Alcohol, Tobacco and other Drugs

The Title V legislation requires the state, as part of its Application, to carry out a statewide Needs Assessment every five years that identifies the need for preventive and primary care services for pregnant women, mothers and infants up to age one; children and adolescents; and children with special health care needs up to age 26. The University of Arizona College of Public Health is collaborating with Arizona Department of Health Services (ADHS) to contribute the qualitative components of the Title V needs assessment, including focus groups, community forums and dissemination of results to community partners. Our approach involves (i) participation at state-wide meetings; (ii) conduct of focus groups with selected communities not traditionally heard including African American, Hispanic, Refugees, LGBTQ, Farm Workers, Families with Children with Special Health Care Needs and Youth; (iii) facilitation of community forums with community members and providers to get feedback on preliminary findings; and (iv) dissemination of results to community partners. Results will feed into priority setting for Title V programming for the next five years 2020 – 2025.  This project is funded by the Arizona Department of Health Services (ADHS).

This project is a randomized control trial of the Safer Bars Program at three major universities in Arizona and trains liquor serving staff to intervene in situations that could be precursors to sexual assault.  Researchers look at individual level outcomes in servers that are using these intervention strategies, peer-level changes in feeling supported to intervene, bar level changes to create a less rape-supportive environment, and community change through police calls for sexual assault within a one-mile radius of each campus of these universities. The goal is to evaluate the Arizona Safer Bars Alliance bystander sexual assault prevention program designed for liquor serving the staff of bars surrounding three Arizona Universities (UA, ASU, NAU). This project was funded by the National Institute on Alcohol Abuse and Alcoholism. 

Female smokers often face unique barriers to quitting smoking. The purpose of this study is to examine how menstrual cycle/ female sex hormones may play a role in smoking outcomes. The study tests the feasibility of a menstrual-cycle timed smoking cessation program for female smokers between 18-40 years of age. Treatment consists of a six-week telephone-based behavioral counseling program along with provision of nicotine replacement therapy. Primary outcomes include determining acceptability and feasibility of the study by assessing the recruitment and retention rate and overall participant study satisfaction. Quit smoking outcomes are measured at end of the program and at 3 month follow-up. Dr. Alicia M. Allen from the Department of Family and Community Medicine is the Co-PI on this project with Dr. Nair. 

Funded by Arizona Department of Health Services, this project examined the prevalence rates of tobacco use among the Gender and Sexual Minority (GSM) population. This project involved working with various community partners (e.g., Southern Arizona Aids Foundation, Terros health) to look closely at tobacco use and barriers to cessation within this high-risk group through surveys, focus groups, and key informant interviews.

This project, in collaboration with the Ministry of Qatar, examines the feasibility and preliminary efficacy of setting up a smoking cessation quitline in Qatar. This project will include: setting up an infrastructure for conducting telephone-based cessation service, training counselors in Qatar in evidence-based best practices for smoking cessation, and implementing program evaluation processes to evaluate the program. 150 male Qatari smokers will be recruited for 5-week long smoking cessation intervention. Quit outcomes will be assessed at end of treatment and at follow-up periods. This project is funded by the Qatar National Research Fund. 

Under this agreement, ASHLine will provide a tobacco cessation program. Services for Phoenix Children's Hospital include: Service Initiation and Enrollment Behavior Change Coaching Program Medication Support Follow-up Reporting The program period is defined as 90 days starting from the date of program enrollment when the employee completes an initial survey with an ASHLine enrollment specialist. Achievement of the program goal is defined as 6 completed coaching sessions during the 90 day program period. Employees may engage in additional coaching sessions beyond the set goal (six sessions) during the program period as needed.

Under this agreement, ASHLine will provide a tobacco cessation program. Services for lnsteel employees include: Service Initiation and Enrollment Behavior Change Coaching Program Medication Support Follow-up Reporting The program period is defined as 90 days starting from the date of program enrollment when the employee completes an initial survey with an ASHLine enrollment specialist. Achievement of the program goal is defined as 6 completed coaching sessions during the 90 day program period. Employees may engage in additional coaching sessions beyond the set goal (six sessions) during the program period as needed.

ASHline coaches for up to 30 enrollees from Southwest Diagnostic for tobacco cessation services for the 90 day program. The purpose of the Outreach Counselor, Sr for SW Diagnostic is to provide telephone-based tobacco cessation coaching to a caseload of SW Diagnostic clients to help support tobacco users to work through the quitting process while utilizing a client-directed treatment philosophy emphasizes client direction and autonomy through a personalized quit. Additionally, The Outreach Counselor, Sr position will work as part of a team of tobacco cessation coaches to develop quality coaching programs using most up-to-date, evidence-based, best practices and keep accurate records of services through collection of data and continuous quality assurance protocols for SW Diagnostic clients. The Outreach Counselor, Sr., will also provide documentation on all services and provide general information to all other calls. The Outreach Counselor Sr, is also available to provide engagement services that include explaining more detail about the coaching and medication services offered through ASHLine, preparing SW Diagnostic enrollees (clients) about the coaching experience and initiates the quit plan. The Outreach Counselor, Sr., must provide an engaging and friendly response to all calls and be attuned to real time customer feedback for SW Diagnostic clients.

Under this agreement, ASHLine will provide a tobacco cessation program with 24/7 live answer. Services for WebPT’s employees include: Service Initiation and Enrollment Behavior Change Coaching Program Medication Support Follow-Up On-site Engagement Reporting Completion of the quit program is defined as the completion of 6 coaching sessions, which must be completed during the 90 day program period. The program period is defined as 90 days starting from the date of program enrollment completion when the employee completes an initial survey with an ASHLine enrollment specialist. Employees may complete additional coaching sessions beyond the set goal (six sessions) during the program enrollment period as needed.

Located in the Mel and Enid Zuckerman College of Public Health at the University of Arizona and funded by the state tax on tobacco products, The Arizona Smokers’ Helpline (ASHLine) is one of over 50 quitlines across the United States. Established in 1995, it is also one of the oldest and most seasoned quit lines in existence.  As a member of the North American Quitline Consortium, ASHLine is actively engaged in collaborations, research, evaluation and quality improvement to assure all Arizonans have access to high quality, evidence-based tobacco cessation services and support. Nationally, quit rates reported among North American quit lines vary, averaging around 30%.  The Arizona Smokers’ Helpline (ASHLine) has been helping people quit tobacco since its inception in 1995. We are a comprehensive quitline, offering free telephone (both reactive and proactive) and web-based quit services and four to twelve weeks Nicotine Replacement Therapy (NRT). In addition, we have fax and electronic provider referral program and provide free training and technical assistance to healthcare providers and community partners statewide. The Arizona Smokers’ Helpline (ASHLine) is a service entity well-positioned to contribute to ongoing tobacco control efforts by providing effective, evidence-based support to individuals in their effort to end tobacco use.

Abstract not available. 

This grant was funded by a K23 award from the National Institute on Alcohol Abuse and Alcoholism. The purpose was for Nicole Yuan to develop skills and expertise in the study of alcoholism and violence among Native Americans and other vulnerable populations with an emphasis on public health and community-based research methodologies. Dr. Yuan's career development plan included: 1) completion of the requirements for an MPH degree; 2) training in alcohol, genetic, and Native American health epidemiology and research methods; and 3) production of empirical papers, conference presentations, and grant proposals. Her primary sponsor and mentor was Dr. Mary P. Koss. Dr. Yuan's research plan consisted of three phases: 1) secondary analyses of data from the Ten Tribes Study; 2) pilot study with the tribes; and 3) research collaboration to develop a follow-up study with full participation from the tribes. After receiving a no-cost extension, the final end date was December 2011.

Project concluded in 2010. At the end of the Steps to a Healthier Arizona Initiative the Asthma Special Action Group joined the Yuma Tobacco Coalition to form the Yuma Tobacco and Asthma Coalition, which is lead by the Yuma County Public Health Services District Tobacco Program, funded through the ADHS. I was the previous evaluator for the Yuma Steps initiative, and the Asthma SAG, so YCPHSD has contracted me to assist with the new Coalition. I will also assist the Tobacco Program with the development of new evaluation forms and a database to synthesize reporting to ADHS and to facilitate a more efficient data collection system. Current contract may lead to new contract with Tobacco Program for general consulting and technical assistance for FY11.