Provides a large-scale evaluation of the American Stop Smoking Intervention Study for Cancer Prevention (ASSIST), a three-pronged intervention using policy development, mass media and media advocacy, and program services. The evaluation used key metrics on tobacco control and policy measures and accounted for covariates of state-level data, including population demographics and economic, political, social, cultural, and geographic factors.
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Suggested Citation
National Cancer Institute. Evaluating ASSIST: A Blueprint for Understanding State-level Tobacco Control. Tobacco Control Monograph No. 17. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 06-6058, October 2006.
View Individual Chapters
Chapters and key topics covered within each chapter are listed below. Chapters generally include an introductory section, details on methodology, a chapter summary, research needs, and a reference list.
- Other NCI Tobacco Control Monographs (PDF, 50 KB)
- Dedication (PDF, 24 KB)
- A Note from the Series Editor (PDF, 42 KB)
- Foreword (PDF, 45 KB)
- Preface (PDF, 90 KB)
- The American Stop Smoking Intervention Study for Cancer Prevention (ASSIST) (PDF, 49 KB)
- Acronyms List (PDF, 23 KB)
- Acknowledgments (PDF, 52 KB)
- Contents (PDF, 38 KB)
- Chapter 1. The ASSIST Evaluation Project: An Overview (PDF, 278 KB)
- The ASSIST Evaluation
- Chapter 2. The Strength of Tobacco Control Index (PDF, 1.8 MB)
- Development of the Strength of Tobacco Control Index
- Collection, Analysis, and Validation of SoTC Data
- Results of SoTC
- Use of the SoTC to Evaluate Individual State Programs
- Chapter 3. Measuring Policy and Legislative Changes (PDF, 154 KB)
- State and Local Government Action for Tobacco Use Prevention and Control
- The Value of Monitoring Policy and Legislative Changes
- Methods for Rating the Comprehensiveness of Tobacco Control Laws
- State and State+Local Rating Results
- Chapter 4. Initial Outcomes Index (PDF, 306 KB)
- Tobacco Use Outcome Measures
- Defining and Selecting Initial Outcomes
- Initial Outcomes Selected for the ASSIST Evaluation
- The IOI for Policy
- Chapter 5. State Facilitating Conditions and Barriers to Implementation of Tobacco Control Programs (PDF, 146 KB)
- Overview of Influences
- State Conditions Selected for the ASSIST Evaluation
- Data Sources
- Other Potential Covariates
- Chapter 6. Measuring the Impact of Tobacco on State Economies (PDF, 331 KB)
- Background
- Studies on the Economic Impact of Tobacco
- Measuring the Economic Impact of Tobacco for ASSIST
- State Data and Trends
- Chapter 7. The ASSIST Newspaper Tracking System (PDF, 174 KB)
- The Challenge of Measuring the Effect of Media Interventions
- Tracking the Articles
- Trend Analyses
- Chapter 8. Evaluating Tobacco Industry Tactics as a Counterforce to ASSIST (PDF, 318 KB)
- Expert-based Conceptual Map of Industry Tactics
- Review of the Published Literature on Tobacco Industry Tactics
- Review of Tobacco Industry Documents
- Tobacco Industry Tactics: An Evaluation Challenge
- Chapter 9. Final Outcomes: Analytical Methods and Results (PDF, 754 KB)
- Overall Considerations for Analysis
- Adult Smoking Prevalence
- Per Capita Cigarette Consumption
- Primary Results
- Secondary Results (SoTC and IOI Analyses)
- Chapter 10. Cost-effectiveness of ASSIST (PDF, 140 KB)
- A Cost-effectiveness Analysis: The Basic Approach
- Cost-effectiveness: ASSIST
- Chapter 11. The ASSIST Evaluation: Contributions to Evaluation of Complex Public Health Initiatives (PDF, 132 KB)
- Challenges to Evaluating ASSIST
- Response to Evaluation Challenges
- Key Findings of the ASSIST Evaluation
- What Do These Results Mean?
- The Legacy of the ASSIST Evaluation
- The Future of Tobacco Control
- Using the ASSIST Evaluation Approach for Other Public Health Initiatives
- Index (PDF, 114 KB)