Describes the Community Intervention Trial for Smoking Cessation (COMMIT) project which consisted of broadly structured community-based interventions that provided persistent cessation messaging. Special attention was paid to community mobilization, including involving health care providers, worksites, diverse communities, schools, and youth in tobacco control efforts.
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Suggested Citation
National Cancer Institute. Community-based Interventions for Smokers: The COMMIT Field Experience. Tobacco Control Monograph No. 6. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute. NIH Pub. No. 95-4028, August 1995.
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.
- Dedication (PDF, 32 KB)
- Foreword (PDF, 64 KB)
- Acknowledgments (PDF, 160 KB)
- Contents (PDF, 128 KB)
- Chapter 1. Smoking Control and the COMMIT Experience Summary and Overview (PDF, 160 KB)
- Trends in the Magnitude of Smoking as a Public Health Problem
- Activities of the Tobacco Industry
- COMMIT and the Evolution of the National Cancer Institute's Smoking and Tobacco Control Program
- Purpose of This Monograph
- COMMIT Intervention Materials
- Chapter 2. Background for a Comprehensive Community-Based Trial for Smoking Control (PDF, 96 KB)
- Individual Orientations to Tobacco Control
- Public Health Model of Tobacco Control
- Past Community-Based Studies of Tobacco Control
- Lessons From Previous Studies
- Chapter 3. Community Intervention Trial for Smoking Cessation: Description and Evaluation Plan (PDF, 128 KB)
- Trial Communities
- Trial Timeline
- Overall Evaluation Plan
- Outcome Evaluation
- Impact Evaluation
- Process Evaluation
- Economic Evaluation
- Chapter 4. Community Intervention Trial for Smoking Cessation: Development of the Intervention (PDF, 224 KB)
- Introduction
- Intervention Goals and Objectives
- Intervention Areas
- Special Considerations of the Intervention Design
- Chapter 5. Mobilizing the COMMIT Communities for Smoking Control (PDF, 256 KB)
- Adaptations for Research Purposes
- Steps in Mobilizing Communities
- Community Analysis
- Mobilization Experiences Across Communities
- What Could Have Been Done Differently?
- Chapter 6. Activities To Involve the Smoking Public in Tobacco Control in COMMIT (PDF, 256 KB)
- Rationale and Process Objectives
- Campaigns
- Magnet Events
- Media Advocacy
- What Could Have Been Done Differently?
- Chapter 7. Changing Public Policy Around Tobacco Control in the COMMIT Communities (PDF, 192 KB)
- Rationale
- Changing Policies
- Challenges to Policy Changes
- What Could Have Been Done Differently?
- Generic Lessons
- Chapter 8. Activities To Enhance the Use of Cessation Resources in COMMIT (PDF, 160 KB)
- Cessation Resources Activities and Process Objectives
- Developing and Distributing a Cessation Resources Guide
- Recruiting Heavy Smokers Into a Network
- Distributing a Semiannual Newsletter
- Special Recruitment and Intervention Activities
- Chapter 9. Activities To Promote Health Care Providers as Participants in Community-Based Tobacco Control (PDF, 192 KB)
- Rationale
- Challenges and Barriers
- Goals and Process Objectives for Health Care Providers
- Intervention Activities
- What Happened: Successful Components and Challenges
- The Future
- Chapter 10. Promoting Community Tobacco Control Through Worksites (PDF, 224 KB)
- Goals, Activities, and Process Objectives
- Planning Worksite Interventions
- Intervention Activities and Their Implementation
- Delivering the Intervention to the Community
- Lessons Learned
- Chapter 11. Involving Diverse Community Organizations in Tobacco Control Activities (PDF, 320 KB)
- The Rationale for Involving Community Organizations
- Other Organizations in COMMIT
- Successful Efforts With Community Organizations
- Challenges Encountered With Community Organizations
- Experiences With Other Organizations Across the Communities
- Rethinking How To Work With Community Organizations
- Chapter 12. Promoting Communitywide Tobacco Control Activities by Involving Schools (PDF, 192 KB)
- Intervention Activities and Process Objectives for Schools
- Implementing School-Based Interventions
- Patterns of School-Based Interventions
- Lessons Learned From COMMIT School-Based Activities
- Chapter 13. Involving Youth in Awareness of, Promotion of, and Political Activities for Tobacco Control (PDF, 192 KB)
- Goals, Activities, and Process Objectives For Youth
- Involving Youth in Communitywide Campaigns and Intervention Activities
- Monitoring and Promoting Enforcement of Regulations on Youth Access to Tobacco
- Successful Activities
- Enlisting Youth in Communitywide Campaigns
- Magnet Events
- Monitoring and Enforcing Tobacco Access
- Challenges
- Lessons Learned
- Chapter 14. What Have We Learned and Where Do We Go From Here? (PDF, 128 KB)
- Major Lessons Learned
- Implications of COMMIT Results on Lessons Learned
- Future Directions for Community Tobacco Control
Last Updated
September 24, 2020