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

Not Applicable

Completed

• Conditions: Program Sustainability; Tobacco Use
• Interventions: Behavioral: Program Sustainability Action Planning Model and Training Curricula

• Registration Number: NCT03598114
• Lead Sponsor: Washington University School of Medicine

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.

Detailed Description

This study defines program sustainability as the ability to maintain programming and its benefits over time.

The project builds upon the empirically-developed Program Sustainability Action Planning Model and Training Curricula. The training will incorporate experiential learning methods and includes: action planning workshops, development of action plans with measurable objectives to foster institutional changes, and technical assistance. The goal is to demonstrate change in sustainability outcomes in states who receive the Program Sustainability Action Planning Training compared to states that do not. After conclusion of the study, the sustainability training curriculum will be disseminated to all participating state TC programs. Additionally, the curriculum will be adapted for the use by any public health program in need of building sustainability capacity.

Study Timeline

• Study Start: 2018-06-29
• Study First Submitted: 2018-07-02
• Study First Submitted QC: 2018-07-13
• Study First Posted: 2018-07-26
• Primary Completion: 2022-01-26
• Study Completion: 2022-01-26
• Results First Submitted: 2023-01-13
• Status Verified: 2023-04
• Results First Submitted QC: 2023-04-03
• Last Update Submitted: 2023-04-03
• Results First Posted: 2023-04-05
• Last Update Posted: 2023-04-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 255

Inclusion Criteria

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

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Exclusion Criteria

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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Program Sustainability Training	Program Sustainability Action Planning Model and Training Curricula	* 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

Primary Outcome Measures

Name	Time	Method
Change in Program Sustainability Assessment Tool (PSAT) Sustainability Scores	0 months,12 months, 24 months	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.

Secondary Outcome Measures

Name	Time	Method
Change in Percentage of Organizational Budget Allotted to Tobacco Control Program	0 months, 12 months, 24 months	Defined as the percentage of the state health department budget garnered by its tobacco control program. The measure will be continuous and theoretically range from 0% (no funding) to 100% (entire health department budget). This quantity measures institutionalization of a program both individually and relative to other state health programs.
Number of State Tobacco Control Programs Present in Law, Regulation, or Rule	0 months, 12 months, 24 months	-This measure is defined as whether a state's tobacco control program is established or continued through state statute or regulation and/or if the program is stated in organizational doctrine as a permanent component of the auspice organization. This is a direct measure of formal institutionalization of tobacco control programs and will be measured as a simple binary quantity, zero (0) for "not present in law, regulation, or rule" and one (1) for "present in law, regulation, or rule."
State Tobacco Control Program is Included as Part of Regular Budget	0 months, 12 months, 24 months	Defined as whether a state's tobacco control program is a regular (annual, quarterly, or otherwise) item of the budget of its auspice organization. It directly indicated formal institutionalization and will take one of two possible values, zero (0) for "not included in budget" and one (1) for "included in budget."
Change in Percentage of CDC-recommended Tobacco Control Funding Level Actually Spent	0 months, 12 months, 24 months	Defined as the amount of program funding as a percentage of the amount recommended by the CDC. This quantity measures institutionalization of a program relative to an objective level of funding computed uniformly from state characteristics by the CDC. The measure ranges from 0% (no funding) to over 100% (above CDC-recommended level).

Trial Locations

Locations (1)

Prevention Research Center in St. Louis; 🇺🇸 Saint Louis, Missouri, United States