Participants(enrollees) Participants(completers) Follow-up ProgramEvaluation COMMUNITY CONTEXT Organizational setting Program Content

  19. Where are we now? • Enter field November 2002 with 1/2 of first replicate (51 counties) • Tier 1 key informant information identified • ~ 500 identified across 51 counties • Goal - finish program surveys by early spring

  20. Preview of coming attractions • Methods selected allow us to say something about: • Prevalence of youth cessation resources by macro community-characteristics (stratification criteria) • Whether program content, format varies by voluntary/mandatory participation • Common challenges encountered by programs….

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