Keeping Tobacco on the Agenda Step Up to Tobacco Control Nashville, January 29, 2006

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Keeping Tobacco on the AgendaStep Up to
Tobacco ControlNashville, January 29, 2006

• Lawrence W. Green (lgreen_at_cc.ucsf.edu)
• University of California at San Francisco
• Population Sciences, Comprehensive Cancer Center

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The Cycle of Development for Tobacco Control
Agenda From Efficacy to Effectiveness
St Louis, Apr 14, 2004
More Robust
Models
2. Improved plans advocacy
1. Better evidence theory building
Training Agenda
Research Evaluation Agenda
Policy Agenda
3. Objectives Standards (e.g., core
competencies)
5. Certification?
Better Programs Practice Agenda
4. Performance indicators
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Recommendations from Strategy Planning Meeting
for Tobacco Use Prevention
Chicago, May 3, 2005
More Robust Models
Explore strategies for integrating tobacco
control research teaching with obesity other
risk factors
Develop implement strategies for
influencing policy in support of tobacco research
Training Agenda
Research Evaluation Agenda
Policy Agenda
Economic, funding issues. Sustaining expanding
res/training.
Research/Educ/Training for work in special
populations
Better Programs Practice Agenda
Dissemination, Translation, Continuing education
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Research Education/Training Needs in Regard to
Special Populations

• Address high-risk population use disparities
• The poor, the stigmatized, the mentally ill
• Most vulnerable ethnic and cultural groups
• Develop new approaches to smoking cessation among
  pregnant women, and ETS protection
• Determine socio-environmental factors involved in
  tobacco use and cessation/prevention
• Greater emphasis on setting-specific studies

Pp. 3-4.
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Recommendations from Strategy Planning Meeting
for Tobacco Use Prevention, II
Chicago, May 2005
More Robust Models
Explore strategies for integrating tobacco
control research teaching with obesity other
risk factors
Develop implement strategies for
influencing policy in support of tobacco research
Training Agenda
Research Evaluation Agenda
Policy Agenda
Economic, funding issues. Sustaining expanding
res/training.
Research/Educ/Training for work in special
populations
Better Programs Practice Agenda
Dissemination, Translation, Continuing education
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Economic Issues

• Develop a standardized method for evaluating
  tobacco-attributable factors and effects (e.g.,
  lives lost, medical costs, lost productivity).
• Resolve the potential economic dilemma of
  effective tobacco control and subsequent increase
  in life-time medical costs.
• Many funding sources are limited either to
  domestic or to international funding, or to new
  initiatives, imposing restrictions on study of
  international issues.

See p. 4.
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Sustaining Expanding Tobacco Research and
Education/Training Initiatives

• Link tobacco research more effectively with
  Medicaid, Medicare, other 3rd-party payer
  issues
• Build on the environmental exposures data to
  address childhood asthma and other
  tobacco-related conditions
• Build on genetic issues in tobacco-gene
  interactions
• Build on the mental health/drug abuse-tobacco
  link
• Develop campus-community partnerships
• Other workforce and accreditation/credentialing
  issues

See p. 5
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Funding Priorities

• Collaborate with state health departments in use
  of MSA funds
• Support CDC in encouraging collaboration between
  state tobacco control programs and SPH for
  training of public health professionals
• Support broad networking among institutions and
  organizations to increase funding for tobacco
  research
• Encourage NIH training research grants to
  support GRAs work in tobacco control

Pages 6-7.
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Recommendations from Strategy Planning Meeting
for Tobacco Use Prevention
Chicago, May 3, 2005
More Robust Models
Explore strategies for integrating tobacco
control research teaching with obesity other
risk factors
Develop implement strategies for
influencing policy in support of tobacco research
Training Agenda
Research Evaluation Agenda
Policy Agenda
Economic, funding issues. Sustaining expanding
res/training.
Research/Educ/Training for work in special
populations
Better Programs Practice Agenda
Dissemination, Translation, Continuing education
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Disseminating and Translating Research

• Encourage more intensive retrospective study of
  the jurisdictions that have achieved the most
  success (p. 6)
• Encourage rapid response to opportunities to put
  prospective studies into place where great
  innovation is occurring or where more
  representative experiences are occurring, to
  describe the barriers and challenges
• for practitioners to utilize research
  effectively.

If we want more evidence-based practice, we
need more practice-based evidence.
www.lgreen.net
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Continuing Education Priorities

• Promote continuing education opportunities for
  public health workforce
• Develop continuing and distance education through
  online courses and other mechanisms

Page 7.