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April Roeseler, M.S.P.H.
Asian Pacific Quitline Workshop
                    June 8, 2011
Goal = change social norm




Outcome = prevention & cessation
Creates an environment where
tobacco use becomes:

Less   desirable

Less   acceptable

Less   accessible
High Level Logic Model
        Goals         Outcomes
Reduce Exposure to   Decrease Tobacco
Secondhand Smoke     Consumption
(SHS)
                     Decrease
Counter Pro-         Tobacco
Tobacco Influences   Use Prevalence
                     Decrease Youth
                     Uptake of
                     Tobacco
                     Decrease
                     Exposure to
Support              SHS
Cessation
California Tobacco Control Program

                         Statewide Evaluation/Surveillance


                          Statewide Media Campaign



                         61 Health Department Projects
                            & Community Coalitions


                        37 Community Non-profit Agency Projects

Statewide Infrastructure & Training & Technical Assistance Projects
                                                         Capacity
 Technical           Center            Tobacco        Building Center    California Youth
 Assistance     for Policy &            Control             for              Advocacy
   Legal           Community          Evaluation          Diverse             Network
   Center         Organizing            Center          Populations


                          Team Lab         Cessation Quitline      STAKE Youth
       Clearinghouse     Materials             & Training          Recruitment
                        Development              Center
Media
         +

Community Involvement
         =

  Social Norm Change
•   To be ahead of the of
    the wave (public
    opinion)
•   To use the energy at
    the front of the wave
    to pull public opinion
    forward
•   Increases
    support for
    local policies
•   Provides
    smokers a
    reason to quit
   Positive SHS attitudes predict quitting
     ◦ Smokers are 70% more likely to have made
       a recent quit attempt
     ◦ Smokers are over 2 times more likely to
       have intentions to quit smoking in the
       next 6 months




California Tobacco Control Program, California Department of Public Health, A Confirmatory Factor Analysis of
a Social Norm Change Paradigm for the California Tobacco Control Program, May 2006.
•   Motivates smokers to
    quit; inoculates them
    against advertising
    and marketing
•   Undermines the
    tobacco industry’s
•   Holds the industry
    accountable
•   Increases non-
    smoker’s empathy
    towards smokers
   Californians with highly negative attitudes
    about the tobacco industry:
    ◦ Among smokers, 67% were more likely to
      have made a recent quit attempt
    ◦ Among smokers, 62% are more likely to
      have intentions to quit in the next six
      months

California Tobacco Control Program, California Department of Public Health, Evaluation of California’s Anti-tobacco Media Campaign,
Waves 6, 7 and 8. February 2008.
•   Demonstrates
                          empathy for
                          smokers
                      •   Provides
                          resources and
                          encouragement to
                          quit
Call 1-800-NO BUTTS
   Are effective at
    generating
    motivated smokers
    to call the Quitline,
    they do not
    make an impact on
    smokers who are
    unmotivated to
    quit.
• Amplifies the message

• Ties the program to the
  community
• Diversifies expertise,
  influence, & connections
• Results in policy change
   Eliminates barriers
    to access
    ◦   Hours of operation
    ◦   Language
    ◦   Transportation
    ◦   Childcare
    ◦   No-cost
    ◦   Privacy
    ◦   Portal to local
        assistance & self-help
        materials
 Proven to help
  people quit
 Centralization
  provides cost-
  efficiencies
 High volume
  service provider
 Quality            Quitlines

  assurance
                                 Face-to-face
 Evidence-based
 Tenacious
 Use research to
  drive continual
  change
 Ability to execute
 Flexible/Agile
Tobacco Industry            Electronic Medical Records
scanning driver’s license
   Cost sharing with health insurance
   Expand services
    ◦ Chronic disease management
    ◦ Behavioral health disease
      management
 Scaleis simply something
 that is so pervasive or large
 enough that it makes a dent
 in the problem you are
 trying to solve
“Trapped”: Commercial Image
   Award of the Year
 Develop the
  “power of pull”
 Stay close with
  others in your
  field
 Be the first to
  give when
  building new
  relationships
Role Of Quitline In Ca

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Role Of Quitline In Ca

  • 1. April Roeseler, M.S.P.H. Asian Pacific Quitline Workshop June 8, 2011
  • 2.
  • 3.
  • 4.
  • 5. Goal = change social norm Outcome = prevention & cessation
  • 6. Creates an environment where tobacco use becomes: Less desirable Less acceptable Less accessible
  • 7.
  • 8. High Level Logic Model Goals Outcomes Reduce Exposure to Decrease Tobacco Secondhand Smoke Consumption (SHS) Decrease Counter Pro- Tobacco Tobacco Influences Use Prevalence Decrease Youth Uptake of Tobacco Decrease Exposure to Support SHS Cessation
  • 9. California Tobacco Control Program Statewide Evaluation/Surveillance Statewide Media Campaign 61 Health Department Projects & Community Coalitions 37 Community Non-profit Agency Projects Statewide Infrastructure & Training & Technical Assistance Projects Capacity Technical Center Tobacco Building Center California Youth Assistance for Policy & Control for Advocacy Legal Community Evaluation Diverse Network Center Organizing Center Populations Team Lab Cessation Quitline STAKE Youth Clearinghouse Materials & Training Recruitment Development Center
  • 10. Media + Community Involvement = Social Norm Change
  • 11. To be ahead of the of the wave (public opinion) • To use the energy at the front of the wave to pull public opinion forward
  • 12.
  • 13. Increases support for local policies • Provides smokers a reason to quit
  • 14. Positive SHS attitudes predict quitting ◦ Smokers are 70% more likely to have made a recent quit attempt ◦ Smokers are over 2 times more likely to have intentions to quit smoking in the next 6 months California Tobacco Control Program, California Department of Public Health, A Confirmatory Factor Analysis of a Social Norm Change Paradigm for the California Tobacco Control Program, May 2006.
  • 15. Motivates smokers to quit; inoculates them against advertising and marketing • Undermines the tobacco industry’s • Holds the industry accountable • Increases non- smoker’s empathy towards smokers
  • 16. Californians with highly negative attitudes about the tobacco industry: ◦ Among smokers, 67% were more likely to have made a recent quit attempt ◦ Among smokers, 62% are more likely to have intentions to quit in the next six months California Tobacco Control Program, California Department of Public Health, Evaluation of California’s Anti-tobacco Media Campaign, Waves 6, 7 and 8. February 2008.
  • 17. Demonstrates empathy for smokers • Provides resources and encouragement to quit Call 1-800-NO BUTTS
  • 18. Are effective at generating motivated smokers to call the Quitline, they do not make an impact on smokers who are unmotivated to quit.
  • 19. • Amplifies the message • Ties the program to the community • Diversifies expertise, influence, & connections • Results in policy change
  • 20.
  • 21.
  • 22. Eliminates barriers to access ◦ Hours of operation ◦ Language ◦ Transportation ◦ Childcare ◦ No-cost ◦ Privacy ◦ Portal to local assistance & self-help materials
  • 23.  Proven to help people quit  Centralization provides cost- efficiencies  High volume service provider  Quality Quitlines assurance Face-to-face
  • 24.
  • 25.
  • 26.  Evidence-based  Tenacious  Use research to drive continual change  Ability to execute  Flexible/Agile
  • 27.
  • 28. Tobacco Industry Electronic Medical Records scanning driver’s license
  • 29. Cost sharing with health insurance  Expand services ◦ Chronic disease management ◦ Behavioral health disease management
  • 30.
  • 31.  Scaleis simply something that is so pervasive or large enough that it makes a dent in the problem you are trying to solve
  • 32.
  • 33. “Trapped”: Commercial Image Award of the Year
  • 34.
  • 35.  Develop the “power of pull”  Stay close with others in your field  Be the first to give when building new relationships