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A framework for developing an evidence-based, comprehensive tobacco control program

BACKGROUND: Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (indu...

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Autores principales: Rosen, Laura, Rosenberg, Elliot, McKee, Martin, Gan-Noy, Shosh, Levin, Diane, Mayshar, Elana, Shacham, Galia, Borowski, John, Nun, Gabi Bin, Lev, Boaz
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894826/
https://www.ncbi.nlm.nih.gov/pubmed/20507612
http://dx.doi.org/10.1186/1478-4505-8-17
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author Rosen, Laura
Rosenberg, Elliot
McKee, Martin
Gan-Noy, Shosh
Levin, Diane
Mayshar, Elana
Shacham, Galia
Borowski, John
Nun, Gabi Bin
Lev, Boaz
author_facet Rosen, Laura
Rosenberg, Elliot
McKee, Martin
Gan-Noy, Shosh
Levin, Diane
Mayshar, Elana
Shacham, Galia
Borowski, John
Nun, Gabi Bin
Lev, Boaz
author_sort Rosen, Laura
collection PubMed
description BACKGROUND: Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (industry-funded) evidence, contextualization, assessment of population impact, and the changing nature of the threat. METHODS: In the context of Israel's health targeting initiative, Healthy Israel 2020, we describe the steps taken to develop a comprehensive tobacco control strategy. We elaborate on the following: a) scientific issues influencing the choice of tobacco control strategies; b) organization of existing evidence of effectiveness of interventions into a manageable form, and c) consideration of relevant philosophical and political issues. We propose a framework for developing a plan and illustrate this process with a case study in Israel. RESULTS: Broad consensus exists regarding the effectiveness of most interventions, but current recommendations differ in the emphasis they place on different strategies. Scientific challenges include integration of complex and sometimes conflicting information from authoritative sources, and lack of estimates of population impact of interventions. Philosophical and political challenges include the use of evidence-based versus innovative policymaking, the importance of individual versus governmental responsibility, and whether and how interventions should be prioritized. The proposed framework includes: 1) compilation of a list of potential interventions 2) modification of that list based on local needs and political constraints; 3) streamlining the list by categorizing interventions into broad groupings of related interventions; together these groupings form the basis of a comprehensive plan; and 4) refinement of the plan by comparing it to existing comprehensive plans. CONCLUSIONS: Development of a comprehensive tobacco control plan is a complex endeavour, involving crucial decisions regarding intervention components. "Off the shelf" plans, which need to be adapted to local settings, are available from a variety of sources, and a multitude of individual recommendations are available. The proposed framework for adapting existing approaches to the local social and political climate may assist others planning for smoke-free societies. Additionally, this experience has implications for development of evidence-based health plans addressing other risk factors.
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spelling pubmed-28948262010-07-01 A framework for developing an evidence-based, comprehensive tobacco control program Rosen, Laura Rosenberg, Elliot McKee, Martin Gan-Noy, Shosh Levin, Diane Mayshar, Elana Shacham, Galia Borowski, John Nun, Gabi Bin Lev, Boaz Health Res Policy Syst Research BACKGROUND: Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (industry-funded) evidence, contextualization, assessment of population impact, and the changing nature of the threat. METHODS: In the context of Israel's health targeting initiative, Healthy Israel 2020, we describe the steps taken to develop a comprehensive tobacco control strategy. We elaborate on the following: a) scientific issues influencing the choice of tobacco control strategies; b) organization of existing evidence of effectiveness of interventions into a manageable form, and c) consideration of relevant philosophical and political issues. We propose a framework for developing a plan and illustrate this process with a case study in Israel. RESULTS: Broad consensus exists regarding the effectiveness of most interventions, but current recommendations differ in the emphasis they place on different strategies. Scientific challenges include integration of complex and sometimes conflicting information from authoritative sources, and lack of estimates of population impact of interventions. Philosophical and political challenges include the use of evidence-based versus innovative policymaking, the importance of individual versus governmental responsibility, and whether and how interventions should be prioritized. The proposed framework includes: 1) compilation of a list of potential interventions 2) modification of that list based on local needs and political constraints; 3) streamlining the list by categorizing interventions into broad groupings of related interventions; together these groupings form the basis of a comprehensive plan; and 4) refinement of the plan by comparing it to existing comprehensive plans. CONCLUSIONS: Development of a comprehensive tobacco control plan is a complex endeavour, involving crucial decisions regarding intervention components. "Off the shelf" plans, which need to be adapted to local settings, are available from a variety of sources, and a multitude of individual recommendations are available. The proposed framework for adapting existing approaches to the local social and political climate may assist others planning for smoke-free societies. Additionally, this experience has implications for development of evidence-based health plans addressing other risk factors. BioMed Central 2010-05-27 /pmc/articles/PMC2894826/ /pubmed/20507612 http://dx.doi.org/10.1186/1478-4505-8-17 Text en Copyright ©2010 Rosen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Rosen, Laura
Rosenberg, Elliot
McKee, Martin
Gan-Noy, Shosh
Levin, Diane
Mayshar, Elana
Shacham, Galia
Borowski, John
Nun, Gabi Bin
Lev, Boaz
A framework for developing an evidence-based, comprehensive tobacco control program
title A framework for developing an evidence-based, comprehensive tobacco control program
title_full A framework for developing an evidence-based, comprehensive tobacco control program
title_fullStr A framework for developing an evidence-based, comprehensive tobacco control program
title_full_unstemmed A framework for developing an evidence-based, comprehensive tobacco control program
title_short A framework for developing an evidence-based, comprehensive tobacco control program
title_sort framework for developing an evidence-based, comprehensive tobacco control program
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2894826/
https://www.ncbi.nlm.nih.gov/pubmed/20507612
http://dx.doi.org/10.1186/1478-4505-8-17
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