Implementation and Evaluation of a Multi-level, Place-Based Tobacco Prevention and Control Program at a Minority-Serving Institution in Texas.

Brad Love, Rosemary Coffman, Charulata Ghosh, Jennifer Cofer, Alex N Hurst, Katherine Oestman, Mayra Aquino, Lauren Kriss, Mansi Shah, Gerold Dermid, Margaret Raber, Ernest Hawk, Michael T Walsh, Ruth Rechis
Author Information
  1. Brad Love: Stan Richards School of Advertising and Public Relations, The University of Texas at Austin, Austin, TX, USA.
  2. Rosemary Coffman: Lee College, Baytown, TX, USA.
  3. Charulata Ghosh: Center for Health Communication, The University of Texas at Austin, Austin, TX, USA. charulata.ghosh@austin.utexas.edu. ORCID
  4. Jennifer Cofer: Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  5. Alex N Hurst: Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  6. Katherine Oestman: Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  7. Mayra Aquino: Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  8. Lauren Kriss: Center for Health Communication, The University of Texas at Austin, Austin, TX, USA.
  9. Mansi Shah: Stan Richards School of Advertising and Public Relations, The University of Texas at Austin, Austin, TX, USA.
  10. Gerold Dermid: Stan Richards School of Advertising and Public Relations, The University of Texas at Austin, Austin, TX, USA.
  11. Margaret Raber: Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  12. Ernest Hawk: Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  13. Michael T Walsh: Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
  14. Ruth Rechis: Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Abstract

Multi-level, place-based interventions have proven effective at promoting a range of health behaviors, including tobacco control and discouraging the uptake of tobacco products. This paper describes the implementation and impact of a 3-year, multi-level tobacco prevention and control program at a community-college minority-serving institution (MSI) on the Texas Gulf Coast within the context of a broader multi-sector, cross-functional health coalition. The intervention studied included a tobacco-free policy, a large-scale communication campaign highlighting parts of the intervention and prevention and cessation resources. The intervention was bolstered by the support of a community-led Steering Committee and tobacco control experts. Results from the first 3 years of implementation show that tobacco-free policies were largely supported by community members, awareness of the policy increased over time, and tobacco prevention and cessation resources were successfully embedded into campus norms. This multi-component approach shows how a community college was able to effectively reach students and staff on their campus to increase awareness of both the campus tobacco-free policy and the availability of tobacco prevention and cessation resources. Additionally, it also offers lessons for future tobacco prevention and control work in higher education.

Keywords

References

  1. Arteaga, S. S., Loria, C. M., Crawford, P. B., Fawcett, S. B., Fishbein, H. A., Gregoriou, M., John, L. V., Kelley, M., Pate, R. R., Ritchie, L. D., & Strauss, W. J. (2015). The Healthy Communities Study. American Journal of Preventive Medicine, 49(4), 615–623. https://doi.org/10.1016/j.amepre.2015.06.029 [DOI: 10.1016/j.amepre.2015.06.029]
  2. Bandi, P., Minihan, A. K., Siegel, R. L., Islami, F., Nargis, N., Jemal, A., & Fedewa, S. A. (2021). Updated review of major cancer risk factors and screening test use in the United States in 2018 and 2019, with a focus on smoking cessation. Cancer Epidemiology, Biomarkers & Prevention, 30(7), 1287–1299. [DOI: 10.1158/1055-9965.EPI-20-1754]
  3. Be Well Communities. (n.d.). MD Anderson Cancer Center. Retrieved April 3, 2024, from https://www.mdanderson.org/research/research-areas/prevention-personalized-risk-assessment/be-well-communities.html
  4. Blake, K. D., Klein, A. L., Walpert, L., Casey, L., Hallett, C., Douglas, C., ... & Koh, H. K. (2020). Smoke-free and tobacco-free colleges and universities in the United States. Tobacco Control, 29(3), 289–294. [PMID: 31266902]
  5. Boland, W. C., Gasman, M., Samayoa, A. C., & Bennett, D. (2021). The effect of enrolling in minority serving institutions on earnings compared to non-minority serving institutions: A college scorecard analysis. Research in Higher Education, 62, 121–150. [DOI: 10.1007/s11162-019-09580-w]
  6. Brown, D. M. Y., Bray, S. R., Beatty, K. R., & Kwan, M. Y. W. (2014). Healthy Active Living: A Residence Community-Based Intervention to Increase Physical Activity and Healthy Eating During the Transition to First-Year University. Journal of American College Health, 62(4), 234–42. https://doi.org/10.1080/07448481.2014.887572 [DOI: 10.1080/07448481.2014.887572]
  7. Chung, C. K., & Pennebaker, J. W. (2008). Revealing dimensions of thinking in open-ended self-descriptions: An automated meaning extraction method for natural language. Journal of Research in Personality, 42(1), 96–132. https://doi.org/10.1016/j.jrp.2007.04.006 [DOI: 10.1016/j.jrp.2007.04.006]
  8. Cofer, J., Hurst, A. N., Winter, T., Moreno, M., Cinciripini, P. M., Walsh, M. T., Jr., ... & Hawk, E. (2022). A comprehensive program to reduce tobacco-related cancers through actions by a National Cancer Institute-designated Cancer Center. Cancer Control, 29, 10732748221138712. [DOI: 10.1177/10732748221138713]
  9. Colditz, G. A.,  Wolin, K. Y., & Gehlert, S. (2012). Applying What We Know to Accelerate Cancer Prevention. Science Translational Medicine, 4(127). https://doi.org/10.1126/scitranslmed.3003218
  10. County Health Rankings & Roadmaps. (2019). Mass media campaigns against tobacco use. https://www.countyhealthrankings.org/strategies-and-solutions/what-works-for-health/strategies/mass-media-campaigns-against-tobacco-use . Accessed on 25 Sept 2023.
  11. Dattani, S. (2023). “How do researchers estimate the death toll caused by each risk factor, whether it’s smoking, obesity, or air pollution?” Published online at OurWorldInData.org  . Accessed November 30, 2023:  https://ourworldindata.org/how-do-researchers-estimate-the-death-toll-caused-by-each-risk-factor-whether-its-smoking-obesity-or-air-pollution#article-citation .
  12. Do, E. K., Fallavollita, W. L., Bonat, B., Fugate-Laus, K., Rossi, B. C., & Fuemmeler, B. F. (2020). Student attitudes toward tobacco use and tobacco policies on college campuses. Journal of Community Health, 45, 751–760. [DOI: 10.1007/s10900-020-00790-3]
  13. EndTobacco Program. (n.d.). MD Anderson Cancer Center. Retrieved April 3, 2024, from https://www.mdanderson.org/research/departments-labs-institutes/programs-centers/endtobacco-program.html
  14. Garcia, G. A., Núñez, A. M., & Sansone, V. A. (2019). Toward a multidimensional conceptual framework for understanding “servingness” in Hispanic-serving institutions: A synthesis of the research. Review of Educational Research, 89(5), 745–784. [DOI: 10.3102/0034654319864591]
  15. Graham, A. L., Cha, S., Papandonatos, G. D., Amato, M. S., Jacobs, M. A., Abroms, L. C., & Berg, C. J. (2022). E-cigarette and combusted tobacco abstinence among young adults: Secondary analyses from a US-based randomized controlled trial of vaping cessation. Preventive Medicine, 165, 107119. [DOI: 10.1016/j.ypmed.2022.107119]
  16. Grattidge, L., Hoang, H., Mond, J., Lees, D., Visentin, D., & Auckland, S. (2023). Exploring Community-Based Suicide Prevention in the Context of Rural Australia: A Qualitative Study. International Journal of Environmental Research and Public Health, 20(3), 2644. https://doi.org/10.3390/ijerph20032644 [DOI: 10.3390/ijerph20032644]
  17. Harford, T. (2022). The data detective: Ten easy rules to make sense of statistics. Penguin Publishing Group. ProQuest Ebook Central. Accessed 16 July 2023.
  18. Herrera, A. L., Pasch, K. E., Marti, C. N., Loukas, A., & Perry, C. (2020). Exposure to tobacco marketing in bars predicts subsequent use of multiple tobacco products among non-tobacco-using college students. Tobacco Control, 29(6), 631–637. [PMID: 31822526]
  19. Hohl, S. D., Matulewicz, R. S., Salloum, R. G., Ostroff, J. S., Baker, T. B., Schnoll, R., ... & Chen, L. S. (2023). Integrating tobacco treatment into oncology care: Reach and effectiveness of evidence-based tobacco treatment across National Cancer Institute–designated cancer centers. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 41(15), 2756. [DOI: 10.1200/JCO.22.00936]
  20. Hughes, M. M., Yang, E., Ramanathan, D., & Benjamins, M. R. (2016). Community-Based Diabetes Community Health Worker Intervention in an Underserved Chicago Population. Journal of Community Health, 41(6), 1249–1256. https://doi.org/10.1007/s10900-016-0212-8 [DOI: 10.1007/s10900-016-0212-8]
  21. Islami, F., Goding Sauer, A., Miller, K. D., Siegel, R. L., Fedewa, S. A., Jacobs, E. J., McCullough, M. L., Patel, A. V., Ma, J., Soerjomataram, I., Flanders, W. D., Brawley, O. W., Gapstur, S. M., & Jemal, A. (2018). Proportion and number of cancer cases and deaths attributable to potentially modifiable risk factors in the United States Abstract. CA: A Cancer Journal for Clinicians, 68(1), 31–54.  https://doi.org/10.3322/caac.v68.1 ;  https://doi.org/10.3322/caac.21440
  22. Kruger, J., O’Halloran, A., Rosenthal, A. C., Babb, S. D., & Fiore, M. C. (2016). Receipt of evidence-based brief cessation interventions by health professionals and use of cessation assisted treatments among current adult cigarette-only smokers: National Adult Tobacco Survey, 2009–2010. BMC Public Health, 16(1), 1–10. [DOI: 10.1186/s12889-016-2798-2]
  23. Lee College. (n.d.). Drug-Free Campus Committee Groups. Retrieved April 3, 2024, from https://www.lee.edu/groups/drug-free/
  24. Lee College. (n.d.). Distance Education. Retrieved April 3, 2024, from https://www.lee.edu/distance/
  25. Lee College. (n.d.). Retrieved December 7, 2023, from https://www.lee.edu/about/
  26. Lee College. (n.d.). Tobacco Cessation Info About. Retrieved December 7, 2023, from https://www.lee.edu/about/maintaining-a-drug-free-campus/tobacco-cessation/
  27. Lee College. (2022 April). Student Representation in the Lee College Service Area. Retrieved December 3, 2023, from  https://www.lee.edu/pier/files/student-representation-in-service-area.pdf
  28. Mackert, M., Case, K., Lazard, A., Oh, J., Hughes Wagner, J., Hawk, E., ... & Lakey, D. (2019). Building a health communication brand for University of Texas System tobacco control. Journal of American College Health, 67(4), 291–298. [DOI: 10.1080/07448481.2018.1469504]
  29. Markowitz, D. M. (2021). The Meaning Extraction Method: An Approach to Evaluate Content Patterns From Large-Scale Language. Frontiers in Communication, 610.3389. https://doi.org/10.3389/fcomm.2021.588823
  30. Namkoong, K., Nah, S., Record, R. A., & Van Stee, S. K. (2017). Communication, reasoning, and planned behaviors: Unveiling the effect of interactive communication in an anti-smoking social media campaign. Health Communication, 32(1), 41–50. https://doi.org/10.1080/10410236.2015.1099501 [DOI: 10.1080/10410236.2015.1099501]
  31. Olfert, M., Barr, M., Riggsbee, K., et al. (2018). A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on Their College Campus. Education Sciences., 8(3), 150. https://doi.org/10.3390/educsci8030150 [DOI: 10.3390/educsci8030150]
  32. Pearl, J., & Mackenzie, D. (2018). The book of why: The new science of cause and effect. Basic books.
  33. Pennebaker JW, Booth R, Francis ME. Linguistic Inquiry and Word Count (LIWC2007).  https://researchspace.auckland.ac.nz/handle/2292/18109 . Accessed 19 Mar 2024.  Published online 2007.
  34. Procter-Scherdtel, A., & Collins, D. (2013). Social norms and smoking bans on campus: Interactions in the Canadian university context. Health Education Research, 28(1), 101–112. https://doi.org/10.1093/her/cys075 [DOI: 10.1093/her/cys075]
  35. Protections (OHRP), O. for H. R. (2016, February). 45 CFR 46 [Text].  https://www.hhs.gov/ohrp/regulations-and-policy/regulations/45-cfr-46/index.html . Accessed  23 April 2024.
  36. Rechis, R., Oestman, K. B., Caballero, E., Brewster, A., Walsh, M. T., Basen-Engquist, K., ... & Hawk, E. (2021). Be Well Communities™: Mobilizing communities to promote wellness and stop cancer before it starts. Cancer Causes & Control, 32(8), 859–870. [DOI: 10.1007/s10552-021-01439-9]
  37. Rechis, R., Oestman, K. B., Walsh, M. T., Jr., Love, B., & Hawk, E. (2023). Be Well™ Acres Homes: A community-driven, evidence-based approach to reduce health inequities through sustained cross-sector partnership. Cancer Causes & Control, 1–12. https://doi.org/10.1007/s10552-023-01818-4 . Published online November 18, 2023.
  38. Shershneva, M., Cohen, A., Larrison, C., Detzler, K., & Ales, M. (2014). Smoking cessation: A community-based approach to continuing medical education. Translational Behavioral Medicine, 4(4), 391–397. [DOI: 10.1007/s13142-014-0288-6]
  39. Smith, C. E., Hill, S. E., & Amos, A. (2021). Impact of population tobacco control interventions on socioeconomic inequalities in smoking: A systematic review and appraisal of future research directions. Tobacco Control, 30(e2), e87–e95. [DOI: 10.1136/tobaccocontrol-2020-055874]
  40. Smoke-free policies for indoor areas. (2018, December). County health rankings & roadmaps. https://www.countyhealthrankings.org/take-action-to-improve-health/what-works-for-health/strategies/smoke-free-policies-for-indoor-areas . Accessed 25 Sept 2023.
  41. Tan, A. S., & Bigman, C. A. (2020). Misinformation about commercial tobacco products on social media—Implications and research opportunities for reducing tobacco-related health disparities. American Journal of Public Health, 110(S3), S281–S283. [DOI: 10.2105/AJPH.2020.305910]
  42. The Guide to Community Preventive Services (The Community Guide).(2019). Community preventive services task force: US department of health and human services. https://www.thecommunityguide.org/ . Accessed 19 July 2023.
  43. The University of Texas MD Anderson Cancer Center and University of Texas System. (2022). Eliminate Tobacco Use. 2021–2022 Impact Report. https://www.eliminatetobaccouse.org/impact/reports . Accessed on 3 June 2023.
  44. Wang, T. W., Tynan, M. A., Hallett, C., Walpert, L., Hopkins, M., Konter, D., & King, B. A. (2018). Smoke-Free and tobacco-free policies in colleges and universities-United States and territories, 2017. Morbidity and Mortality Weekly Report, 67(24), 686. [DOI: 10.15585/mmwr.mm6724a4]
  45. Wray, R. J., Hansen, N., Ding, D., & Masters, J. (2021). Effects of a campus-wide tobacco-free policy on tobacco attitudes, norms and behaviors among students, staff and faculty. Journal of American College Health, 69(8), 860–871. https://doi.org/10.1080/07448481.2020.1711763 [DOI: 10.1080/07448481.2020.1711763]

MeSH Term

Texas
Humans
Minority Groups
Smoking Prevention
Program Evaluation
Universities
Female
Male
Adult
Health Promotion
Smoking Cessation
Young Adult

Word Cloud

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