TitleImplementation strategies to promote community-engaged efforts to counter tobacco marketing at the point of sale.
Publication TypeJournal Article
Year of Publication2017
AuthorsLeeman, J, Myers, AE, Grant, JC, Wangen, M, Queen, TL
JournalTransl Behav Med
Date Published09/2017
KeywordsCommunity Participation, Health Plan Implementation, Health Policy, Health Promotion, Humans, Interviews as Topic, Marketing, Models, Psychological, Models, Statistical, Self Efficacy, Surveys and Questionnaires, Tobacco Products, Tobacco Use Disorder

The US tobacco industry spends $8.2 billion annually on marketing at the point of sale (POS), a practice known to increase tobacco use. Evidence-based policy interventions (EBPIs) are available to reduce exposure to POS marketing, and nationwide, states are funding community-based tobacco control partnerships to promote local enactment of these EBPIs. Little is known, however, about what implementation strategies best support community partnerships' success enacting EBPI. Guided by Kingdon's theory of policy change, Counter Tools provides tools, training, and other implementation strategies to support community partnerships' performance of five core policy change processes: document local problem, formulate policy solutions, engage partners, raise awareness of problems and solutions, and persuade decision makers to enact new policy. We assessed Counter Tools' impact at 1 year on (1) partnership coordinators' self-efficacy, (2) partnerships' performance of core policy change processes, (3) community progress toward EBPI enactment, and (4) salient contextual factors. Counter Tools provided implementation strategies to 30 partnerships. Data on self-efficacy were collected using a pre-post survey. Structured interviews assessed performance of core policy change processes. Data also were collected on progress toward EBPI enactment and contextual factors. Analysis included descriptive and bivariate statistics and content analysis. Following 1-year exposure to implementation strategies, coordinators' self-efficacy increased significantly. Partnerships completed the greatest proportion of activities within the "engage partners" and "document local problem" core processes. Communities made only limited progress toward policy enactment. Findings can inform delivery of implementation strategies and tests of their effects on community-level efforts to enact EBPIs.

Alternate JournalTransl Behav Med
PubMed ID28405905
PubMed Central IDPMC5645280
Grant ListU48 DP005017 / DP / NCCDPHP CDC HHS / United States