A Brief History on the Dissemination of the Not On Tobacco Program

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A Brief History on the Dissemination of the Not
On Tobacco Program

• Helping teens across the US stop smoking
• CDC HPRI Meeting 4/06

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What is N-O-T?

• Not On Tobacco or N-O-T is a teen smoking
  cessation program developed by researchers at the
  WVU PRC and adopted by the American Lung
  Association.

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N-O-T Program Overview

• Is designed for 14-19 year-old adolescents who
  are regular smokers (average gt 5 cigarettes a
  day) and who want to quit smoking.
• Is a voluntary smoking cessation program.
• Includes 10 hour-long weekly sessions, delivered
  to males and females separately by same gender
  facilitators.
• Uses a prescribed facilitator curriculum and a
  standard training protocol.

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Program Overview cont.

• Is developmentally appropriate for teens/not a
  cut and paste adult program.
• Emphasizes motivational issues.
• Is gender-sensitive.
• Includes booster sessions.
• Is based on cognitive behavioral theory and
  extensive pilot testing.

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Program Overview cont.

• Includes a mental health referral protocol.
• Utilizes selected, trained facilitators.
• Promotes a total health approach.
• Goals include
• quit smoking
• reduce the number of cigarettes by non-quitters
• increase healthy behaviors in nutrition and
  physical activity
• improve life skills such as stress management,
  coping, decision-making, communication, and
  interpersonal skills

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Curriculum Topics Include

• Reasons for smoking and reasons for quitting
• Smoking history
• Nicotine addiction
• Physical, psychological, and social effects of
  smoking
• Preparing to quit
• Physical, psychological, and social aspects of
  quitting and withdrawal

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Curriculum Topics cont.

• Managing the quitting process
• Stress management
• Dealing with family and peer pressure
• Volunteerism
• Recognizing social and media ploys
• Accessing and maintaining social support

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N-O-T Program Development Getting From
Research to Practice

• Key Factors
• A Collaborative Spirit
• Theoretical Framework Rogers Diffusion Theory
• Participatory Research Where the Rubber Meets
  the Road!

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The Collaborative Spirit Our foundation6 Cs

• Commitment to a common goal
• Shared contribution of unique and complimentary
  skill sets
• Open, regular communication
• Compatibility of values and guiding principles
• Consensus that involves sharing concerns and
  issues honestly
• Acknowledging credit appropriately
• J. Lancaster, 1985

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The journey
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Time line for N-O-T Dissemination
Community Input
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Things to keep in mind along the waytips from
our experiences

• Use a theoretical model in your planning (e.g.,
  Rogers Innovation Development).
• Begin with dissemination in mindit is never to
  soon to think about the end goal.
• Always keep the end users perspectives in mind
  (e.g., the facilitators).
• Listen most carefully to your target community
  (e.g., teens and implementers).
• Carefully select your partners at all levels.
• Select at least one key partner with broad
  infrastructure and capacity for dissemination
  (e.g., ALA, Depts. of Education, YMCAs).

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Cont.

• Maintain positive relationships from the
  community to the funders (good social skills go a
  long way!).
• Dont be afraid to think outside the boxbe
  innovative.
• Dont assume that if it hasnt been done it cant
  be done (e.g., other researchers said that teens
  would never join a program and if they did, they
  would not quit smoking).

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Cont.

• Simplicity is keyinterventions should be low
  cost and highly feasible in the real world.
• Slick high quality packaging is essential. Work
  with a professional graphic designer.
• Dont promise more than you can deliver.
• Use a train-the-trainer model phase yourself out
  of the delivery process. The program must have
  life without the researchers.

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Cont.

• Evaluate at every turn. Evaluation is never over.
• Develop numerous mechanisms and formats for
  public relations and program promotion.
• Be patient. Intervention research is iterative.
  One intervention program can be a lifetime of
  work.
• Have fun. Keep a sense of humor.