Evaluating and Improving the Sustainability of State-level Tobacco Control Programs in the United States

NCT ID: NCT03598114

Last Updated: 2023-04-05

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

255 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-29

Study Completion Date

2022-01-26

Brief Summary

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The purpose of this study is to empirically develop, test, and disseminate sustainability training to improve the institutionalization of evidence-based state tobacco control (TC) programs, and thus, tobacco-related health outcomes.

Detailed Description

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This study defines program sustainability as the ability to maintain programming and its benefits over time.

The project builds upon the empirically-developed Program Sustainability Action Planning Model and Training Curricula. The training will incorporate experiential learning methods and includes: action planning workshops, development of action plans with measurable objectives to foster institutional changes, and technical assistance. The goal is to demonstrate change in sustainability outcomes in states who receive the Program Sustainability Action Planning Training compared to states that do not. After conclusion of the study, the sustainability training curriculum will be disseminated to all participating state TC programs. Additionally, the curriculum will be adapted for the use by any public health program in need of building sustainability capacity.

Conditions

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Program Sustainability Tobacco Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Program Sustainability Training

* Selected publicly funded tobacco control programs receive the intervention in the form of custom training curricula designed to identify and enable sustainable tobacco control programming at a state-organizational level. Sustainability is assessed at t=12 months and 1=24 months to capture potential impact of the training and curricula.
* The intervention group will receive a follow-up survey inviting them to evaluate the training and their progress on executing their sustainability plan. The intervention group will also receive a follow-up survey inviting them to evaluate the technical assistance they have received from the research team. Responses on neither follow-up survey impact participants standing in the study

Group Type EXPERIMENTAL

Program Sustainability Action Planning Model and Training Curricula

Intervention Type BEHAVIORAL

The Program Sustainability Action Planning Model and Training Curricula's conceptual model is driven by the theory of change and incorporates aspects of Kolb's experiential learning theory to produce a six step process: defining the program, assessing the program, developing an action plan, executing the action plan, evaluating sustainability, and reassessing and modifying. The study team will deliver in-person, hand-on workshops incorporating each of these aspects of the conceptual model. Following the workshop, intervention states will partake in technical assistance activities with the study team to track progress and troubleshooting challenges.

Control Condition

* In this condition, publicly funded tobacco control programs do not receive the designated program sustainability training and proceed with standard operations. Sustainability is assessed at t=12 months and t=24 months to compare against tobacco control programs receiving sustainability training
* The control group will receive a follow-up survey inviting them to evaluate their progress on creating their sustainability plan. Responses on the follow-up survey do not impact participants' standing in the study

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Program Sustainability Action Planning Model and Training Curricula

The Program Sustainability Action Planning Model and Training Curricula's conceptual model is driven by the theory of change and incorporates aspects of Kolb's experiential learning theory to produce a six step process: defining the program, assessing the program, developing an action plan, executing the action plan, evaluating sustainability, and reassessing and modifying. The study team will deliver in-person, hand-on workshops incorporating each of these aspects of the conceptual model. Following the workshop, intervention states will partake in technical assistance activities with the study team to track progress and troubleshooting challenges.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All participants will be non-institutionalized adults ages 18 and older.

Exclusion Criteria

* Participants must be involved in their state's tobacco control program and must be selected by their state's Program Manager to participate.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Douglas Luke, PhD

Role: STUDY_CHAIR

Center for Public Health Systems Science

Ross C Brownson, PhD

Role: STUDY_CHAIR

Prevention Research Center in St. Louis

Sarah Moreland-Russell, PhD, MPH

Role: PRINCIPAL_INVESTIGATOR

Prevention Research Center in St. Louis

Locations

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Prevention Research Center in St. Louis

St Louis, Missouri, United States

Site Status

Countries

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United States

References

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Gannon J, Moreland-Russell S. A qualitative study examining the impact of COVID-19 on capacity for sustainability of tobacco control programs. BMC Health Serv Res. 2024 Feb 16;24(1):215. doi: 10.1186/s12913-024-10633-9.

Reference Type DERIVED
PMID: 38365656 (View on PubMed)

Moreland-Russell S, Combs T, Gannon J, Jost E, Farah Saliba L, Prewitt K, Luke D, Brownson RC. Action planning for building public health program sustainability: results from a group-randomized trial. Implement Sci. 2024 Feb 2;19(1):9. doi: 10.1186/s13012-024-01340-4.

Reference Type DERIVED
PMID: 38308331 (View on PubMed)

Moreland-Russell S, Combs T, Gannon J, Jost E, Saliba LF, Prewitt K, Luke D, Brownson RC. Action Planning for Building Program Sustainability: Results from a Group-Randomized Trial. Res Sq [Preprint]. 2023 May 19:rs.3.rs-2783056. doi: 10.21203/rs.3.rs-2783056/v1.

Reference Type DERIVED
PMID: 37292588 (View on PubMed)

Moreland-Russell S, Jost E, Gannon J. A conceptual model for building program sustainability in public health settings: Learning from the implementation of the program sustainability action planning model and training curricula. Front Health Serv. 2023 Mar 29;3:1026484. doi: 10.3389/frhs.2023.1026484. eCollection 2023.

Reference Type DERIVED
PMID: 37063373 (View on PubMed)

Vitale R, Blaine T, Zofkie E, Moreland-Russell S, Combs T, Brownson RC, Luke DA. Developing an evidence-based program sustainability training curriculum: a group randomized, multi-phase approach. Implement Sci. 2018 Sep 26;13(1):126. doi: 10.1186/s13012-018-0819-5.

Reference Type DERIVED
PMID: 30257695 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine.

Other Identifiers

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R01CA203844

Identifier Type: NIH

Identifier Source: secondary_id

View Link

201801196

Identifier Type: -

Identifier Source: org_study_id

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