1. Counter Tools Nonprofit Kurt M. Ribisl, PhD

3. Contributors

4. Funding: Competing interests: KM Ribisl, AE Myers and J Bailey receive pay as employees of Counter Tools, a nonprofit organization with a mission to distribute a store audit center and mapping tool, also possible inventor royalties from licensing fees paid to UNC Chapel Hill. Funded in part by grants #CA154281 and #CA154254 from the National Cancer Institute at the National Institutes of Health Funded in part by administrative supplement to core grant U48-DP001944 State of North Carolina: Alcohol Law Enforcement and Department of Health and Human Services

5. Site usage continues to grow > 30,000 page views > 8,100 unique visits > 4,400 unique visitors 4.25 minutes avg. Cumulative Visits to CounterTobacco.org: August 1, 2011 to September 25, 2012

6. Social media 275 Twitter followers, some of whom are from countries at right Reaching >7,500 people/month on Facebook

7. Photo Contest 73 entries in Sept. 2012, from all over the U.S. as well as Japan, India and the Netherlands Categories: Best #Map or #Infographic Stores near #Schools Greatest #Youth appeal #Funniest/most ironic #Cheapest flavored little cigar/cigarillo Best product or advertisement near #Candy

8. Grand Prize Winner

9. Selected Category Winners

10. Counter Tools helps prevent kids from ever getting hooked on tobacco. Help us with your guidance and network. Data collection, mapping, policy-testing Roadmap & roadside assistance To health departments & nonprofits Pass local and state-level policies Prevent tobacco use initiation Promote health Tobacco control experts US leaders in retail environment research Publish nationally on the issue

11. Specialized nonprofits address core tobacco control areas. Counter Tools is the one-stop-shop for retail. 1. Price/Excise Taxes 2. Clean Indoor Air 3. Quit Services 5. Retail Environment

12. Retail marketing causes kids to smoke. Removing this threat is our mission. Henriksen et al (2010); Lovato et al (2011); Slater et al (2007); Wakefield et al (2008); Surgeon General (2012) Prompts initiation Promotes daily consumption Discourages quitting

13. Retail marketing spend is increasing and makes up bulk of budget. Since 2009: Power to create retail policy. Source:

14. Source: www.CounterTobacco.Org www.CounterTobacco.Org

15. FLAVORED CIGARS 77.2% of stores in our NCI study sell flavored regular or little cigars

16. Source: www.CounterTobacco.Org www.CounterTobacco.Org

17. Source: www.CounterTobacco.Org www.CounterTobacco.Org

18. Traditional policy change process is complicated, confusing, expensive. Need for streamlined process & guidance. STARTCollect dataEnter dataClean data Analyze data Get a report Hire a GIS person Buy GIS software Make static maps Choose a policy Write the policy Build support FINISH What data? Sample ? Sample size? Data collecto rs? Trainin g? Trainin g protocol ? Mode? HOW ? How?Why? From what menu? Based on which data? Which data? Of what? Level of analysis? Rogers, 1995Rogers, 1995; Wallack, et al, 1993; Interviews: Keithly, L; Chaffee, J.; Marvin, V.; Hagaman, T.Wallack, et al, 1993Keithly, LChaffee, JMarvin, VHagaman, T

19. Operation Storefront Original, 1 st generation form Created in California in 1994 (CTCP) Focus on in-store advertising placement and exterior signage

21. Beirut photo?

23. Counter Tools offers web-based tools and technical assistance to guide the process. Value is retail results and resource savings. AssessMapTestEnact Interviews: Keithly, L; Chaffee, J.; Marvin, V.; Hagaman, T.; Eischen, M; Zellers, L; Fedor, C.; Spegman, J.Keithly, LChaffee, JMarvin, VHagaman, TEischen, MZellers, LFedor, C Spegman, J

24. Team experience and research to date inform view of feasibility Research validates our value proposition. 21 key informant interviews 5 NPO case studies Industry analysis ExperiencePreparation 1° Research $250K grant funding 6 months of beta testing (n=4) 1 paying customer 40 years of tobacco control experience Conducted 3000 audits Only retail methods review* *Lee, JGL, et al, under review; Funding from NC DHHS & ALE; Customer is ALA-MN; 1° Research in Appendix. Appendix