Mississippi, an early player in tobacco prevention efforts, used a logic model based in CDC's Best Practices that had seven levels: inputs (community leaders, statewide partners, state Health Department, Attorney General's office), activities (cessation, chronic disease, media/marketing, youth programs, school programs, community/state programs, law enforcement), outputs (nicotine cessation and treatment programs, exposure to no-tobacco, pro-health media and other programs, smoking bans, ordinances, and policies), initial outcomes (awareness of programs, changes in youth knowledge and attitudes, increased enforcement efforts), intermediate outcomes (increased program utilization, reduced youth initiation of tobacco use, improved community culture regarding tobacco), long-term outcomes (reduced youth tobacco use, reduced exposure to secondhand smoke), and impact (reduced tobacco-related sickness and death). With enough simplicity to be clear, enough detail to offer guidance, and sufficient grounding in CDC's Best Practices to provide a persuasive rationale for each component, the present logic model had immediate applications and helped with program evaluation.
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References
1.
Centers for Disease Control and Prevention, Best Practices for Comprehensive Tobacco Control Programs—August, 1999, Author, Atlanta, Georgia, 1999.
2.
Centers for Disease Control and Prevention, Cigarette Smoking among Adults—United States, 2001, Author, Atlanta, Georgia, 2003.
3.
RigottiN. A.LeeJ. E., and WechslerH., U. S. College Students' Use of Tobacco Products: Results of a National Survey, Journal of the American Medical Association, 284: 6, pp. 699–705, 2000.
4.
Centers for Disease Control and Prevention, Tobacco Use among Middle and High School Students—National Youth Tobacco Survey, 1999, Morbidity and Mortality Weekly Reports, 51: 19, pp. 409–412, 2000.
5.
Centers for Disease Control and Prevention, Tobacco Use among Middle and High School Students—United States, 1999, Morbidity and Mortality Weekly Reports, 49: 3, pp. 49–53, 2000.
6.
BackingerC. L.FaganP.MatthewsE., and GranaR., Adolescent and Young Adult Tobacco Prevention and Cessation: Current Status and Future Directions, Tobacco Control, 12: Suppl. 4, pp. IV46–IV53, 2003.
7.
PirieP. L.StoneE. J.AssafA. R.FloraJ. A., and Maschewsky-SchneiderU., Program Evaluation Strategies for Community-Based Health Promotion Programs: Perspectives from the Cardiovascular Disease Community Research and Demonstration Studies, Health Education Research: Theory and Practice, 9: 1, pp. 23–36, 1994.
8.
Moore v. Phillip Morris Inc., R. J. Reynolds Tobacco Co., Brown and Williamson Tobacco Corp., and Lorillard Tobacco Co., No. 94-1429, State of Mississippi filed June 5, 1998.
9.
Partnership for a Healthy Mississippi, Leaving Youth the Legacy of a Tobacco-Free Tomorrow (Annual Report), Author, Jackson, Mississippi, 1999–2000.
10.
FoundationKellogg W. K., Logic Model Development Guide, Author, Battle Creek, Michigan, 2001.
11.
RengerR. and TitcombA., A Three-Step Approach to Teaching Logic Models, American Journal of Evaluation, 23: 4, pp. 493–503, 2002.
12.
JulianD. A.JonesA., and DeyoD., Open Systems Evaluation and the Logic Model: Program Planning and Evaluation Tools, Evaluation and Program Planning, 18: 4, pp. 333–341, 1995.
13.
ChenW. W.CatoB. M., and RainfordN., Using a Logic Model to Plan and Evaluate a Community Intervention Program: A Case Study, International Quarterly of Community Health Education, 18: 4, pp. 449–458, 1998–1999.
14.
McLaughlinJ. A. and JordanG. B., Logic Models: A Tool for Telling your Program's Performance Story, Evaluation and Program Planning, 22: 1, pp. 65–72, 1999.
15.
MillarA.SimeoneR. S., and CarnevaleJ. T., Logic Models: A Systems Tool for Performance Management, Evaluation and Program Planning, 24: 1, pp. 73–81, 2001.
16.
HernandezM., Using Logic-Models and Program Theory to Build Outcome Accountability, Education and Treatment of Children, 23: 1, pp. 24–40, 2000.
17.
MacDonaldG.StarrG.SchooleyM.YeeS. L.KlimowskiK., and TurnerK., Introduction to Program Evaluation for Comprehensive Tobacco Control Programs, Centers for Disease Control, Atlanta, Georgia, 2001.
18.
CozzensS. E., The Knowledge Pool: Measurement Challenges in Evaluating Fundamental Research Programs, Evaluation and Program Planning, 20: 1, pp. 77–89, 1997.
19.
JulianD. A., The Utilization of the Logic Model as a System Level Planning and Evaluation Device, Evaluation and Program Planning, 20: 3, pp. 251–257, 1997.
20.
LalS. and MercierC., Thinking Out of the Box: An Intersectoral Model for Vocational Rehabilitation, Psychiatric Rehabilitation Journal, 26: 2, pp. 145–153, 2002.
21.
PentzM. A., Evidence-Based Prevention: Characteristics, Impact, and Future Direction, Journal of Psychoactive Drugs, 35: Suppl. 1, pp. 143–152, 2003.
22.
ZhuS.AndersonC.TedeschiG.RosbrookB.JohnsonC.ByrdM., and Gutierrez-TerrellE., Evidence of Real-World Effectiveness of a Telephone Quitline for Smokers, New England Journal of Medicine, 347: 14, pp. 1087–1093, 2002.
23.
Public Health Service, Treating Tobacco Use and Dependence: Clinical Practice Guidelines, Author, Silver Springs, Maryland, 2000.
24.
DavisJ. A.SmithT. W., and MarsdenP. V., General Social Surveys, 1972–1998 [Computer file]. Chicago, Illinois: National Opinion Research Center [Producer]. Storrs, Connecticut: Roper Center for Public Opinion Research, University of Connecticut/Ann Arbor, Michigan: Inter-University Consortium for Political and Social Research [Distributors], 1999.
U.S. Department of Health and Human Services, Healthy People 2010 (2nd Edition), U.S. Government Printing Office, Washington, D.C., 2000.
27.
HernandezM.HodgesS., and CascardiM., The Ecology of Outcomes: System Accountability in Children's Mental Health, Journal of Behavioral Health Services and Research, 25: 2, pp. 136–150, 1998.
28.
ReinertB.CarverV., and RangeL. M., Evaluating Community Tobacco Use Prevention Coalitions, manuscript under review, 2003.
29.
CarverV.ReinertB.RangeL. M., and CampbellC., Early Elementary Teachers' Receptivity to Tobacco Prevention in One Rural State, International Quarterly of Community Health Education, 20: 2, pp. 157–169, 2002.
30.
CarverV.ReinertB.RangeL. M., and CampbellC., Tobacco Prevention with Mississippi Elementary Teachers and Students, accepted, 2003.
31.
Centers for Disease Control and Prevention, Youth Tobacco Surveillance—United States, 2000, Morbidity and Mortality Weekly Report Surveillance Summary, 50: SS-04, pp. 1–84, 2001.
32.
Mississippi State University, The Youth Social Climate Survey of Tobacco Control: Cigarette Smoking among Youth—Mississippi, 2002, Author, Starkville, Mississippi, 2002.
