237043 Development of a brief, online community readiness survey for smoke-free policy

Monday, October 31, 2011

Amanda T. Fallin, MSN, RN , College of Nursing, University of Kentucky, Lexington, KY
Robert Zuercher, MS , School of Journalism and Telecommunication, University of Kentucky, Lexington, KY
Mary Kay Rayens, PhD , College of Nursing and College of Public Health, University of Kentucky, Lexington, KY
Sarah Adkins, MS , College of Nursing, University of Kentucky, Lexington, KY
Ellen J. Hahn, PhD, RN , Tobacco Research and Prevention Program, University of Kentucky College of Nursing and College of Public Health, Lexington, KY
Smoke-free policies are the most effective public health solution to reduce exposure to secondhand smoke. Our 5-year NHLBI-funded community-based RCT to promote smoke-free policy uses stage of community readiness to guide tailored interventions for smoke-free policy. The Community Readiness Survey long form (CRS-L) is a 186-item interviewer administered telephone survey, with six dimensions: resources (68 items); knowledge (15 items); leadership (33 items); climate (6 items); political climate (31); existing policy (18). The purpose was to develop and pilot test a short online version of the CRS-L. The specific aims were to: (1) determine which CRS-L items were significantly associated with each dimension summary score; (2) create the Community Readiness Survey short form (CRS-S) based on the most highly correlated items; and (3) evaluate the correlation between dimension and overall readiness scores on the CRS-L and the CRS-S. Using Wave 3 data, items were selected for inclusion in the CRS-S using t-tests, Pearson r or Spearman Rho depending on the level of measurement. During Wave 4, the CRS-S was pilot tested using Qualtrics with a convenience sample of 44 smoke-free advocates (72% response rate) who had completed CRS-L. Readiness scores were calculated for each participant's responses to the CRS-L and CRS-S. The correlations for readiness dimensions ranged from .57-.76, and the overall correlation was .82. The tool will be modified, re-tested with Wave 5 data, and a system of immediate online scoring will be determined. The tool will be used by advocates to gauge community readiness to tailor their smoke-free campaigns.

Learning Areas:
Public health or related public policy

Learning Objectives:
Discuss the six dimensions of community readiness (resources, knowledge, leadership, climate, political climate and existing policy). Describe the process used to develop a shortened, online version of the Community Readiness Survey.

Keywords: Tobacco Policy, Tobacco Control

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversaw the development and implementation of this intervention.
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.