Developing a Dissemination Model to Improve Intervention Reach among West Virginia Youth Smokers
Kimberly Horn1, Traci Jarrett2, Andrew Anesetti-Rothermel2
1Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University , Washington, DC , USA.
Abstract:
The not-on-tobacco program is an evidence-based teen smoking cessation program adopted by the American Lung Association (ALA). Although widely disseminated nationally via ALA Master Trainers, in recent years, adoption and implementation of the N-O-T program in West Virginia (WV) has slowed. WV, unfortunately, has one of the highest smoking rates in the US. Although it is a goal of public health science, dissemination of evidence-based interventions is woefully understudied. The present manuscript reviews a theoretical model of dissemination of the not-on-tobacco program in WV. Based on social marketing, diffusion of innovations, and social cognitive theories, the nine-phase model incorporates elements of infrastructure development, accountability, training, delivery, incentives, and communication. The model components as well as preliminary lessons learned from initial implementation are discussed.
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