Thursday, 11 December 2003
Sheraton Boston Hotel Grand Ballroom (1100)
CESS-81-156

This presentation is part of CESS-81. Poster Session

Evaluation of a 15-Site Smoking Cessation Program in Arkansas

Presentation or Handout File(s)
Tobacco Control Conference poster.pdf (1090.0 kb)

Christine Sheffer, PhD, Arkansas Foundation for Medical Care, Grants and Research, robannon@afmc.org, David Bourne, MD, dbourne@healthyarkansas.com, Lynda Lehing, MBA RN, llehing@healthyarkansas.com, Sipple Frasier, MS, msfrasier@chc-ar.org.

Learning Objectives: Describe the processes and procedures for establishing, monitoring and evaluating an extensive smoking-cessation counseling program.

Abstract:
Problem/Objective:To establish and evaluate the success of a program providing access to smoking-cessation counseling for citizens throughout the state of Arkansas.
Methods:Arkansas Foundation for Medical Care (AFMC) in partnership with the Arkansas Department of Health secured agreements with 15 strategically located Arkansas primary care facilities to house smoking-cessation clinics at their respective sites. Fifteen counselors were hired to operate the clinics. Counselors were trained by professional staff to conduct 6-week group and individual smoking-cessation counseling interventions; educate physicians in brief intervention procedures; and collect and transmit data to AFMC via a secure website. Data are collected utilizing client intake and summary instruments, 3-month and 6-month follow-up surveys, and an exit survey to track brief interventions.
Results:The program began accepting clients on April 1, 2003. On April 10, 212 clients were enrolled in counseling interventions. Complete data including 3-month and 6-month follow-up status will be analyzed for these clients (and those enrolling before May 15) prior to the December 2003 National Conference on Tobacco or Health. For clients enrolling by July 15, results including 3-month follow-up status will be reported at the Conference. Analyses will include descriptive statistics on all aspects of the program. Logistic regression will be used to model status (smoke free or relapsed) at intervention termination, 3 months, and 6 months as a function of intake variables including demographics, smoking history, stress level, FTND score, stage of change, and others. Additional regression and correlation analyses will explore relations among site, counselor, intake and outcome variables.
Conclusions:Data-based conclusions regarding the effectiveness of the program will be presented.


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