Evaluating and Improving the Sustainability of State-level Tobacco Control Programs in the United States
CompletedNAResults postedLast updated 5 April 2023
What this trial tests
NA trial testing Program Sustainability Action Planning Model and Training Curricula in Program Sustainability in 255 participants. Completed in 26 January 2022.
Timeline
29 June 2018
Primary endpoint 26 January 2022
26 January 2022
Quick facts
Lead sponsor
Washington University School of Medicine
Phase
NA
Status
Completed
Study type
INTERVENTIONAL
Allocation
randomized
Design
parallel
Masking
none
Primary purpose
prevention
Enrollment
255
Start date
29 June 2018
Primary completion
26 January 2022
Estimated completion
26 January 2022
Sites
1 location across United States
Drugs / interventions tested
Program Sustainability Action Planning Model and Training Curricula
18 and older, any sex, with Program Sustainability or Tobacco Use. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Change in Program Sustainability Assessment Tool (PSAT) Sustainability ScoresPrimary· 0 months,12 months, 24 months
The Program Sustainability Assessment Tool (PSAT) allows stakeholders to rate their programs on the extent to which they have processes and structures in place that will increase the likelihood of sustainability. The minimum score is 1 and the maximum score is 7. A higher score indicates greater program capacity for sustainability. Assessment results can be used to identify next steps in building program capacity for sustainability in order to position efforts for long term success.
0 months
Group
Value
95% CI
State 1 - Program Sustainability Training
4.9
± 0.7
State 2 - Control Condition
5.1
± 0.4
State 3 - Control Condition
3.8
± 0.5
State 4 - Program Sustainability Training
4.2
± 0.5
State 5 - Control Condition
5.1
± 0.8
State 6 - Program Sustainability Training
5.0
± 0.5
State 7 - Control Condition
5.3
± 0.6
State 8 - Program Sustainability Training
5.2
± 0.5
State 9 - Program Sustainability Training
4.4
± 0.7
State 10 - Control Condition
4.5
± 0.5
State 11 - Program Sustainability Training
4.5
± 0.4
State 12 - Control Condition
3.8
± 1.1
12 months
Group
Value
95% CI
State 1 - Program Sustainability Training
5.2
± 0.6
State 2 - Control Condition
5.4
± 0.6
State 3 - Control Condition
5.0
± 0.8
State 4 - Program Sustainability Training
4.0
± 0.4
State 5 - Control Condition
5.1
± 0.8
State 6 - Program Sustainability Training
5.0
± 0.5
State 7 - Control Condition
6.0
± 0.5
State 8 - Program Sustainability Training
5.7
± 0.2
State 9 - Program Sustainability Training
3.5
± 0.7
State 10 - Control Condition
4.3
± 0.4
State 11 - Program Sustainability Training
4.3
± 0.2
State 12 - Control Condition
3.4
± 0.6
24 months
Group
Value
95% CI
State 1 - Program Sustainability Training
5.4
± 0.7
State 2 - Control Condition
5.2
± 0.4
State 3 - Control Condition
4.5
± 1.3
State 4 - Program Sustainability Training
4.2
± 0.3
State 5 - Control Condition
5.8
± 1.0
State 6 - Program Sustainability Training
5.3
± 0.5
State 7 - Control Condition
5.5
± 0.8
State 8 - Program Sustainability Training
5.7
± 0.5
State 9 - Program Sustainability Training
3.7
± 0.5
State 10 - Control Condition
4.5
± 0.7
State 11 - Program Sustainability Training
4.7
± 0.4
State 12 - Control Condition
3.7
± 0.6
Number of State Tobacco Control Programs Present in Law, Regulation, or RuleSecondary· 0 months, 12 months, 24 months
-This measure is defined as whether a state's tobacco control program is established or continued through state statute or regulation and/or if the program is stated in organizational doctrine as a permanent component of the auspice organization. This is a direct measure of formal institutionalization of tobacco control programs and will be measured as a simple binary quantity, zero (0) for "not present in law, regulation, or rule" and one (1) for "present in law, regulation, or rule."
0 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
1
State 7 - Control Condition
0
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
0
State 10 - Control Condition
0
State 11 - Program Sustainability Training
0
State 12 - Control Condition
1
12 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
1
State 7 - Control Condition
1
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
0
State 10 - Control Condition
1
State 11 - Program Sustainability Training
0
State 12 - Control Condition
1
24 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
1
State 7 - Control Condition
1
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
0
State 10 - Control Condition
1
State 11 - Program Sustainability Training
0
State 12 - Control Condition
1
State Tobacco Control Program is Included as Part of Regular BudgetSecondary· 0 months, 12 months, 24 months
Defined as whether a state's tobacco control program is a regular (annual, quarterly, or otherwise) item of the budget of its auspice organization. It directly indicated formal institutionalization and will take one of two possible values, zero (0) for "not included in budget" and one (1) for "included in budget."
0 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
0
State 7 - Control Condition
1
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
1
State 10 - Control Condition
1
State 11 - Program Sustainability Training
1
State 12 - Control Condition
1
12 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
0
State 7 - Control Condition
1
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
1
State 10 - Control Condition
1
State 11 - Program Sustainability Training
1
State 12 - Control Condition
1
24 months
Group
Value
95% CI
State 1 - Program Sustainability Training
1
State 2 - Control Condition
1
State 3 - Control Condition
0
State 4 - Program Sustainability Training
0
State 5 - Control Condition
1
State 6 - Program Sustainability Training
0
State 7 - Control Condition
1
State 8 - Program Sustainability Training
1
State 9 - Program Sustainability Training
1
State 10 - Control Condition
1
State 11 - Program Sustainability Training
1
State 12 - Control Condition
1
Change in Percentage of Organizational Budget Allotted to Tobacco Control ProgramSecondary· 0 months, 12 months, 24 months
Defined as the percentage of the state health department budget garnered by its tobacco control program. The measure will be continuous and theoretically range from 0% (no funding) to 100% (entire health department budget). This quantity measures institutionalization of a program both individually and relative to other state health programs.
0 months
Group
Value
95% CI
State 1 - Program Sustainability Training
31.80
State 2 - Control Condition
12.30
State 3 - Control Condition
0.80
State 4 - Program Sustainability Training
1.70
State 5 - Control Condition
2.50
State 6 - Program Sustainability Training
3.90
State 7 - Control Condition
6.30
State 8 - Program Sustainability Training
18.10
State 9 - Program Sustainability Training
3.70
State 10 - Control Condition
9.00
State 11 - Program Sustainability Training
5.30
State 12 - Control Condition
16.20
12 months
Group
Value
95% CI
State 1 - Program Sustainability Training
13.10
State 2 - Control Condition
22.30
State 3 - Control Condition
5.10
State 4 - Program Sustainability Training
3.40
State 5 - Control Condition
8.50
State 6 - Program Sustainability Training
20.40
State 7 - Control Condition
18.20
State 8 - Program Sustainability Training
17.00
State 9 - Program Sustainability Training
4.90
State 10 - Control Condition
7.40
State 11 - Program Sustainability Training
13.30
State 12 - Control Condition
22.00
24 months
Group
Value
95% CI
State 1 - Program Sustainability Training
12.10
State 2 - Control Condition
19.80
State 3 - Control Condition
0.90
State 4 - Program Sustainability Training
4.00
State 5 - Control Condition
7.90
State 6 - Program Sustainability Training
13.20
State 7 - Control Condition
13.60
State 8 - Program Sustainability Training
16.50
State 9 - Program Sustainability Training
4.80
State 10 - Control Condition
7.10
State 11 - Program Sustainability Training
10.80
State 12 - Control Condition
19.00
Change in Percentage of CDC-recommended Tobacco Control Funding Level Actually SpentSecondary· 0 months, 12 months, 24 months
Defined as the amount of program funding as a percentage of the amount recommended by the CDC. This quantity measures institutionalization of a program relative to an objective level of funding computed uniformly from state characteristics by the CDC. The measure ranges from 0% (no funding) to over 100% (above CDC-recommended level).
0 months
Group
Value
95% CI
State 1 - Program Sustainability Training
31.93
State 2 - Control Condition
102.22
State 3 - Control Condition
3.43
State 4 - Program Sustainability Training
8.54
State 5 - Control Condition
20.92
State 6 - Program Sustainability Training
45.0
State 7 - Control Condition
42.99
State 8 - Program Sustainability Training
36.22
State 9 - Program Sustainability Training
8.90
State 10 - Control Condition
13.14
State 11 - Program Sustainability Training
51.27
State 12 - Control Condition
58.89
12 months
Group
Value
95% CI
State 1 - Program Sustainability Training
28.20
State 2 - Control Condition
102.20
State 3 - Control Condition
10.20
State 4 - Program Sustainability Training
6.90
State 5 - Control Condition
20.90
State 6 - Program Sustainability Training
58.50
State 7 - Control Condition
43.00
State 8 - Program Sustainability Training
36.70
State 9 - Program Sustainability Training
9.0
State 10 - Control Condition
14.0
State 11 - Program Sustainability Training
36.20
State 12 - Control Condition
53.50
24 months
Group
Value
95% CI
State 1 - Program Sustainability Training
28.20
State 2 - Control Condition
98.10
State 3 - Control Condition
2.0
State 4 - Program Sustainability Training
8.40
State 5 - Control Condition
21.10
State 6 - Program Sustainability Training
43.40
State 7 - Control Condition
32.40
State 8 - Program Sustainability Training
37.60
State 9 - Program Sustainability Training
8.90
State 10 - Control Condition
13.90
State 11 - Program Sustainability Training
30.70
State 12 - Control Condition
45.70
Sponsor's own description
The purpose of this study is to empirically develop, test, and disseminate sustainability training to improve the institutionalization of evidence-based state tobacco control (TC) programs, and thus, tobacco-related health outcomes.
Publications & conference data
6 peer-reviewed publications reference this trial (live from Europe PMC):
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Washington University School of Medicine
Last refreshed: 5 April 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03598114.