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Health Education Research, Vol. 15, No. 3, 353-366, June 2000
© 2000 Oxford University Press

Durability of tobacco control efforts in the 22 Community Intervention Trial for Smoking Cessation (COMMIT) communities 2 years after the end of intervention

Beti Thompson, Edward Lichtenstein1, Kitty Corbett2, Linda Nettekoven1 and Ziding Feng

Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, MP-702, PO Box 19024, Seattle, WA 98109-1024,
1 Oregon Research Institute, 1715 Franklin Boulevard, Eugene, OR 97403-1983 and
2 University of Colorado at Denver, Anthropology Department, Campus Box 103, PO Box 173364, Denver, CO 80217-3364, USA

Funding organizations increasingly want to know that successful interventions are continued after the end of a research project. Assessments of durability are rare and where done do not include the comparison communities. In this study we ascertain what tobacco control activities continued in intervention communities involved in the Community Intervention Trial for Smoking Cessation (COMMIT), a randomized, controlled community trial aimed at adult smokers, and also assessed level of tobacco control activities in the comparison communities. A mailed survey of key informants including paid staff and community volunteers in the 22 COMMIT communities was conducted. Approximately 79% of key informants responded to the survey. Although there was evidence that tobacco control activities were continuing in the intervention communities, there was an equal amount of tobacco control effort in the comparison communities. Within the specific tobacco control intervention areas, only the youth area showed more activity in intervention communities than comparison communities. We conclude that despite a positive trial outcome, differential durability was not achieved. More work needs to be done to assist communities in maintaining proven intervention activities. More study of methods to measure durability is also needed.


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