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Health Education Research, Vol. 11, No. 4, 527-534, 1996
© 1996 Oxford University Press

other

Durability of tobacco control activities in 11 North American communities: life after the community intervention trial for smoking cessation (COMMIT)

Edward Lichtenstein, Beti Thompson1, Linda Nettekoven, Kitty Corbett2 and COMMIT Research Group3,

Oregon Research Institute 1715 Franklin Boulevard, Eugene, OR 97403-1983
1Fred Hutchinson Cancer Control Center 1124 Street, MP 702, Seattle, WA 98104-2092
2Anthropology Department, University of Colorado at Denver Campus Box 103, PO Box 173364, Denver, CO 80217-3364
3Kaiser Permanente Medical Care Program, Division of Research, Northern California Region 3505 Broadway, Oakland, CA 94611-5714, USA

Durability of tobacco control activities in the 11 intervention sites of the Community Intervention Trial for Heavy Smokers (COMMIT) was examined. Although continuation of COMMIT activities was not a major goal, all communities made plans to continue some tobacco control activity. Information was gathered at focus groups of former COMMIT volunteers and staff who were assembled in each community and asked to described tobacco control activities in their communities during the past 12–16 months—the period after the termination of COMMIT funding. It was found that a tobacco coalition, board or other structure was still operating in nine of the 11 communities and 10 had some level of paid staff dedicated to smoking control. There was also substantial activity in three of the four channels that COMMIT used as an intervention framework: worksites, public education and cessation resources. Many communities were currently engaged in considerable smoking control activity aimed at youth, an area that was intentionally de-emphasized by COMMIT. Implications for the durability of health promotion programs by communities are discussed.


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