260078 An Online, Automated Readiness Survey and Stage-based Interventions for Rural Smoke-free Policy Development

Monday, October 29, 2012 : 4:50 PM - 5:10 PM

Amanda Fallin, PhD, RN , Center for Tobacco Policy Research and Education, University of California San Francisco, San Francisco, CA
Ellen J. Hahn, PhD, RN , Tobacco Research and Prevention Program, University of Kentucky College of Nursing and College of Public Health, Lexington, KY
Kathy Begley, BA , Tobacco Policy Research Program, University of Kentucky, Lexington, KY
Sarah Adkins, MS , College of Nursing, University of Kentucky, Lexington, KY
Mary Kay Rayens, PhD , College of Nursing and College of Public Health, University of Kentucky, Lexington, KY
Background: Rural communities are less likely to be protected by smoke-free policy than their urban counterparts. An online readiness assessment, based on The Community Readiness Model (CRM), linked to stage-based strategies, can be used to tailor advocacy interventions. Methods: An online, shortened readiness survey was found to be reliable and valid with a small sample of rural advocates (Fallin et al., 2012). We re-tested the survey with 84 advocates from 36 rural communities to determine community-level scoring. Content experts then matched advocacy interventions to specific readiness dimensions. Further testing is underway with 200 advocates from 40 rural communities to develop a system to automate the community readiness scores and direct participants to a listing of stage- and evidence-based interventions to promote smoke-free policy. Follow up telephone interviews will yield feedback on the usability and appropriateness of the interventions. Results: The online readiness assessment produced an overall county-level readiness score that was highly correlated with a longer, telephone administered readiness survey (.86, p<.001). Six readiness dimension scores were also highly correlated and significant (p < .001; resources: .46, knowledge: .90, leadership: .46, climate: .76, political climate: .76, existing policies: .54). On average, 4 advocates per community were needed to produce a valid community readiness score. Findings from testing the automated system linking dimension scores with interventions will be discussed. Conclusions: Further evidence suggests the online readiness survey is valid and reliable. An online, automated survey with stage-based interventions will help rural advocates develop effective smoke-free campaigns.

Learning Areas:
Public health or related nursing
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the use of an online readiness assessment to place rural communities in a stage of readiness for smoke-free policy enactment. Explain the link between stage of readiness for smoke-free policy enactment and stage-based interventions.

Keywords: Tobacco, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a postdoctoral fellow at the UCSF Center for Tobacco Control Research and Education. I also have experience working with rural communities to develop smoke-free policy as part of an NHLBI funded project.
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.