209200 Assessing Community Readiness for Tobacco Policy Change in Indigenous Communities

Monday, November 9, 2009

Wendi L. Siebold, MA, MPH , Evaluation, Management & Training Associates, Northwest Regional Office, Seattle, WA
Joyce M. McFarland, BA , Students for Success, Nez Perce Tribe, Lapwai, ID
In 2007, the Nez Perce Tribe's Tobacco Prevention Coalition was funded by the Robert Wood Johnson Foundation to expand its second-hand smoking policies on the reservation. Over a period of two months, the Tribe partnered with an outside evaluator to lead tribal members through a community readiness assessment . Employees of Tribal administration offices, the Tribal Health Clinic, Tribal housing, a building manager, and two community members were interviewed about the Nez Perce community's readiness for second-hand smoking policy change across six dimensions: existing second-hand smoking policy efforts, community knowledge about second-hand smoking, community leadership, community climate for second hand smoking policy efforts, community knowledge of second hand smoking policy efforts, and resources for second hand smoking policy efforts.

By successfully conducting their own community readiness assessment, the Nez Perce Tribe was able to pass a Tribal resolution to ban second-hand smoking in or near Tribal buildings, and engage Tribal members in larger efforts to curb tobacco and other substance use in the community. In this presentation, we will emphasize a) the use of community readiness interviews as a sustainable tool for community assessment in Native communities, b) the model of a collaborative, sustained relationship between an evaluation firm and a Tribal entity, and c) the applicability of a community readiness assessment tool for policy change in tobacco and other areas of health policy change.

Learning Objectives:
1. Explain the usefulness of a community readiness assessment as a community-driven data collection method to prepare for policy change. 2. Identify the nine stages of community readiness 3. Design their own community readiness assessment (the basics) 3. Discuss the benefits of community engagement processes within Tribal communities, and the process by which a community assessment may be undertaken to inform policy and program implementation efforts.

Keywords: Native and Indigenous Populations, Tobacco Policy

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A

Qualified on the content I am responsible for because: I conducted the research with our community partner and wrote the presentation abstract
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.