The 130th Annual Meeting of APHA

4305.0: Tuesday, November 12, 2002 - Board 6

Abstract #48640

Diagnosis of school readiness to successfully implement tobacco prevention and control programs

Phyllis M. Gingiss, DrPH, Department of Health and Human Performance, University of Houston, Texas Tobacco Prevention Initiative, Houston, TX 77204, 713/743-9843, pmgingiss@uh.edu and Cindy Roberts-Gray, PhD, Resource Network, 3002 Avenue O-1/2, Galveston, TX 77550-6858.

To (1) identify baseline status of readiness to implement school-based elements of the Texas Tobacco Prevention Initiative and (2) diagnose environmental, organization, work unit, and implementer factors which may influence likelihood of successful program use, a written questionnaire was distributed to 125 schools receiving funding from Texas Department of Health for Tobacco Use Prevention Education (TUPE). The survey was based on Bridge-It, an eight-factor model for diagnosing likelihood of successful implementation within three years. Participants represented 93 secondary schools in 37 districts. About half of schools noted the following assets: a) TUPE was viewed as an improvement over current initiatives and fairly easy to implement; b) TUPE was reported to be at least moderately compatible with student needs; c) staff was willing to try TUPE, actively involved in student health issues, and believed use was compatible with their professional identities; and d) TUPE had the support of a "champion" at district level. Potential barriers included: a) TUPE was low/not among principal priorities (> 50%); d) b) <15% reported processes in place to support implementation (e.g., staff training, program monitoring and feedback, multiple two-way communication channels, and written plans); c) staffing, funding and time were seen to be inadequate; and d) possible opposition or lack of support from parents/community was noted at more than half of the schools. Recommendations for training and technical assistance to improve likelihood of successful implementation will be provided.

Learning Objectives: At the conclusion of the session, the participant wil be able to

Keywords: School-Based Programs, Tobacco Control

Presenting author's disclosure statement:
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.

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The 130th Annual Meeting of APHA