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APHA Scientific Session and Event Listing

Recorded presentation

Christine E. Sheffer, PhD¹, Paul Greene, PhD¹, Alan VanBiervliet, PhD¹, Deidre E. Seker, MS¹, Julie Harlan, CHES¹, Jada Walker, MEd¹, and John B. Wayne, PhD². (1) College of Public Health, University of Arkansas for Medical Sciences, Health Behavior / Health Education Department, 4301 West Markham Street, Slot #820, Little Rock, AR 72205-7199, (501) 526-6613, shefferchristinee@uams.edu, (2) College of Public Health, Univ of Arkansas for Medical Sciences, 4301 West Markham Street, Slot #820, Little Rock, AR 72205-7199

Evidence-based treatments for tobacco use and dependence are not widely disseminated. Efforts at dissemination are hampered by a dearth of dissemination research (Kerner et al., 2005). The Push-Pull-Infrastructure model was used to guide statewide dissemination of: 1) Multi-component cognitive-behavioral therapy (MCBT), and 2) brief interventions (5A's) for tobacco dependence. Several programs were integrated in the model including those for treatment, referral, provider training, academic detailing, and workplace assistance.

Outcomes from 7/1/05-6/30/06 will be presented. Interim results (7/1/05-12/31/05) follow: MCBT was successfully adapted for population use with face-to-face, telephone delivery, and computer-based delivery. Adaptations and focus group results will be presented. Efforts to build capacity and increase demand include: 1) Provider training was well received with a mean score of 4.46 (1=poor, 5=best) from 44 providers (34% physicians). Pre-post tests indicate significant increases in provider knowledge, motivation, confidence, and preparedness in treating tobacco use. Results from 500 providers will be presented. 2) Academic detailing in clinics resulted in increases in provider referral behaviors. A clinic case study will be presented. 3) The workplace program assisted 8 companies at 20 sites, 1440 employees, and increased referrals. These efforts resulted in: 1) Telephone-based treatment receiving 1,732 unique callers representing every county in Arkansas. Preliminary outcomes indicate a 29% 3-month quit-rate. 2) Face-to-face treatment receiving 342 referrals. Preliminary outcomes indicate a 44% 3-month quit rate. 3) Fax-back referrals increasing from 47 to 260 per month in the first 6-months. Our results will enhance what is known about effective dissemination strategies and augment dissemination research.

Learning Objectives: At the conclusion of this presentation participants will be able to

• Apply multi-component cognitive-behavioral therapy with face-to-face, telephone delivery, and computer-based delivery.
• Create efforts to build capacity and increase demand for treatment of tobacco dependence.
• Describe an effective tobacco cessation dissemination strategy.

Keywords: Smoking Cessation, Media Campaigns

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation