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Efficacious elements of municipal tobacco control programs in the Netherlands

Projectomschrijving

Werkzame elementen van een Rookvrij Gemeente Beleid

Vraagstuk

In het Nationaal Preventieakkoord heeft de landelijke overheid met gemeenten en maatschappelijke organisaties afgesproken om samen te zorgen dat in 2040 minder dan 5% van de volwassenen nog rookt. Dankzij dit akkoord gaan gemeenten een steeds grotere rol spelen binnen tabaksontmoediging. Gezien de grote verschillen in het tabaksontmoedigingsbeleid tussen gemeenten is het noodzakelijk om te weten welke elementen van lokaal tabaksbeleid relatief effectief zijn.

Onderzoek en verwachte uitkomst

In dit project wordt op basis van beleidsvoorstellen van GGD-regio’s en gesprekken met lokale beleidsmakers in kaart gebracht welke elementen gemeenten gebruiken in hun lokale tabaksbeleid. Op basis van aanvullend vragenlijstlijstonderzoek, interviews met beleidsmakers en kennis uit de wetenschappelijke literatuur onderzoeken we vervolgens welke elementen effectief zijn in het ontmoedigen van tabaksgebruik. De resultaten van dit project delen we vervolgens op grote schaal met GGD's en gemeenten.

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Samenvatting van de aanvraag

Background The Dutch National Prevention Agreement is an agreement between the Dutch national government, Dutch local governments and societal organisations in the Netherlands to reduce the smoking rate in the Netherlands to 5% by 2040. One important aspect is that local governments (municipalities in particular) are increasingly made responsible for implementing tobacco control measures and for reaching the aims described in the agreement. Until recent years, municipalities played next to no role in helping to reduce smoking in the Netherlands. Given the great variability in local contexts between the 355 Dutch municipalities, very little is known about how to effectively implement Tobacco Control Programs (TCP's) at the municipal level. This proposal therefore aims to identify what mechanisms and context variables tend to stimulate a good implementation of tobacco control measures by local governments. Phase 1 Study In an earlier Phase 1 study (which preceded this grant proposal), the research team investigated which components of comprehensive local tobacco control policies might help reduce smoking locally. This study confirmed, among other things, that providing smoking cessation assistance within local communities increases quit rates in those communities. It also showed that disseminating information about the harms of tobacco use and tobacco smoke exposure could reduce smoking rates, increase the number of quit attempts, and change social norms related to smoking. A third finding was that creating smoke-free public spaces could reduce smoking, increase quitting attempts, and change social norms. Finally, since local policymakers have limited resources, they have to balance the costs and benefits of each new policy, and need information on the costs and benefits of local TCP's. This project The project goes further than our previous research by investigating in more detail the efficacious elements of comprehensive local tobacco control policy programs within the specific context of Dutch municipalities. In subproject 1, we use grant proposals submitted by 24 Dutch municipal health services to map the various municipal TCP's in the Netherlands (study 1). In subproject 2, we identify the potentially efficacious elements in those programs that contribute to reducing smoking. We will use local smoking monitoring data to link characteristics of municipalities to changes in prevalence data to identify relevant context factors in the implementation of local tobacco control programs (study 2.1). Next, we identify underlying mechanisms (efficacious elements) of implementing local tobacco control programs through two realist reviews of the scientific literature. While the first review covers mechanisms of implementing smoking cessation interventions (study 2.2), the seconds focuses on mechanisms of implementing comprehensive local TCP's (study 2.3). Next, through qualitative interviews with local policymakers, we investigate why some policy elements have been deployed and implemented by local professionals, while others have not, to better understand the efficacious elements of these programs within the Dutch municipality policy and political context (study 2.4). Finally, we study the financial and health-related benefits of implementing local tobacco control programs by reviewing policy documents and interviewing local policymakers (study 2.5). In subproject 3 we will disseminate the study results through various channels. Our main channel for dissemination will be an interactive website for regional health service professionals, where they will be able to map the benefits of existing and future local TCP's for each municipality in their region. We will provide a training for regional public health service professionals to help them use the website. In addition to the website and training, we will disseminate the results through research articles, a PhD thesis, and factsheets. During the dissemination stage, the focus will not only be on lessons learned for local tobacco control, but (on a more aggregate level) also on efficacious elements of programs in the two other domains of the National Prevention Agreement (obesity, alcohol).

Kenmerken

Projectnummer:
555002032
Looptijd: 66%
Looptijd: 66 %
2021
2025
Onderdeel van programma:
Gerelateerde subsidieronde:
Projectleider en penvoerder:
drs. J. Bommele
Verantwoordelijke organisatie:
Trimbos-instituut