Evaluating and Improving the Sustainability of State-level Tobacco Control Programs in the United States

NCT03598114 | Completed Results

• 2 other identifiers: 201801196R01CA203844
• Study Type: interventional
• Target: 255
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to empirically develop, test, and disseminate sustainability training to improve the institutionalization of evidence-based state tobacco control (TC) programs, and thus, tobacco-related health outcomes.

Conditions

Program Sustainability; Tobacco Use

Outcome Measures

Primary Outcomes (1)

• Change in Program Sustainability Assessment Tool (PSAT) Sustainability Scores

  The Program Sustainability Assessment Tool (PSAT) allows stakeholders to rate their programs on the extent to which they have processes and structures in place that will increase the likelihood of sustainability. The minimum score is 1 and the maximum score is 7. A higher score indicates greater program capacity for sustainability. Assessment results can be used to identify next steps in building program capacity for sustainability in order to position efforts for long term success.

  0 months,12 months, 24 months

Secondary Outcomes (4)

• Number of State Tobacco Control Programs Present in Law, Regulation, or Rule

  0 months, 12 months, 24 months

• State Tobacco Control Program is Included as Part of Regular Budget

  0 months, 12 months, 24 months

• Change in Percentage of Organizational Budget Allotted to Tobacco Control Program

  0 months, 12 months, 24 months

• Change in Percentage of CDC-recommended Tobacco Control Funding Level Actually Spent

  0 months, 12 months, 24 months

Study Arms (2)

Program Sustainability Training

EXPERIMENTAL

* Selected publicly funded tobacco control programs receive the intervention in the form of custom training curricula designed to identify and enable sustainable tobacco control programming at a state-organizational level. Sustainability is assessed at t=12 months and 1=24 months to capture potential impact of the training and curricula. * The intervention group will receive a follow-up survey inviting them to evaluate the training and their progress on executing their sustainability plan. The intervention group will also receive a follow-up survey inviting them to evaluate the technical assistance they have received from the research team. Responses on neither follow-up survey impact participants standing in the study

Behavioral: Program Sustainability Action Planning Model and Training Curricula

Control Condition

NO INTERVENTION

* In this condition, publicly funded tobacco control programs do not receive the designated program sustainability training and proceed with standard operations. Sustainability is assessed at t=12 months and t=24 months to compare against tobacco control programs receiving sustainability training * The control group will receive a follow-up survey inviting them to evaluate their progress on creating their sustainability plan. Responses on the follow-up survey do not impact participants' standing in the study

Interventions

Program Sustainability Action Planning Model and Training Curricula BEHAVIORAL

The Program Sustainability Action Planning Model and Training Curricula's conceptual model is driven by the theory of change and incorporates aspects of Kolb's experiential learning theory to produce a six step process: defining the program, assessing the program, developing an action plan, executing the action plan, evaluating sustainability, and reassessing and modifying. The study team will deliver in-person, hand-on workshops incorporating each of these aspects of the conceptual model. Following the workshop, intervention states will partake in technical assistance activities with the study team to track progress and troubleshooting challenges.

Program Sustainability Training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All participants will be non-institutionalized adults ages 18 and older.

You may not qualify if:

• Participants must be involved in their state's tobacco control program and must be selected by their state's Program Manager to participate.

Sponsors & Collaborators

• Washington University School of Medicine: lead
• National Cancer Institute (NCI): collaborator

Study Sites (1)

Prevention Research Center in St. Louis

St Louis, Missouri, 63130, United States

Location

Related Publications (5)

• Gannon J, Moreland-Russell S. A qualitative study examining the impact of COVID-19 on capacity for sustainability of tobacco control programs. BMC Health Serv Res. 2024 Feb 16;24(1):215. doi: 10.1186/s12913-024-10633-9.

  PMID: 38365656 DERIVED

• Moreland-Russell S, Combs T, Gannon J, Jost E, Farah Saliba L, Prewitt K, Luke D, Brownson RC. Action planning for building public health program sustainability: results from a group-randomized trial. Implement Sci. 2024 Feb 2;19(1):9. doi: 10.1186/s13012-024-01340-4.

  PMID: 38308331 DERIVED

• Moreland-Russell S, Combs T, Gannon J, Jost E, Saliba LF, Prewitt K, Luke D, Brownson RC. Action Planning for Building Program Sustainability: Results from a Group-Randomized Trial. Res Sq [Preprint]. 2023 May 19:rs.3.rs-2783056. doi: 10.21203/rs.3.rs-2783056/v1.

  PMID: 37292588 DERIVED

• Moreland-Russell S, Jost E, Gannon J. A conceptual model for building program sustainability in public health settings: Learning from the implementation of the program sustainability action planning model and training curricula. Front Health Serv. 2023 Mar 29;3:1026484. doi: 10.3389/frhs.2023.1026484. eCollection 2023.

  PMID: 37063373 DERIVED

• Vitale R, Blaine T, Zofkie E, Moreland-Russell S, Combs T, Brownson RC, Luke DA. Developing an evidence-based program sustainability training curriculum: a group randomized, multi-phase approach. Implement Sci. 2018 Sep 26;13(1):126. doi: 10.1186/s13012-018-0819-5.

  PMID: 30257695 DERIVED

Related Links

• This website provides a general project description.
• Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.

MeSH Terms

Conditions

Tobacco Use

Condition Hierarchy (Ancestors)

Behavior

Results Point of Contact

• Title: Sarah Moreland-Russell, Ph.D., MPH
• Organization: Washington University School of Medicine

smoreland-russell@wustl.edu

314-935-8382

Study Officials

• Douglas Luke, PhD

  Center for Public Health Systems Science

  STUDY CHAIR

• Ross C Brownson, PhD

  Prevention Research Center in St. Louis

  STUDY CHAIR

• Sarah Moreland-Russell, PhD, MPH

  Prevention Research Center in St. Louis

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 2, 2018
• First Posted: July 26, 2018
• Study Start: June 29, 2018
• Primary Completion: January 26, 2022
• Study Completion: January 26, 2022
• Last Updated: April 5, 2023
• Results First Posted: April 5, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)