title: Implementation fidelity of packaged teen smoking cessation treatments delivered in community-based settings.
abstract: Efficacious 'packaged' teen smoking cessation treatment programs, those developed by national organizations, are widely disseminated to local communities to help teens quit smoking. The implementation fidelity of these programs in community settings has not been documented. The efficacy of these programs could be lessened if they are not implemented as intended. Data from Helping Young Smokers Quit describe the frequency and types of modifications made to packaged teen cessation treatment programs for community delivery. A national sample of 591 community-based teen tobacco cessation treatment programs was profiled and 59% used a single packaged treatment program. Bivariate analyses found that 63% of program administrators reported implementing their program as planned; 37% modified their selected program. The most frequently reported modifications were made to the length and format of the program. Of those who modified their programs, >90% reported multiple program modifications (e.g. length and content). Administrators modified their programs to accommodate implementation barriers, such as time constraints and low participant enrollment, and to address the needs of participants with multiple risk behaviors that are co-morbid with tobacco use.
authors.affiliation: Institute of Public Health, College of Health and Human Sciences, Georgia State University, 140 Decatur Street, Atlanta, GA 30303, USA. ksterling@gsu.edu
authors.forename: Kymberle
authors.initials: K
authors.lastname: Sterling
authors.forename: Susan
authors.initials: S
authors.lastname: Curry
authors.forename: Amy
authors.initials: A
authors.lastname: Sporer
authors.forename: Sherry
authors.initials: S
authors.lastname: Emery
authors.forename: Robin
authors.initials: R
authors.lastname: Mermelstein
mesh_terms: D000293:Adolescent; D002648:Child; D003153:Community Health Services; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D007407:Interviews as Topic; D015397:Program Evaluation; D016540:Smoking Cessation; D014481:United States