How can a coordinated regional smoking cessation initiative be developed and implemented? A programme logic model to evaluate the ‘10,000 Lives’ health promotion initiative in Central Queensland, Australia

Abstract

ObjectiveThis study used a programme logic model to describe the inputs, activities and outputs of the ‘10,000 Lives’ smoking cessation initiative in Central Queensland, Australia.DesignA programme logic model provided the framework for the process evaluation of ‘10,000 Lives’. The data were collected through document review, observation and key informant interviews and subsequently analysed after coding and recoding into classified themes, inputs, activities and outputs.SettingThe prevalence of smoking is higher in the Central Queensland region of Australia compared with the national and state averages. In 2017, Central Queensland Hospital and Health Services set a target to reduce the percentage of adults who smoke from 16.7% to 9.5% in the Central Queensland region by 2030 as part of their strategic vision (‘Destination 2030’). Achieving this target is equivalent to 20,000 fewer smokers in Central Queensland, which should result in 10,000 fewer premature deaths due to smoking-related diseases. To translate this strategic goal into an actionable smoking cessation initiative, the ‘10,000 Lives’ health promotion programme was officially launched on 1 November 2017.ResultThe activities of the initiative coordinated by a senior project officer included building clinical and community taskforces, organising summits and workshops, and regular communications to stakeholders. Public communication strategies (e.g., Facebook, radio, community exhibitions of ‘10,000 Lives’ and health-related events) were used to promote available smoking cessation support to the Central Queensland community.ConclusionThe ‘10,000 Lives’ initiative provides an example of a coordinated health promotion programme to increase smoking cessation in a regional area through harnessing existing resources and strategic partnerships (e.g., Quitline). Documenting and describing the process evaluation of the ‘10,000 Lives’ model is important so that it can be replicated in other regional areas with high prevalence of smoking.

The impact of a regional smoking cessation program on referrals and use of Quitline services in Queensland, Australia: a controlled interrupted time series analysis

“…We have not performed a cost-effectiveness analysis of the "10,0 0 0 Lives" campaign, but have previously reported [23] the total cost of the program in the first two years of its operation as A$280,748 including the amount of A$6 4,16 4 for the research and evaluation component. A cost-effectiveness analysis of the program is planned to inform the potential to implement "10,0 0 0 Lives" on a larger scale.…”

“…The study intervention was the “10,000 Lives” smoking cessation campaign in CQ (see Khan et al. [23] for a detailed description). The preliminary campaign activities commenced in September 2017 ahead of the official launch on 1 November 2017.…”

“…[27] The campaign activities promote existing smoking cessation support services (e.g., Quitline) through diverse communication pathways including in-person/telephone/email communication with clinicians and community workers to encourage them to refer their clients who smoke to Quitline, sharing information about the Quitline service through local radio, digital display board, signage, local newspapers, staff newsletters and a weekly CQHHS bulletin, and local general practitioners, and their Facebook pages (Supplementary Table S1). [23] The IQSP is a free (Queensland Governmentfunded) smoking cessation program offering 12 weeks of NRT combined with telephone counselling sessions, which has been available to all people living in CQ who smoke since February 2017. [28] We hypothesised that the addition of the IQSP to the Quitline services offered to CQ residents would increase their use of the Quit-line, and the addition of the "10,0 0 0 Lives" initiative would further increase Quitline service use in CQ.…”

“…The "10,0 0 0 Lives" program is described in detail elsewhere. [23] Briefly, "10,0 0 0 Lives" is coordinated by a Senior Project Officer (SPO) and guided by the Director and Public Health Physician of the CQPHU. The SPO identifies potential champions from CQHHS who are encouraged to implement smoking cessation activities.…”

Time to rethink tobacco dependence treatment in Australia

“…that evaluation of smoking cessation studies, such as those designed to increase clinicians' willingness to deliver brief advice, is vital to ensure shared learning. 28 This call to evaluate is equally important for interventions that are successful and for those that are not. However, at the present time, Australia lacks a coordination mechanism or clearing house by which these outcomes can be reviewed and considered by jurisdictions for scale up and deployment as usual care.…”