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The American Stop Smoking Intervention Study. Conceptual framework and evaluation design.
F Stillman1, A Hartman, B Graubard
1University of California at San Diego, USA.
Evaluation Review
|October 28, 1999
Summary
The American Stop Smoking Intervention Study (ASSIST) used policy-based approaches to reduce tobacco use. Evaluation of this initiative provides insights into tobacco control strategies and their impact on public health.
Area of Science:
- Public Health
- Health Policy
- Behavioral Science
Background:
- Reducing tobacco use is a critical public health goal.
- The American Stop Smoking Intervention Study (ASSIST) began in 1991.
- ASSIST focused on policy-based strategies to change the social-political environment.
Purpose of the Study:
- To describe the evaluation design for the ASSIST demonstration research.
- To analyze the interplay between social context, state-level public health actions, and tobacco use.
- To assess the impact of policy-based interventions on individual behavior.
Main Methods:
- The evaluation employed a unique analytical framework.
- Examined complex relationships between social context, public health activity, and tobacco use.
- Developed measures for tobacco control activities.
Main Results:
- The evaluation framework is designed to guide the ASSIST initiative.
- Measures of tobacco control activity may inform national surveillance.
- Lessons learned will improve future tobacco control program development.
Conclusions:
- The ASSIST evaluation offers a unique perspective on tobacco control.
- Findings will enhance the development of effective tobacco control programs.
- The study contributes to understanding policy's role in public health.