Community Based Training Models for Tobacco Cessations

  • Muramoto, Myra L (PI)

Project: Research project

Grant Details


Description (provided by applicant):
Cessation programs are a key component of comprehensive tobacco control,
producing public health benefits more quickly, and with greater magnitude,
than any other component. Currently states have spent or are preparing to
spend significant dollars on training models to develop and/or expand tobacco
cessation programs as part of their investment in statewide tobacco control,
and discussion has already begun at the national level regarding the need for
training and certification programs. The PHS guidelines for treatment of
tobacco dependence reaffirmed earlier meta-analyses demonstrating the
effectiveness of brief interventions for tobacco cessation, and the
effectiveness of a range of provider types as interventionists. While extended
counseling and pharmacotherapy can generate higher long term quit rates, the
gain in efficacy is insufficient to offset the higher cost, leading to costs
p e r quitter that are several times higher than those found under
low-intensity, brief intervention. To maximize the reduction in smoking
attained under a given tobacco control budget, the cost-effectiveness
advantages of low-intensity treatments suggest that brief interventions should
be extended to as many smokers as possible. The emphasis on healthcare
providers and systems for broad dissemination of brief interventions at the
community level has been insufficient, missing opportunities to activate the
broad range of human service providers (e.g. social services, education, human
resources, law and corrections, clergy, and community outreach workers) as
interventionists. There is an urgent need to examine training models
a p p licable to large-scale community-based implementation in terms of
effectiveness, cost, accessibility and acceptability. This project will
compare two models of brief intervention training to each other and to a usual
practice control group within the target population of human services
providers. The primary outcome is the rate of brief interventions for tobacco
cessation performed in the community. As a secondary measure, this project
will test the effect of each model of training on rates of referral to more
intensive tobacco cessation programs, and the attitudes and behaviors of
training participants with regard to: reduction of environmental tobacco smoke
(ETS) in personal spaces and support of tobacco control policies in the
workplace and community. The project will be accomplished in four-phases:
Phase I will focus on revision of traditional in-person (IP) training curriculum for use with a population of human services providers, followed by
design and production of analogous interactive, multimedia Internet (Web)
curriculum. Phase II: Beta testing of Web curriculum through the World Wide
Web (WWW) in preparation for randomized controlled effectiveness trial. Phase
III: Randomized controlled study testing the relative effectiveness (and cost
effectiveness) of the IP and Web models to each other and to a usual practice
control group. Phase IV: Dissemination study of the training model shown to be
most effective though participating community partners.
Effective start/end date9/26/028/31/08


  • National Institutes of Health: $1,197,500.00
  • National Institutes of Health: $1,058,720.00
  • National Institutes of Health: $1,161,985.00
  • National Institutes of Health: $1,222,957.00
  • National Institutes of Health: $69,230.00


  • Medicine(all)


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