Learning Objectives: Describe the evaluation plan and initial results of Hawaii's multilevel tobacco control program.
Abstract: The State of Hawaii has allocated 35% of its tobacco settlement dollars towards the Healthy Hawaii Initiative (HHI). The HHI is comprised of: 1) a school and 2) a community component, which develop environmental, systems and policies changes, and 3) a public/professional education component, targeting individuals. The expected outcomes are that within the first 2-5 years environmental, knowledge and attitudinal change will be demonstrated, within 5-10 years behavioral change, and within 10-20 years mortality and morbidity will be impacted. The evaluation is implemented at various levels. Process analysis is used to identify the barriers and facilitators to changing environments, systems, and policies to reduce tobacco use; and the dose of anti-tobacco message delivered by the education component. Based on CDC recommendations, highlight schools and communities were selected to illustrate in detail the process. Mediators and behaviors are be assessed at 6-month intervals using an independent survey with multiple cross-sectional and a longitudinal sample with an overall N sufficient to allow community comparisons. This is supported by existing data collection (e.g., YRBS, BRFSS). Long-term outcomes are monitored through existing morbidity/mortality data mechanisms (e.g., State tumor registry). Some positive aspects in the process of the HHI have been the logic used, the scientific basis, and involving international experts in its design. Results of the initial mediators survey and process tracking will be presented.
CTOH Presentation.ppt (1095.0 kb)
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