2002 National Conference on Tobacco or Health

1. 2002 National Conference on Tobacco or Health Thursday, 21 November 2002: 1:30 pm – 3:00 pm Hilton San Francisco Union Square 5&6 EVAL-351: Effective Programming at the Local Level – Influencing Policy for Statewide Impact

2. Session Overview Effective Programming at the Local Level – Influencing Policy for Statewide Impact Thursday, 21 November 2002 1:30 pm – 3:00 pm Hilton San Francisco Union Square 5&6

3. Session Speakers Vanessa Newburn University of Wisconsin-Madison Department of Population Health Sciences Guiding Community Planning and Evaluation Efforts in Tobacco Control: Predicting Future Rates of Smoking During Pregnancy

4. Session Speakers Nina Alesci, MPH Blue Cross Blue Shield of Minnesota Center for Tobacco Reduction and Health Improvement Quitting Smoking: Nicotine Addiction in Minnesota, a Collaborative Research Report Building a Statewide Business Case for Tobacco Cessation Programs

5. Session Speakers Seth Emont, Ph.D., M.S. Consultant, Abt Associates Inc. Using “Snapshots” to Document State- and Local-Level Tobacco Control Efforts for Policy Makers

6. Effective Programming at the Local Level – Influencing Policy for Statewide ImpactLearner Objectives • Describe collaboration among key tobacco control partners • Characterize the population of smokers targeted in the three different studies • Provide a process to capture quantitative and qualitative changes in statewide and local tobacco control programming that can be used to inform policy makers and build a business case for offering tobacco use cessation resources • Utilize local data to set community-specific goals for tobacco control

7. Using Snapshots to Document State & Local Level Tobacco Control Efforts for Policy Makers Seth Emont Peter Finn Sherry Mills Linda Truitt Abt Associates Inc. Cheryl Wiese David Weisser Ian Newman University of Nebraska - Lincoln Judy Martin Jeff Soukup Tobacco Free Nebraska NE Health & Human Services System

9. Tobacco Free Nebraska:Program Summary • Nebraska legislature enacted LB1436 in March 2000 (as a result of the MSA) • $7 million/year over 3 years • $1 million from CDC

10. Tobacco Free Nebraska:Program Goals • Prevent the initiation of tobacco use among young people • Eliminate exposure to second hand smoke • Identify and eliminate disparities related to tobacco use • To promote tobacco use cessation among adults and youths

11. Trends in Cigarette Smoking Among Adults Nebraska & United States, 1990-2000 Nation % Smokers Nebraska Source: CDC, Behavioral Risk Factor Surveillance System, 1990-2000

13. Tobacco Free Nebraska Program Initiatives and Funding Levels Total Funding = $7 million

15. Tobacco Free Nebraska Starts Media Campaign

16. Community, School, & Outreach Grantees By County, Nebraska -- Fall 2000 * Santee Knox * Winnebago * Macy Scottsbluff Madison * NAF* Platte * Colfax NAF* Douglas * Charles Drew Health Center Keith Lincoln * Polk Sarpy * NAF* Cass Dawson Buffalo Hall 1. Asian Comm & Cultural Center 2. Malone Community Center 3. Indian Center, Inc. 4. Hispanic Center York Lancaster * Adams Gage Key: School/Community Intervention County School/Community Planning County * Outreach to all Minority Populations *NAF’s main office is in North Platte, but NAF provides services statewide 08/27/01

17. Local Tobacco Control Coalitions • Adams Buffalo Cass • Colfax Dawson Douglas • Gage Hall Keith • Lancaster Lincoln Madison • Platte Sarpy Scottsbluff • York

18. Bureau of Sociological Research Tobacco Free Nebraska Evaluation Team

19. Tobacco Free NebraskaEvaluation Advisory Panel • Monica Eischen, Office on Smoking and Health, Centers for Disease Control and Prevention • Pebbles Fagan, Ph.D., National Cancer Institute, National Institutes of Health • Jean Forster, Ph.D., Director, Prevention and Policy Program, University of Minnesota • Karen Gerlach, Ph.D., Senior Program Officer, The Robert Wood Johnson Foundation • Eric Wiesen, Office on Smoking and Health, Centers for Disease Control and Prevention

20. Why Monitor the Tobacco Free Nebraska Program? • To monitor progress toward the program’s goals; • To demonstrate whether a particular program activity is effective; • To learn how to improve the program; • To ensure that only effective programs are maintained; • To ensure that resources are not wasted on ineffective programs; and • To document to program funders that their money is being well-spent Adapted from the Centers for Disease Control and Prevention Office on Smoking and Health “Introduction to Evaluation for Comprehensive Tobacco Control Programs”, November 2001.

22. Tobacco Free NebraskaA State “Snapshot” Progress Report

23. Tobacco Free Nebraska State SnapshotRationale • Behavior/attitudinal changes take time • Policy makers can’t wait that long • Qualitative information complements quantitative measures of change monitored through surveillance systems

24. Tobacco Free Nebraska: SnapshotPurpose • Provides interested parties with updated information on statewide and local tobacco control efforts (on a periodic basis) • Highlights program successes and challenges • Snapshots can be theme-based • Used internally as an accountability scorecard

25. Tobacco Free Nebraska: Snapshot • State and local snapshots -- highlights complementary activities at state and local levels • Developed by an independent evaluation team • Oriented towards qualitative changes in tobacco control programming & evaluation • Written for policy makers as key audience (but also useful to update partnering organizations and the public) • Easily communicates main messages • Key stakeholders’/partners’ perspectives are incorporated

26. Tobacco Free Nebraska:State Snapshot “Recipe” • Executive summary • Epidemiology of tobacco use in the state • Program goals and strategy • Program organization • Highlights tobacco control milestones • Modeled after other successful state initiatives • Follows CDC Best Practices Guidelines • Description of local/community-based achievements • Updates statewide tobacco control components • Highlights program successes and challenges • Provides recommendations for program improvement • Resources for further information

27. State Snapshot: 4 Easy Steps • Develop outline • Draft interview guide • Determine who to interview • Synthesize findings (qualitative, quantitative, notable quotes) • Optional: Focus group with staff Start to Finish: about 8-12 weeks

28. Anatomy of the Snapshot

29. Anatomy of the Snapshot (continued)

30. Anatomy of the Snapshot (continued) Federal State Local

31. Anatomy of the Snapshot (continued)

32. Anatomy of the Snapshot (continued):Notable Quotes “Public health has been elevated to a level that has not been seen in this state for a long time.” -- Dr. Richard Raymond, Chief Medical Officer, HHSS “Tobacco Free Nebraska has served as the coordinator of [tobacco control] activities in the state, and not many of the efforts would have taken place otherwise.” -- Kelly Madcharo, Associate Executive Vice President, Nebraska Medical Association

33. Anatomy of the Snapshot (continued) • Program success stories • Program challenges • Program recommendations

34. How Has the Snapshot Been Usedby Tobacco Free Nebraska? • Posted on website • Disseminated to tobacco control coordinators and legislators • Used as part of strategy for proposed 50¢ excise tax increase • Key tool for lobby team • Used internally to provide program updates

35. Statewide Support for 50-Cent Cigarette Tax Hike Percentage Source: Nebraska State Paper, February 4, 2002

36. For Immediate ReleaseApril 11, 2002 Contact: Tony Iallonardo 202.296.5469 Nebraska’s Higher Cigarette Tax Will Save Lives, Reduce Health Care Costs and Raise Much-Needed RevenueStatement by William V. Corr, Executive Vice President Campaign for Tobacco-Free Kids Washington, DC - Nebraska’s leaders have taken an important step toward protecting the state’s kids and taxpayers from the devastating toll of tobacco by increasing the cigarette tax by 30 cents a pack for the next two years. This is Source: Campaign for Tobacco-Free Kids, 2002

37. State Snapshot Local Snapshot

38. Three Nebraska Local “Snapshots” • Tobacco Free Hall County • Metropolitan Omaha Tobacco Awareness Coalition • The Nebraska Native American Tobacco Coalition

39. Next Steps... • State Snapshot 2002 • Local Snapshots • Special Snapshot on Youth Empowerment

40. For More Information... • Contact Seth Emont, Peter Finn, Heather Handel–Abt Associates Inc. • Contact Cheryl Wiese, Dave Weisser–UN-L • Contact Jeff Soukup - TFN • For an electronic copy of the report, please visit:http://www.hhs.state.ne.us/tfn