The goal of this proposed study is to increase the capacity for sustainability among evidence-based tobacco
control (TC) programs. To do this, our study will empirically develop and test the Program Sustainability Action
Planning Model and Training Curricula to improve sustainability and institutionalization of these evidence-based
programs. This will be accomplished in three aims. First, we will develop our Program Sustainability Action
Planning Model and Training Curricula incorporating action planning and experiential learning methods. The
Program Sustainability Action Planning Training Curricula will include action planning workshops, development
of action plans with measurable objectives to foster institutional changes, and technical assistance. We will
deliver this in person training in the form of two day workshops to 12 state TC programs. Aim 2 uses a quasi-
experimental effectiveness trial based on the theory of change to assess the Program Sustainability Action
Planning Training Curricula in 24 states (12 intervention, 12 comparison). We will collect programmatic and
organizational factors that have been established as predictors of sustainability using state level programmatic
record abstraction and the Program Sustainability Assessment Tool (PSAT) to assess level of institutionalization
at three time points. Data will be used to assess differences in intervention versus comparison states. Finally,
our third aim involves widespread dissemination of the Program Sustainability Action Planning Model and
Training Curricula. Specifically, we will refine our training and develop electronic and hard copy versions of the
curricula and disseminate the materials to State TC programs, programs within OSH and other Divisions at CDC,
public health organizations and practitioners, and academic audiences. We will also provide access to refined
and tested training materials to the public through our sustaintool.org website. This project is important in
establishing the first evidence-based Program Sustainability Action Planning Model and Training designed to
help public health programs reach maturity and sustain activities over time. Such long term programmatic
sustainment is imperative in order to achieve the full benefit of significant investment in public health research
and program development which includes improving long-term health outcomes.
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