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Primary Prevention Initiative: Tobacco Module. Objectives Upon completion of this module, learner will be able to: –Define levels of prevention –Describe.

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Presentation on theme: "Primary Prevention Initiative: Tobacco Module. Objectives Upon completion of this module, learner will be able to: –Define levels of prevention –Describe."— Presentation transcript:

1 Primary Prevention Initiative: Tobacco Module

2 Objectives Upon completion of this module, learner will be able to: –Define levels of prevention –Describe how to select relevant topic, locate data, and identify an appropriate intervention 2

3 The Levels of Prevention PRIMARY Prevention SECONDARY Prevention TERTIARY Prevention DefinitionAn intervention implemented before there is evidence of a disease or injury An intervention implemented after a disease has begun, but before it is symptomatic. An intervention implemented after a disease or injury is established IntentReduce or eliminate causative risk factors (risk reduction) Early identification (through screening) and treatment Prevent sequelae (stop bad things from getting worse) ExampleEncourage exercise and healthy eating to prevent individuals from becoming overweight. Check body mass index (BMI) at every well checkup to identify individuals who are overweight or obese. Help obese individuals lose weight to prevent progression to more severe consequences. Adapted from: Centers for Disease Control and Prevention. A Framework for Assessing the Effectiveness of Disease and Injury Prevention. MMWR. 1992; 41(RR-3); 001. Available at: 3

4 Primary Prevention Initiative (PPI) Established by Dr. Dreyzehner in 2012 Goal is to focus the Department’s energy on primary prevention—eliminating risk factors for later problems Intent is for all TDH employees to engage in primary prevention efforts in their community Statewide Roll- out January, 2013

5 PPI Process –All counties participating in Primary Prevention Initiatives –County forms PPI Team –PPI Team meets to determine focus areas –Counties may utilize Community Health Assessments to determine priority topics –PPI Team submits PPI Proposal –PPI Team submits reports on each Activity –Process continues 5

6 Team Work Your county may have multiple teams working on different community activities Teams will spend 5% of their time working on PPI –Approximately ½ day every other week 6

7 PPI Teams Team members will be: –Catalysts –Encouragers –Resource providers –Data keepers/providers Team members are not sole workers –Teams will engage community partners to accomplish activities 7

8 PPI Teams Team size will vary –Teams of 3, 5, or 7 depending on health department size Team composition: –Include community members –Teams should be multidisciplinary (clerical, nursing, clinical, administrative) –Include Regional office staff i.e. Health Promotion Coordinator and/or Community Health Council Coordinator, county staff such as Health Educator, Health Care Provider, and administrative staff 8

9 Topics for PPI Activities –Tobacco –Obesity –Teen Pregnancy –Infant Mortality –Substance Use and Abuse –Immunizations –Suicide Prevention –Occupational Safety –Healthcare Associated Infections 9

10 Selecting a Topic There are so many things you could choose to work on—but time and resources are limited! You will need to prioritize your efforts based on the specific need(s) in your community Needs (and therefore, projects) will likely vary across the State 10

11 Selecting a Topic What can you use to help you prioritize? –Community Health Assessment Tools –County Health Council Priorities –Needs Assessments –Strategic Plans –Ranking/Report Card findings 11

12 Locating Data Once you’ve selected the topic on which you plan to focus, you will need to locate data that is relevant to the topic Data can help you: –Confirm “suspicions” or “hunches” –Sharpen your focus on a particular aspect of the topic –Identify baseline for measuring improvement 12

13 Locating Data Some Potential Data Sources: –Birth/death certificates –Hospital Discharge data –Health Information Tennessee (HIT) website –Behavioral Risk Factor Surveillance System (BRFSS) –Youth Risk Behavior Survey (YRBS) –Pregnancy Risk Assessment Monitoring Survey (PRAMS) –Data from community health assessments 13

14 Identifying An Intervention Once you’ve selected your topic and gathered appropriate data, it’s time to decide what you’re actually going to do There is no need to “re-invent the wheel” Explore what others have done, what has been tested, and what has been shown to work 14

15 Identifying An Intervention Some Sources for Identifying an Intervention: –Guide to Community Preventive Service –NACCHO Model Practice Database –Promising Practice Network –SAMSHA National Registry of Evidence- Based Practices and Programs

16 PPI Proposal Once determined, submit PPI Proposal in PPI Proposal Survey Gizmo link: 16

17 PPI Proposal cont ains County Topic Objective Activities Team members Primary contact Community partners Estimated Start Date Estimated Completion Date 17

18 PPI Activity Reporting As the PPI Team completes each activity, report in PPI Activity Reporting Survey Gizmo link: 18

19 PPI Activity Reporting Contains County name Division/Office Topic Objective Activity description Key Partners/Contributions Start date of activity Facilitating factors of success Barriers encountered Plans to overcome barriers Unanticipated outcomes Impact measures- numbers served Stage of Change Success Stories 19

20 Applying Primary Prevention Principles to Tobacco Use

21 Tennessee Data: Tobacco Use in Adults 24.9% of adults in Tennessee were current cigarette smokers in 2012 Nationwide, 19.6% of adults smoked Tennessee had the fourth highest adult smoking prevalence in the nation Data Source: Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2012.

22 Tennessee Data: Tobacco Use in Youth Data Source: Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data. Available at Accessed on 8/11/2014.http://nccd.cdc.gov/youthonline/

23 Tennessee Data: Tobacco Use in Youth Data Source: Centers for Disease Control and Prevention (CDC) High School Youth Risk Behavior Survey Data. Available at Accessed on 8/11/2014.http://nccd.cdc.gov/youthonline/

24 Proven Primary Prevention Strategies Example 1—Preventing Youth Access Objective: Decrease the % of vendor violations selling tobacco/nicotine to youth Activity: Monitor effectiveness of laws restricting youth access to tobacco/nicotine products utilizing SYNAR data (Tobacco Coordinators have tobacco enforcement summary by county) and use as point of discussion. Establish Youth Tobacco Prevention Committees Feedback from Youth committee on best course of action Distribute Tobacco Retailer Education Guide to public and retailers All vendors are monitored and reported to the Department of Agriculture – contact: Sherrie Kemp

25 Proven Primary Prevention Strategies Example 2—Preventing Youth Access Objective: Increase # of tobacco/nicotine-free schools and child care campuses Activity: Youth Tobacco Prevention Committee – get feedback –Schools implement tobacco/nicotine-free schools/campuses –Engage schools, youth, parents – tobacco education –Tobacco Coordinator have Tobacco/Nicotine Free School Policies –Schools promote education preventing tobacco/nicotine use among youth –Promote Gold Sneaker policies (includes tobacco free day care campuses)

26 Proven Primary Prevention Strategies Example 3—Eliminate exposure to secondhand smoke in public places Objective: Increase # of workplaces, restaurants, parks that are 100% smoke free – including patios and outdoor areas Activity: Educate public about dangers of secondhand smoke –Target key areas using community supporters –Encourage restaurants/ bars to be 100% smoke free including outdoor areas (voluntarily) –Distribute print materials and display posters on tobacco use –Spotlight and advertise workplaces that agree to a voluntary 100% smoke-free policy

27 Additional Resources Behavioral Risk Factor Surveillance System –http://www.cdc.gov/brfss/http://www.cdc.gov/brfss/ CDC Best Practices User Guide –http://www.cdc.gov/tobacco/stateandcommunity/bp_user_guide/index.htmhttp://www.cdc.gov/tobacco/stateandcommunity/bp_user_guide/index.htm CDC Evaluation Toolkit for Smoke Free Policies –http://www.cdc.gov/tobacco/basic_information/secondhand_smoke/evaluation_to olkit/index.htmhttp://www.cdc.gov/tobacco/basic_information/secondhand_smoke/evaluation_to olkit/index.htm CDC Tobacco Free Sports –http://www.cdc.gov/tobacco/youth/sports/index.htmhttp://www.cdc.gov/tobacco/youth/sports/index.htm County Health Rankings –http://www.countyhealthrankings.org/#app/http://www.countyhealthrankings.org/#app/

28 Technical Assistance Resources for Tobacco Lacanas Jordan –Tobacco Use Prevention and Control Program Director – Horace C. Pulse Jr. –Tobacco Use Prevention and Control Health Educator –


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