Project Smokebusters

 

Project Smokebusters is a youth advocacy program that promotes healthy tobacco free environments by advocating for elimination of secondhand smoke exposure and reduction of youth initiation of tobacco use. Since the inception of Project Smokebusters in Northeast Missouri, over 430 youth from 34 school systems have worked to produce 26 different policy/environmental changes. The intended outcomes for this policy initiative are to increase the number of smoke free campuses and public places in the state of Missouri.

 

In the beginning of the program the Northeast Missouri Cancer Control Coalition started with implementing educational programs such as Teens Against Tobacco Use and Operation Smokescreen. These programs were effective in educating youth about the dangers of tobacco use, but were not sufficient to produce the behavior change of reducing smoking rates. Also, students were interested in reducing exposure to secondhand smoke and wanting to become involved in their community.  In the fall of 2001, the Northeast Missouri Cancer Control Coalition revamped the program to meet these needs, and expanded from education to action and environmental policy change.

 

Policy Initiation

 

Project Smokebusters was developed from the evaluations from our youth educational/advocacy groups. Each year at trainings students were asked for input on what they would like to know more about, indicating the need for environmental policy change.  In addition, the Centers of Disease Control indicated a policy change to increase the number of smoke free work and public places was one of the most effective ways to reduce tobacco consumptions by adults and youth.

 

Public Health Agency Roles

 

The role of the state health department has been very valuable in a number of ways.  As a Community Policy Specialist for Northeast Missouri, I am ongoing support staff for the coalition. I helped in organizing the coalition, grant writing for funds for the program, help with each one of our trainings as one of the trainers for the day, compile the data from the pre and post tests, as well as be a constant support to the schools, and local coalition members when issues arise.

 

The tobacco use prevention program has helped by offering technical assistance in the areas of educational materials, staff that helped us in our development of the Smokebusters manuals, and expertise in the area secondhand smoke. They have also help compose the pre and post test for the day trainings along with a research analyst to help get us organized for data collecting issues. The research analyst developed a logic model which helps to explain the programs to others. Lastly, the state health department helped expand the program to the Northwest and Southeast region of the state by supporting training for staff of local public health agencies and other organizations interested in the program, and by promoting the program on the Department of Health’s and Senior Services’ website.

 

Major Partners

 

Project Smokebusters is no easy task and it takes many partners to make the program a success. Northeast Missouri Cancer Control Coalition is the lead agency of the program that is comprised of many different health organizations that helped make this a program of great power. Local public health agencies help by offering funds, staff, and local support to provide the trainings in their counties. Some of the local public health agencies seek support from local service organizations. The schools administrators and teachers are major contributors as they allow the program to be implemented in their schools, and agree to consider policy change recommendations for their school polices. Many of the local churches offer use of their facility free of charge so trainings can be held there each year. Support and funding has been contributed by American Cancer Society, American Lung Association, American Heart Association, local service organizations, and Area Health Education Centers.

 

Official Support

 

School administrators have been a major support for the program, and have allowed youth to advocate for policy recommendations. State and local government officials have participated in youth training to explain the process on how government works and how policy change occurs at the state and local levels.

 

Results from the Policy

 

Tracking the impact and outcomes of the Project Smokebusters has been important part of the program. For instance, since 1999 tracking has consisted of the number of youth and mentors trained each year, the number of schools in the program, the number of presentations the youth made and the number of policy changes that resulted. In 1999, we had approximately 20 school groups with 200 mentors and youth trained. Those numbers have increased to 75 school groups, 875 youth and adults in 33 different counties in 2005. During the 2004-2005 school year more than 155,847 Missourians have been reached through presentations and community events in the Northeast, Northwest and Southeast Missouri regions. As a result of the youth efforts, stronger tobacco polices have been enacted in 13 schools, 10 restaurants, 1 park, 1 hospital, and 1 municipality.

 

Lessons Learned

 

The major lessons learned in this program include the importance of listening to youth and involving them in the design of the program. Another lesson is the importance of strong school support to allow the students to not only attend the trainings, but to implement activities within the school and community that result policy change.

 

Opposition

 

There was opposition with some of the policies that were passed.  In some cases the opposition was handled with a compromise policy (e.g. instead of the entire school grounds tobacco free, compromising with a policy prohibiting smoking within 50 ft from any entrance type). Other opposition was handled by educating the local boards of education about the issue that the opposition was presenting and the policy was adopted.  In some cases, policy changes were asked for but the opposition was too strong and a policy change was not adopted.

 

Submitted By

Joyce Lara

Community Policy Specialist

Missouri DHSS

19168 Orrick Trl

Kirksville, MO 63501

660-665-8606

660-665- 8606 (FAX--call first)

Joyce.Lara@dhss.mo.gov