Health Education Research, Vol. 6, No. 3, 353-362, 1991
© 1991 Oxford University Press
research-article |
An evaluation of the effectiveness of a planned diffusion process: the Smoke-Free Class of 2000 project in Texas
1Center for Health Promotion Research and Development, School of Public Health, The University of Texas Health Science Center at Houston PO Box 20186, Houston, TX 77225
2Department of Health and Human Performance, University of Houston Houston, Texas
3Department of Kinesiology and Health Education, The University of Texas Austin, Austin, Texas, USA
Correspondence to: 4To whom correspondence should be address at: 1714 U Street, NW, Apt. 2, Washington, DC 20009, USA
The first year of the Texas Triagency Coalition Smoke-Free Class of 2000 project (SFC2000) in Texas was evaluated using a descriptive model developed from diffusion theory. Tobacco-prevention education (TPE) materials were to be made available to all first grade teachers within the state. A random sample survey of 213 teachers indicated that 96 (44.7%) had received the materials. Adoption and implementation were high. By May of 1989, 64.2% of those teachers receiving materials had adopted and already implemented the program, and 25.3% had adopted and intended to use the materials. Almost all (96.8%) of those teachers who received the kit indicated that they would maintain the first grade program in the coming school year. Of respondents to a 1 year follow-up survey, 41.1% used it the first year only, 27.3% used it both years, 12.5% used it only in year 2 and 18.2% did not use it either year. Of those receiving the kits, 48% indicated that they had not previously taught TPE and thus were introduced to the concept of TPE through the SFC2000 kits. Receptivity was highest (over 90% agreement) for including TPE in elementary school curricula, with fewer teachers strongly agreeing with items tapping personal involvement with TPE. This evaluation of a statewide component of a national initiative reinforces the need to consider the dissemination and implementation of materials when planning large-scale interventions and evaluating their impact.
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