3228.0: Monday, October 22, 2001 - Board 2

Abstract #26177

Status of implementation of Tobacco Use Prevention Education (TUPE) in secondary schools in Texas

Melynda C. Boerm, BS1, Phyllis M. Gingiss, DrPH1, Philip Huang, MD, MPH2, Celan Alo, MD, MPH2, and Richard Kropp, BS2. (1) Department of Health and Human Performance/Texas Tobacco Prevention Initiative, University of Houston, 4800 Calhoun, Houston, TX 77204-6321, 713-743-9953, mcboerm@bayou.uh.edu, (2) Bureau of Disease, Injury and Tobacco Prevention, Texas Department of Health, 1100 West 49th Street, Austin, TX 78756-3199

As part of baseline evaluations for the Texas Tobacco Prevention Initiative, secondary school health coordinators and principals were surveyed to assess: 1) classroom instruction activity levels, 2) nature of instruction, 3) faculty and staff attitudes, and 4) staff development preferences. Questionnaires, corresponding to CDCP’s Tobacco Profiles Questionnaire were modified for Texas. A random sample of schools within the 19 study areas received written questionnaires. 128 health coordinators and 131 principals (75% and 76% responses, respectively) participated. Implementation of TUPE was limited, and in most cases not sufficient to be effective. Few principals reported their schools extremely active in provision of classroom instruction (19%), teacher training (4%), or family involvement (2%). In 40% of schools, TUPE was only infused into one or more lessons or consisted of a single lesson - often an example of life skill or refusal skill training. Materials used for TUPE were predominantly from voluntary community associations; less than 13% used published curricula with proven effectiveness. Predominate instructional methods used by over 50% were seatwork, lectures, films or videos, and group discussions; rarely used were more effective interactive, skill-based, student-centered methods. Only 17% of teachers and administrators viewed TUPE as very important compared to other subjects. Faculty expressed they would like to receive training in behavior change skills (66%), encouraging family or community development (61%), use of interactive teaching methods (59%), and curriculum-specific training (58%). Strategies will be discussed to help schools identify and use effective programs in order to successfully provide TUPE.

Learning Objectives: 1) Identify the scope and nature of school tobacco prevention education instruction and staff development preferences. 2) Provide staff development preferences and strategies for strengthening school programs.

Keywords: School Health, Tobacco Control

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA