Evidence-based Strategies: Increase the proportion of Alaskans who are tobacco-free (Adolescents)
The Community Guide
Description: Community Mobilization with Additional Interventions to Restrict Minors' Access to Tobacco Products-community-wide
Specific Programs/Strategies: The Community Preventive Services Task Force recommends community mobilization combined with additional interventions —such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement—on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.
- Target Audience: Adolescents
- Setting: Community, Policy
- Recommendation: Recommended
- Review Agency: Community Guide
- Related Topics: Adult tobacco use, LHI #3
- Website: The Community Guide
Description: FACTS stands for Family/Friends, Active healthy choices, Cancer prevention, Eating wisely, Thankfulness, and Survival as a Native American. The program was designed to lower cancer risk among American Indians through youth tobacco prevention and dietary modification.
Specific Programs/Strategies: The intervention teaches facts about tobacco and nutrition using films, storytelling, lectures, activities, and demonstrations, as well as media literacy exercises and problem-solving role plays. Group leaders build subjects' knowledge of ancestral tobacco use and its modern-day abuse, and the meaning and significance of ancestral food and traditional respect for the body. Leaders also stress the importance of family and the survival of American Indian culture as a way of combating negative peer pressures and other social influences. Throughout the curriculum, youth learn and practice resistance skills, decision making, problem-solving, and self-reward skills.
- Target Audience: Adolescents
- Setting: Community
- Recommendation: Research integrity-3.3; Intervention impact-5.0; Dissemination capability-5.0 (Scale: 0-5)
- Review Agency: NCI RTIPS
- Related Topics: Cancer, LHI #1, Overweight or obese, LHI #5
- Website: Native FACETS
Teens Increasing Preventive Services (T.I.P.S.)
Description: Teens Increasing Preventive Services (T.I.P.S.) is a systems preventive services intervention for primary care providers to facilitate screening and counseling for risky health behaviors of adolescents at their annual health care provider visit. The intervention focuses on the targeted risk areas of tobacco, alcohol, drugs, sexual behavior, and safety (helmet and seatbelt use). T.I.P.S. is composed of clinician trainings in adolescent preventive services and the later implementation of customized screening and charting forms.
Specific Programs/Strategies: Based on social cognitive theory, the 8-hour training workshop for providers focuses on increasing clinicians' knowledge, attitudes, self-efficacy, and skills to conduct preventive services. The workshop focuses on adolescent health, confidentiality, screening, and conducting a brief office-based intervention that includes anticipatory guidance/brief counseling for the six risk behaviors. The workshop contains four components: (1) didactic presentations, (2) discussion, (3) demonstration role plays, and (4) interactive role plays. In addition to the provider workshop, the T.I.P.S. intervention includes the implementation of an adolescent health screening questionnaire and a provider charting form.
- Target Audience: Adolescents (11-18)
- Setting: Clinical
- Recommendation: Research integrity-3.9; Intervention impact-5.0; Dissemination capability-4.5 (Scale: 0-5)
- Review Agency: NCI RTIPs
- Related Topics: Alcohol related mortality, LHI #14, Binge drinking, LHI # 15, Unintentional injury, LHI #16, Incidence of Chlamydia, LHI #18
- Website: Teens Increasing Preventive Services (T.I.P.S.)