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Evaluation Review, Vol. 23, No. 3, 259-280 (1999)

The American Stop Smoking Intervention Study: Conceptual Framework and Evaluation Design

Frances Stillman

The National Cancer Institute

Anne Hartman

The National Cancer Institute

Barry Graubard

The National Cancer Institute

Elizabeth Gilpin

University of California at San Diego

David Chavis

Association for the Study and Development of Community

John Garcia

Prospect Associates

Lap-Ming Wun

Prospect Associates

William Lynn

Prospect Associates

Marc Manley

The National Cancer Institute

Reducing tobacco use, especially cigarette smoking, is a public health priority. The American Stop Smoking Intervention Study (ASSIST) was initiated in 1991 to prevent and reduce tobacco use primarily through policy-based approaches to alter the social-political environment. This article describes the conceptual design, research framework, evaluation components, and analytic strategies that are guiding the evaluation of this demonstration research endeavor. The ASSIST evaluation is a unique analysis of the complex relationships between the social context, public health activity at the state level, tobacco use, and individual behavior. The measures of tobacco control activity developed for this evaluation may be useful in ongoing national cancer control surveillance efforts, and the lessons learned will enhance the development of tobacco control programs.


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