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Example: Jane Garcia is a Hispanic woman with a high school diploma, born 5-5-44. Jane attends all eight sessions in the program, quitting tobacco at the beginning of the second session [quit date: January 9, 2003].
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She attends her first tobacco cessation session on January 2, 2003.
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Jane completes the CIF and gives it to the facilitator.
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The facilitator reviews the CIF for completeness and legibility, and works with Jane to clarify any missing or illegible items.
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The facilitator completes page 3 and at the end of the service (or series of classes) forwards the CIF to the Local Project Cessation Coordinator.
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The Coordinator reviews the CIF, follows up with the facilitator on any incomplete or illegible sections, and copies the CIF before mailing the original to the TEPP Evaluation Unit.
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Once the Coordinator receives confirmation from the TEPP Evaluation Unit that the original was received, the copied CIF should be shredded to ensure confidentiality of records.
Jane’s information is entered into the database at the TEPP Evaluation Unit and given a unique identifier. When a follow-up phone interview is made to Jane four months later (May 9, 2003), she informs the interviewer that she has remained tobacco-free since the end of her program.
Because Jane later reported her tobacco-use to an interviewer, information about the results of the cessation program can be collected. If others in Jane’s class also completed interviews, important questions can be answered such as:
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How many people in Jane’s cessation class quit using tobacco for four months?
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What percentage of the people who started, completed the program?
Based on data Jane and others report, we can understand who is entering tobacco cessation programs and how effective different programs are in helping people quit.
Example: Sally Vasquez teaches a cessation class at the beginning of each month at a community hospital. Clients must attend at least 7 of the 8 weekly sessions that last 50 minutes each. Sally has a cessation coordinator who assists her during the first class. Her classes are usually popular; 30 clients might attend the first session.
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To complete the CIF quickly, Sally has the participants line up and receive their CIF along with other materials.
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She reads the Client Introduction and emphasizes that the information they give is confidential.
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As forms are collected, she gives a cursory glance at them to make sure the client has filled in most of the information.
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After class, she reviews the paperwork thoroughly, setting aside forms that are missing identifying information, name or phone number.
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She then files the completed forms by intake date; any problems are addressed individually at the next class.
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Sally makes up an attendance sheet in order to track attendance without having to carry the CIF forms to each class.
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At the last class, she fills out the third page of the CIF, checking the attendance sheet for sessions attended, and completing all applicable information.
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Once the CIFs are completed, she sends them to her cessation coordinator, who meets with Sally to review them before forwarding to the TEPP Evaluation Unit.
Telephone Follow-up Activity
Clients who complete the CIF intake are phoned four (4), six (6) and twelve (12) months later to answer questions about their tobacco use. They are also asked questions about their program and provider during the 4-month interview. The Follow-up Study questionnaire takes about 5-10 minutes to complete. Follow-up activity is centralized at the TEPP Evaluation Unit., with interviewers on staff who implement the telephone surveys.
Client Relapse
The survey interviewer specifically asks each client who has relapsed if he/she would like to re-enroll in a cessation program. To successfully reconnect clients with cessation services through Local Projects and the Helpline, interviewers refer clients to the Arizona Smokers' Helpline. Helpline counselors will phone those clients and offer telephone counseling along with referral to local services.
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