Developing a Dissemination Model to Improve Intervention Reach among West Virginia Youth Smokers.

Kimberly Horn,Traci Jarrett,Andrew Anesetti-Rothermel,Geri Dino,Nancy Oâ€™Hara Tompkins

doi:10.3389/fpubh.2014.00101

Abstract

The not-on-tobacco program is an evidence-based teen smoking cessation program adopted by the American Lung Association (ALA). Although widely disseminated nationally via ALA Master Trainers, in recent years, adoption and implementation of the N-O-T program in West Virginia (WV) has slowed. WV, unfortunately, has one of the highest smoking rates in the US. Although it is a goal of public health science, dissemination of evidence-based interventions is woefully understudied. The present manuscript reviews a theoretical model of dissemination of the not-on-tobacco program in WV. Based on social marketing, diffusion of innovations, and social cognitive theories, the nine-phase model incorporates elements of infrastructure development, accountability, training, delivery, incentives, and communication. The model components as well as preliminary lessons learned from initial implementation are discussed.

Highlights

A core function of public health includes developing effective interventions that address priority health issues and assuring that those interventions are disseminated widely and sustained over time [1, 2]
We describe the application of the model using the state of West Virginia (WV) as a case example
Still, extrapolating from our WV public health and school health professionals who serve teens, we estimated that at least 84% of our potential facilitators had not been trained in N-O-T [40], reaching

Summary

METHODS

Developing a dissemination model to improve intervention reach among West Virginia youth smokers. The not-on-tobacco program is an evidence-based teen smoking cessation program adopted by the American Lung Association (ALA). Widely disseminated nationally via ALA Master Trainers, in recent years, adoption and implementation of the N-O-T program in West Virginia (WV) has slowed. WV, has one of the highest smoking rates in the US. It is a goal of public health science, dissemination of evidencebased interventions is woefully understudied.The present manuscript reviews a theoretical model of dissemination of the not-on-tobacco program in WV. Diffusion of innovations, and social cognitive theories, the nine-phase model incorporates elements of infrastructure development, accountability, training, delivery, incentives, and communication.

INTRODUCTION

Conduct Regional Coordinator and facilitator training

Findings

CONCLUSION