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Assist - Shaping the Future of Tobacco Prevention and Control: NCI Tobacco Control Monograph Series No. 16 (Paperback)
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Assist - Shaping the Future of Tobacco Prevention and Control: NCI Tobacco Control Monograph Series No. 16 (Paperback)
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Just as the American Stop Smoking Intervention Study for Cancer
Prevention (ASSIST) was a major shift in the National Cancer
Institute's (NCI's) tobacco prevention and control research and
dissemination efforts, this monograph is a significant departure
from NCI's previous tobacco control monographs. For many, the
ASSIST project represented a logical progression of NCI's
phased-research approach to reducing tobacco use. For others, it
represented a controversial and overly ambitious leap in a new
direction. Similarly, this monograph departs from the traditional
quantitative evidence review format to emphasize instead the
practical, hands-on experience of program implementation.
Traditional research investigators who defend the sanctity of the
randomized clinical trial, many of whom were uncomfortable with
ASSIST at its outset, will also be uncomfortable with the personal
and anecdotal flavor of this monograph. Public health
practitioners, on the other hand, as well as those investigators
who have immersed themselves in the untidy world of implementation
research, will appreciate the detailed historical accounts of the
complexities, politics, and outright opposition encountered by the
ASSIST team. The collective experiences described in this monograph
provide a rich understanding of the gritty struggle against the
powerful forces of the tobacco industry and its allies. For
students in public health training programs, this work also
provides a unique view of the world outside of academia, where
commercial, political, and public health interests collide in a
struggle to define the policies, norms, and practices that will
affect the health of generations. Monograph 16 begins with the
historical context of ASSIST and the scientific base that informed
the design of the project. The conceptual framework and the
development of organizational infrastructures for implementation
and evaluation are then described. The heart of this monograph is
the in-depth descriptions of ASSIST's media advocacy and policy
development interventions and the challenges posed by the tobacco
industry. The monograph concludes by describing ASSIST's
contributions to tobacco control and other behavioral health
interventions and the significant challenges that remain.
General
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