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Keeping Tobacco on the Agenda Step Up to Tobacco Control Nashville, January 29, 2006

Keeping Tobacco on the Agenda Step Up to Tobacco Control Nashville, January 29, 2006. Lawrence W. Green (lgreen@cc.ucsf.edu) University of California at San Francisco Population Sciences, Comprehensive Cancer Center.

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Keeping Tobacco on the Agenda Step Up to Tobacco Control Nashville, January 29, 2006

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  1. Keeping Tobacco on the AgendaStep Up to Tobacco ControlNashville, January 29, 2006 Lawrence W. Green (lgreen@cc.ucsf.edu) University of California at San Francisco Population Sciences, Comprehensive Cancer Center

  2. The Cycle of Development for Tobacco Control Agenda: From Efficacy to Effectiveness St Louis, Apr 14, 2004 More Robust Models 2. Improved plans & advocacy 1. Better evidence & theory building Training Agenda Research & Evaluation Agenda Policy Agenda 3. Objectives & Standards (e.g., core competencies) 5. Certification? Better Programs & Practice Agenda 4. Performance indicators

  3. Recommendations from Strategy Planning Meeting for Tobacco Use Prevention Chicago, May 3, 2005 More Robust Models Explore strategies for integrating tobacco control research & teaching with obesity & other risk factors Develop & implement strategies for influencing policy in support of tobacco research Training Agenda Research & Evaluation Agenda Policy Agenda Economic, funding issues. Sustaining & expanding res/training. Research/Educ/Training for work in special populations Better Programs & Practice Agenda Dissemination, Translation, Continuing education

  4. Research & Education/Training Needs in Regard to Special Populations* • Address high-risk population use disparities • The poor, the stigmatized, the mentally ill • Most vulnerable ethnic and cultural groups • Develop new approaches to smoking cessation among pregnant women, and ETS protection • Determine socio-environmental factors involved in tobacco use and cessation/prevention • Greater emphasis on setting-specific studies *Pp. 3-4.

  5. Recommendations from Strategy Planning Meeting for Tobacco Use Prevention, II Chicago, May 2005 More Robust Models Explore strategies for integrating tobacco control research & teaching with obesity & other risk factors Develop & implement strategies for influencing policy in support of tobacco research Training Agenda Research & Evaluation Agenda Policy Agenda Economic, funding issues. Sustaining & expanding res/training. Research/Educ/Training for work in special populations Better Programs & Practice Agenda Dissemination, Translation, Continuing education

  6. Economic Issues* • Develop a standardized method for evaluating tobacco-attributable factors and effects (e.g., lives lost, medical costs, lost productivity). • Resolve the potential economic dilemma of effective tobacco control and subsequent increase in life-time medical costs. • Many funding sources are limited either to domestic or to international funding, or to new initiatives, imposing restrictions on study of international issues. *See p. 4.

  7. Sustaining & Expanding Tobacco Research and Education/Training Initiatives • Link tobacco research more effectively with Medicaid, Medicare, & other 3rd-party payer issues • Build on the environmental exposures data to address childhood asthma and other tobacco-related conditions • Build on genetic issues in tobacco-gene interactions • Build on the mental health/drug abuse-tobacco link • Develop campus-community partnerships • Other workforce and accreditation/credentialing issues* *See p. 5

  8. Funding Priorities* • Collaborate with state health departments in use of MSA funds • Support CDC in encouraging collaboration between state tobacco control programs and SPH for training of public health professionals • Support broad networking among institutions and organizations to increase funding for tobacco research • Encourage NIH training & research grants to support GRAs’ work in tobacco control *Pages 6-7.

  9. Recommendations from Strategy Planning Meeting for Tobacco Use Prevention Chicago, May 3, 2005 More Robust Models Explore strategies for integrating tobacco control research & teaching with obesity & other risk factors Develop & implement strategies for influencing policy in support of tobacco research Training Agenda Research & Evaluation Agenda Policy Agenda Economic, funding issues. Sustaining & expanding res/training. Research/Educ/Training for work in special populations Better Programs & Practice Agenda Dissemination, Translation, Continuing education

  10. Disseminating and Translating Research* • Encourage more intensive retrospective study of the jurisdictions that have achieved the most success (*p. 6) • Encourage rapid response to opportunities to put prospective studies into place where great innovation is occurring or where more representative experiences are occurring, to describe the barriers and challenges • …for practitioners to utilize research effectively. “If we want more evidence-based practice, we need more practice-based evidence.” www.lgreen.net

  11. Continuing Education Priorities* • Promote continuing education opportunities for public health workforce • Develop continuing and distance education through online courses and other mechanisms *Page 7.

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