Implementation of Tobacco Control Curricula in Schools of Public Health

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Implementation of Tobacco Control Curricula in
Schools of Public Health
SARA SAVAGE, MPH ABIGAIL HALPERIN, MD,
MPH University of Washington MICHAEL BURKE, EdD,
MHS Mayo Clinic JONATHON FOULDS, PhD University
of Medicine Dentistry of New Jersey National
Conference on Tobacco or Health May 5, 2005
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POSTER PROGRAMS

• The following two programs, described in this
  poster, were recipients of grants from the
  Legacy/ASPH STEP UP Initiative
• Tobacco Studies in Public Health Tobacco
  Scholars Program, University of Washington School
  of Public Health and Community Medicine
• Comprehensive Tobacco Control Web-based
  Integration into the Public Health Curriculum,
  University of Medicine and Dentistry of New
  Jersey, School of Public Health

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STEP UP INITIATIVE

• STEP UP Scholarship, Training and Education
  Program for Tobacco Use Prevention
• Funded by the American Legacy Foundation and
  administered by the Association of Schools of
  Public Health (ASPH)
• Targeted 34 eligible, accredited Schools of
  Public Health in the U.S.
• Goals of STEP UP
• Increase the number of graduate students and
  faculty in public health who specialize in
  tobacco studies and research
• Better integrate tobacco-related issues into
  graduate public health education
• Build a stronger infrastructure of
  tobacco-related education in schools of public
  health.

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STEP UP PROGRAMS

• Over 4 years (2002-2005) STEP UP funded 21
  projects in 12 schools of public health
• 3 pre-doctoral (MPH) scholarship programs
• 6 doctoral scholarships
• 8 curricular innovation programs
• 4 small grant pilot studies

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University of Washington Tobacco Studies in
Public Health and Tobacco Scholars Program

• Abigail Halperin MD MPH, PI, Project Director
• abigail_at_u.washington.edu [phone]
• Sara Savage MPH, Project Manager
• sarasav_at_u.washington.edu [phone]
• http//depts.washington.edu/cherweb/visitors/progr
  ams/tobacco_studies.shtml

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Components of UW Program

• Tobacco Studies Concentration
• MPH Scholarships and Stipends
• Practicum, thesis mentorship opportunities
• 3-credit Tobacco Public Health course
• Tobacco Studies Journal Club
• Tobacco Interest List serve
• Infusion of tobacco-related topics in School of
  Public Health

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1. Tobacco Studies in Public Health
Concentration

• Requirements of Concentration
• Completion of Tobacco Studies course
• Participation in Quarterly Journal Club
• Practicum or capstone with a tobacco-related
  organization or research project
• Thesis or final project on tobacco-related topic

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2. Pre-Doctoral (MPH) Tobacco Scholars Program

• Four MPH students awarded scholarships in 2003-04
• Two 3000 fellowships for completing
  concentration
• Two 1500 stipends
• Five MPH students awarded scholarships in 2004-05
  (3 new, 2 returning)
• Three 3000 fellowships for completing
  concentration
• Two 1500 stipends

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Tobacco Scholar Activities(full concentration
students)

• Elizabeth Dadko, MPH 2004
• Community Oriented Public Health Practice Track
• Capstone Strategy Guide for Seattle Bar Owners
  to Become Smoke-free
• Beatriz Carlini Marlatt, MPH 2005
• Social and Behavioral Sciences Track
• Practicum Free Clear Quitline- analyzed
  services for Latino smokers
• Thesis The Tobacco Industry and the COMMIT
  trial Analysis of secret tobacco documents
• Joseph Balabis, MPH 2005
• Community Oriented Public Health Practice Track
• Practicum Coordinator of Youth Tobacco
  Coalition, Washington Asian Pacific Islander
  Families Against Substance Abuse
• Thesis Asian Pacific Islander (API) Youth
  Tobacco Conference as an Intervention for Current
  API Teen Smokers High Risk API Teens
• Sarah Ross-Viles, MPH 2006
• Community Oriented Public Health Practice Track
• Practicum Seattle-King County Tobacco Prevention
  Program, Survey of landlords to create smoke-free
  housing curriculum
• Capstone TBD, Interests include risks of
  maternal smoking

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Tobacco Scholar Activities(stipend recipients)

• Beatriz Carlini Marlatt (2003-4)
• Social and Behavioral Science Track
• Paper Comparing Tobacco Harm Reduction with Drug
  Alcohol Harm Reduction
• Gary Gant (2003-4)
• Community Oriented Public Health Practice Track
• Paper on Industry Marketing to African Americans
• Gwyneth Moya (2004-5)
• Social and Behavioral Science Track
• Practicum with a rural county to reach youth with
  anti-smoking messages
• Jef St. De Lore (2004-5)
• Social and Behavioral Science Track
• Paper planned on impact of tobacco in Lesbian,
  Gay, Bisexual, Transgender communities

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UW Tobacco Scholars 2003-2004
Back Row Sara Savage (program manager) , Joe
Balabis, Beatriz Marlatt Front Row Beth Dadko,
Gary Gant, Abigail Halperin (program director)
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UW Tobacco Scholars 2004-2005
Jef St. De Lore, Gwyneth Moya, Bia Marlatt, Sarah
Ross-Viles, Joe Balabis
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3. Practicum, Thesis and Mentorship Opportunities

• Created directory of tobacco organizations and
  research projects
• Identified 13 research projects and agencies
• Identified and enlisted 8 mentors
• Assisted students with placements
• Established relationship with UW SPHCM practicum
  coordinator

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4. New 3-credit Course on Tobacco and Public
Health

• Course approved by School of Public Health, Dept
  of Health Services, May 2003
• Course name and number
• HSERV590E Tobacco and Public Health Impact,
  Prevention, Policy and Social Change
• Topics covered tobacco industry tactics, tobacco
  control strategies, health effects epidemiology
  of tobacco use and secondhand smoke, addiction
  treatment, global tobacco, policy politics,
  legal issues, and health disparities

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2004 Course

• Met 1.5 hours, twice per week
• 6 enrolled MPH students
• 5 regular auditors from outside organizations
• Guest speakers
• Corrine Husten, CDC/OSH
• Tim McAfee, Free Clear Quitlines
• Maxine Hayes, WA Dept of Health
• Ken Warner, University of Michigan
• Donna Vallone, American Legacy Foundation
• Beti Thompson, Fred Hutchinson Cancer Research
  Center
• Judy Wilkenfeld, Campaign for Tobacco Free Kids

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2005 Course

• Met 3 hours, once per week
• 11 enrolled students
• 5 regular auditors from outside organizations
• Guest Speakers
• Richard Hurt, Mayo Clinic
• Ken Warner, University of Michigan
• Art Peterson, Fred Hutchinson Cancer Research
  Center
• Phillip Gardiner, University of California
• Stella Aguinaga Bialous, UCSF
• Mitchell Zeller, Pinney Associates

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Speaker Sponsorship

• The following organizations provided financial
  support for course speakers
• Seattle-King County Tobacco Prevention Program
  (yr 1 2)
• WA State Department of Health (yr 1 2)
• Free Clear Tobacco Cessation Program
• (yr 1 2)
• Fred Hutchinson Cancer Research Center, Social
  Behavioral Sciences Affinity Group (yr 2)
• American Legacy Foundation (in-kind, yr 1)

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5. Quarterly Journal Club

• 8-12 attendees (students guests) at each
  meeting
• 2003-04 Topics
• Impact of viewing smoking in the movies on youth
  smoking behavior
• Impact of tobacco in gay, lesbian, bisexual and
  transgender communities
• 2004-05 Topics
• Impact of tobacco use in Asian American and
  recent immigrant populations
• Tobacco use in American Indian/Alaska Native
  populations health cultural considerations
• Smoking prevalence policy considerations among
  mentally ill and incarcerated populations

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6. Networking and Listserve

• Invited outside organizations to attend any
  seminars, journal club meetings or course
  sessions
• Created tobacco interest listserve to
  communicate tobacco-related education offerings
  and events
• Over 100 subscribers including UW students and
  faculty, state county agencies, and non-profit
  organizations

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7. Curriculum Infusion

• Tobacco-related material and case studies infused
  into other MPH courses
• Tobacco case studies developed for problem based
  learning (PBL) course
• Three cases created and utilized over two years
• PBL course forms core of MPH Community-Oriented
  Public Health Practice (COPHP) track
• Guest lectures on tobacco issues given (by PI
  Abigail Halperin) in four other MPH courses
• Community Medicine Seminar
• Health Policy
• Health Care Society
• Media Health

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Curriculum Infusion

• Seminars hosted or facilitated
• 10/18/04 Promoting Secondhand Smoke Policy in
  Pierce County
• 10/21/04 Environmental Tobacco Smoke Social
  Justice in the Workplace
• 11/15/04 Entertainment Coalition vs.
  Tacoma-Pierce County Board of Health County
  Smoking Ban Ordinance
• 12/2/04 Searching the Universe of Tobacco
  Industry Documents
• 2/19/05 The Global Tobacco Epidemic and the WHO
  Framework Convention on Tobacco Control
• 3/1/05 Scientific Integrity Tobacco Industry
  Manipulation of Scientists and Epidemiology

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What next?

• STEP UP funding ends May 30, 2005
• Washington State Department of Health Tobacco
  Prevention and Control Program to fund the
  Tobacco Studies Program starting July 1, 2005.
• 100K per year x two years
• 20K per year of this designated for student
  scholarships