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Smoke Free Mob Final Progress Report | © VACCHO 2012

VACCHO

Victorian Aboriginal Community Controlled Health Organisation

Smoke Free Mob Final Progress Report June 2012

Written by Lisa Briggs and Cassandra Fletcher on behalf of the Tobacco

Cessation Team, VACCHO.

ABSTRACT

The purpose of this report is to provide the Department of Health and Ageing (DoHA) with a State

wide summary of the achievements, to date, of the Smoke Free Mob initiative and to set the scene

for tackling smoking into the future.

Smoke Free Mob Final Progress Report | © VACCHO 2012 1

Table of Contents

Introduction 2

Impacts of tobacco 3

VACCHO’s Smoke Free Mob initiative 4

Progress Report on Deliverables 5

Objective 1: Assist Aboriginal Community Controlled Health Organisations (ACCHOs) to fully implement

workplace smoke free policies through change management including tobacco cessation support for workers.

5

Smoke Free Policy 5

Environmental Scanning 7

Smoking Surveys 10

Objective 2: Assist Health professionals working with Aboriginal clients to access training and support them

post training to deliver smoking cessation practice. 15

Objective 3: Implement Aboriginal tobacco cessation, community development and social marketing. 18

Objective 4: Ongoing evaluation and dissemination and sharing of findings of the project. 23

Discussion 25

Conclusion 27

References 28

Appendices 29

Appendix A: Smoking Policy Guidelines 29

Appendix B: Environmental Scanning Guidelines 32

Appendix C: Benefits of Surveying 33


Introduction

The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) is the peak

representative body for a membership of twenty-four (24) Aboriginal Community Controlled Health

Organisations (ACCHOs) in Victoria. VACCHO has a central role in advocacy and community capacity

building in Aboriginal health. This role includes workforce development, partnership building,

enhancing community support and engagement and providing leadership to strengthen health

promotion approaches. VACCHO is also a Registered Training Organisation (RTO) and delivers

nationally recognised accredited training courses for the Aboriginal health workforce across Victoria.

VACCHO promotes and supports its members as centres of excellence in the provision of Aboriginal

health services and recognises them as central to their communities. ACCHO’s expertise in the

priorities and needs of their communities places them as key advocates for Aboriginal health and

wellbeing.

The Victorian State government identifies eight (8) regions within which VACCHO members are

represented, they include:

Loddon Mallee

Hume

Grampians

Barwon South West

Gippsland

Metropolitan

o North West

o Eastern

o Southern

The purpose of this report is to provide the Department of Health and Ageing (DoHA) with a State

wide summary of the achievements to date, against each of the four (4) key objectives, of the Smoke

Free Mob initiative and to set the scene for tackling smoking into the future.


Impacts of tobacco Smoking remains the leading cause of avoidable death and disease in the Aboriginal population.

Mainstream Quit interventions have decreased smoking rates in the general population; however,

smoking rates have not declined as rapidly in Aboriginal populations (CEITC, 2008).

In 2004-2005 the National Aboriginal and Torres Strait Islander Health Survey found that half (50%)

of the Indigenous populations aged 18 years or over were daily cigarette smokers. A similar

proportion of males (51%) and females (49%) were daily smokers, with the highest rates reported by

those aged 25-44 years. After adjusting the age differences, Indigenous people aged 18 years or over

were more than twice as likely to be current smokers (ABS, 2007 and AIHW, 2007). Additionally,

fifty-one per cent (51%) of Aboriginal people in Victoria smoke daily (ABS, 2007). And, tobacco

smoking is responsible for twelve percent (12%) of the total burden of disease and one fifth of

deaths in Aboriginal and Torres Strait Islander Australians (Vos et al, 2007).


VACCHO’s Smoke Free Mob initiative In 2009 VACCHO was successful in launching a new program model with leadership from the

Aboriginal community controlled health sector. This program initially took the form of The Goreen

Narrkwarren Ngrn-toura- Healthy family air research project at VACCHO, which was formed under

the auspice of an alliance with Quit Victoria and aimed at strengthening Aboriginal smoke free

messages, smoking cessation skills and links to mainstream program choices.

As The Goreen Narrkwarren Ngrn-toura- Healthy family air research project advanced it was re-

structured to deliver effective tobacco cession and prevention strategies for the Mob. In 2010

VACCHO increasingly took on a leadership and co-ordination role for tobacco cessation and The

Goreen Narrkwarren Ngrn-toura- Healthy family air research project was replaced with The Smoke

Free Mob program, driven by the Tobacco Cessation Team at VACCHO. The Smoke Free Mob

initiative received funding through DoHA to address the impacts that Tobacco has on Aboriginal and

Torres Strait Islander people in Victoria. The aim of the initiative has been to assist and support

Aboriginal Victorians with tobacco cessation through building the capacity of VACCHO member

organisations and key partners. Four (4) performance indicators are used to monitor the Smoke Free

Mob initiative, they are as follows:

1. Assist Aboriginal Community Controlled Health Organisations (ACCHOs) to fully implement

workplace smoke free policies through change management including tobacco cessation

support for workers.

2. Assist Health professionals working with Aboriginal clients to access training and support

them post training to deliver smoking cessation practice.

3. Implement Aboriginal tobacco cessation community development and social marketing.

4. Ongoing evaluation and dissemination and sharing of findings of the project.

VACCHO’s Tobacco Cessation Team collaborates with each of its twenty-four (24) member services

as well as their auspice sites, Quit Victoria, the Centre for Excellence in Indigenous Tobacco Control

(CEITC), VicHealth and sits on the Aboriginal Tobacco Advisory Group (ATAG). Collaboration is key to

VACCHO’s approach to developing and delivering tobacco cessation and prevention strategies that

address the multifaceted causes of the Gap as it relates to tobacco smoking.

The intended outcomes sought from the Smoke Free Mob initiative are as follows:

1. Develop and implement change management plans for improved delivery of workplace

smoke free policies with ACCHOs.

2. Develop and implement a training program and support Aboriginal Health Workers in the

workplace to deliver smoking cessation interventions.

3. Develop and implement social marketing strategies and promote smoke free champions and

leaders within the health services and the community.

4. A reduction of smoking by Aboriginal Victorians.

5. And, a reduction of smoking by Victorian ACCHO staff.

As tobacco cessation is now solidly on the agenda of Victorian ACCHO’s and given that the Tobacco

Workforce is only mid-way through being rolled out, it remains imperative that we learn from the

Smoke Free Mob initiative and plan for a future without smokes.


Progress Report on Deliverables

Objective 1: Assist Aboriginal Community Controlled Health Organisations (ACCHOs) to fully

implement workplace smoke free policies through change management including tobacco

cessation support for workers.

VACCHO’s Tobacco Cessation Team has placed supporting ACCHO’s to develop and implement

workplace smoke free policies, through change management, as a top priority. Accordingly, VACCHO

has developed dynamic ‘ways of working’ that are culturally appropriate and align with ACCHO’s

needs. Three core areas that VACCHO has been working in to support ACCHO’s to adopt smoke free

policies include: Smoking Policy development and implementation; Environmental Scanning; and,

Smoking Survey’s.

Smoke Free Policy

In August 2011, the Tobacco Cessation Team at VACCHO conducted an audit amongst the

membership. The purpose of this audit was to provide a baseline of the number of member services

who have a smoke free policy and to determine what stage they were at in its implementation.

Subsequently, VACCHO has continued to monitor the membership’s progression towards developing

and implementing smoke free policies. Data drawn from VACCHO’s records provides a comparison,

over five-month intervals, which demonstrates significant increases in ACCHO’s moving towards

developing and implementing smoke free policies and, subsequently, successfully going smoke free.

The table below provides a comparison between August 2011, January 2012 and May 2012 (please

note, the most recent comparison was collated on May 30th, 2012).

Table 1: VACCHO Membership Smoking Policy Status

Over the past nine months VACCHO’s membership has been trending towards a smoke free status.

As evidenced above, from August 2011-May 2012, there has been a 25% increase in the number of

0

2

4

6

8

10

12

14

smoke free smoke freepolicy (passed

by Board)

draft smokefree policy

no smoke freepolicy

Smoke Free Policy Status of VACCHO Members

VACCHO Membership Smoke Free Policy Status Comparison Aug 2011-May 2012

Aug-11

Feb-12

May-12


VACCHO members that are ‘smoke free’. It is very positive to see the ACCHO’s shifting through the

stages of change towards becoming a smoke free organisation (‘no smoke free policy’- ‘draft smoke

free policy’- ‘smoke free policy that has been passed by the board’ - to being ‘smoke free’). In August

2011 there was only 58% of the membership that was either taking steps towards becoming smoke

free or were smoke free, in February 2012 there had been a rise to 88% and in May 2012 it has risen

to 92%. In May we see that 58% of the membership is ‘smoke free’ and 34% are very close to joining

them. This steady shift towards going smoke free is reflective of the time and due-process that is

required for organisations to effectively implement a policy, especially one as divisive as a smoke

free policy.

Between August 2011 to March 2012, amongst the VACCHO membership, the biggest request for

support was in the area of policy development and implementation. Key questions that were asked

included:

What is a Smoke Free policy?

How do I implement a policy within an ACCHO?

How do we monitor the smoking policy?

How do we maintain the smoking policy?

VACCHO has taken these questions on board and incorporated responses to them in it’s service

provision to the membership.

The Tobacco Cessation Team at VACCHO provides key recommendations to its membership for

developing a smoke free policy, including the following:

- Gain support from the governing body of the organisation, including the Chief Executive

Officer (CEO), the Board and management.

- Develop an evidence base by conducting an environmental scan (further detail below)

and a staff survey (further detail below).

- Engage management and staff members by asking them to contribute to the policies

development. For example, initiate a yarn-up to discuss going smoke free and what this

means for the service, invite staff to meet regularly to develop guiding principles for the

smoke free policy and ask staff to promote to community the services shift towards

becoming smoke free.

- Define what a ‘smoke free’ policy will look like at your service, taking into account the

geographical placement of your service, the demographics of your staff and client base

and your OATSIH funding requirements (namely, the Operational Funding Agreement).

- And, engage and inform community of the change well in advance, for example, yarn-up

with community over lunch, hold a smoke free event and/or do a mail out and put up

flyers that advertise the move to becoming smoke free.


The Tobacco Cessation Team at VACCHO assists ACCHO’s to work towards fully implementing smoke

free policies in the following ways:

A) Identifying ACCHO’s policy status, including: no smoke free policy; drafting smoke free

policy; smoke free policy under consideration of the Board; smoke free policy (approved by

the board).

B) Monitoring ACCHO’s processes towards developing, implementing and maintaining the

smoke free policy and providing assistance on a case-by-case basis.

C) Supporting ACCHO’s to develop, implement and maintain their smoke free policy. A key

resource that has been distributed on a case-by-case basis to the membership is VACCHO’s

Smoke Free Too Deadly Tool Kit. This resource includes: Smoking Policy Guidelines with an

example policy (Appendix A); Environmental Scanning guidelines (Appendix B); and, Benefits

of Surveying Guidelines with an example staff survey (Appendix C).

Additionally, VACCHO recognises that the development, implementation and monitoring process of

any policy requires the dedication and leadership from the CEO and Board of representatives to

ensure the organisation can have effective and lasting change. Therefore, to support the

membership and tobacco workforce in this area VACCHO undertakes the following:

A) Advocating and providing opportunities for peer to peer learning. VACCHO does this by

matching VACCHO members who are seeking support with other VACCHO members who

have a smoking policy in place (via network meetings and monthly teleconferences).

B) Conducting environmental scans amongst the VACCHO membership and providing a report

back to the ACCHO worker (more detail below).

C) Circulating updates and sharing information, such as: NRT developments; ACCHO Smoking

Policy Progress; training updates; and, promotion of individual workers and champions. This

news is delivered through the Tobacco Cessation Team’s monthly ‘Butts Out Bulletin’, the

VACCHO e-alert, monthly teleconferences and during site visits.

D) VACCHO also presents on tobacco cessation information to CEO’s at VACCHO members

meetings. During these presentations VACCHO draws from the results and findings of the

Smoke Free Mob initiative.

Environmental Scanning

Environmental Scanning is a tool that VACCHO developed to support its membership to progress

through change management. The Tobacco Cessation Team led in the development of this tool and

incorporated it as part of their ‘smoke free too deadly resource kit’ (mentioned above, also see

Appendix B). Environmental scanning can be used at all stages of change to assist a service to go

smoke free and maintain that status. VACCHO recommends that environmental scanning is

undertaken at least every six-months. The purpose of Environmental Scanning is as follows:

A) To gage the services position with regard to going smoke free and maintaining that status.


B) To assess, through a set of observational cues, the services current smoke free status and

map these observations (ie. number of butts on the ground, where butt bins are located,

whether butt bins are close and raised, environmental smoke hazards conducive to passive

smoking, location of designated smoking area-where appropriate, signage, promotional

materials and smoking cessation support brochures).

C) To develop a set of recommendations for action.

D) To provide an evidence base for the worker so that they feel supported in: initiating

discussions about going smoke free; and, initiating actions that will increase the services

ability to become a safe and smoke free environment.

The process that VACCHO uses when approaching one of its members to conduct an environmental

scan, at their ACCHO, is as follows:

A) Make an appointment with ACCHO for a site visit. This appointment is usually made through

the identified tobacco worker.

B) Send a confirmation email for the site visit outlining the purpose of the visit and requesting

that the tobacco worker prepares relevant materials for the visit.

C) Once at the ACCHO conduct an environmental scan, including the following: Step 1- With

the ACCHO based identified tobacco worker VACCHO’s Tobacco Cessation Team members

start at the entrance and sweep through the service (both internally and externally). Step 2-

The team takes photos of their observations, notes both observations and potential action

areas openly and writes down their findings. Step3- Once the scan is complete, the team

debriefs about their findings with the ACCHO based worker.

Following the site visit a member of the Tobacco Cessation Team at VACCHO writes up a brief report

on the environmental scan. This report includes a written review of the ACCHO’s context,

observational notes and recommendations for action. This report, along with the observational

photo’s, is then sent back to the identified tobacco worker.

To date VACCHO has conducted twenty (20) Smoking Environmental Scans amongst the

membership, which means that 83% of the membership has now participated.

Table 2: VACCHO Membership Smoking Environmental Scans August 2011 and March 2012

Progress on Environmental Scans for Smoking at VACCHO Member Services

August 2011 March 2012

36%64%

no environmental scan

environmental scan

noenvironmental scan

50%

environmental scan

50%


In March VACCHO was proud to exclaim that “one out of two VACCHO members have had a Smoking

Environmental Scan”. When compared against August 2011 the March 2012 findings evidenced a

14% increase in participation rates by VACCHO members. The recent round of Smoking

Environmental Scans, undertaken during site visits from April-May 2012, has contributed to an even

greater increase in participation rates.

Table 3: VACCHO Membership Smoking Environmental Scans May 2012

When compared against March 2012 the May 2012 findings demonstrate a 33% increase in

participation rates by VACCHO members. And, when compared against the August 2011 findings

there has been a massive 47% increase overall.

Non-identified photos taken during environmental scans at our member services.

Signs:

no environmental

scan 17%

environmental scan 83%

Progress on Environmental Scans for Smoking at VACCHO member services

May 2012


Butts on the ground:

Butt Bins:

VACCHO recommends that the identified tobacco workers at each member service be involved in

the environmental scanning process. This engagement is likely to increase the level of take-up of

both observations and actions, as highlighted in the reports that VACCHO prepares. It is hoped that

this process will, in turn, lead to increased discussion and actions around smoking and tobacco

control based continued improvement. The Tobacco Cessation Team recognises that to ensure

continuity and impartiality it is essential that each of the member services progression is tracked and

stored at one central location. Additionally, this will act as a safety net for transitioning information

to new workers as they enter the workforce. Therefore, VACCHO proposes that the Tobacco

Cessation Team will continue to work with its members to conduct environmental scans at six-

month intervals.

Smoking Surveys

VACCHO promotes the use of smoking survey’s as a monitoring and evaluation tool at each VACCHO

member site. VACCHO has developed two template surveys to support the membership. They are

the Staff Survey and event Participant Evaluation. At VACCHO we have also modified the Staff Survey

(previously mentioned) and adapted it over time to suit VACCHO as a setting for both smoking

cessation and tobacco control.


Staff Survey

The Staff Survey template is included in the Smoke Free Too Deadly Tool Kit (see Appendix C). This

survey was developed with the intention of engaging staff across the membership in discussions

about tobacco cessation at there service and, in particular, going smoke free. VACCHO recommends

the following four phases of use for the staff survey:

Phase 1 - Using the Staff Survey prior to implementation of a smoking policy can provide a

service with the evidence of why the policy is needed and how it could or should be

implemented. Conducting a survey enables staff involvement and empowerment. It also

provides an opportunity to gain support from staff for the smoke free policy development and

later implementation.

Phase 2 – Using the Staff Survey during the implementation of the smoking policy is useful in

monitoring staff behaviour change and gaging staff support for the ACCHO going smoke free.

Phase 3 – Presenting the Staff Survey results and comparison data, as it is collected, to staff

and management opens discussions and disseminates findings in an inclusive manner. It also

builds an evidence base and demonstrates the services progression towards changing

behaviours and attitudes over time.

Phase 4 – Repeat phases 1 – 3 every six months and publish results.

VACCHO recommends that the intentions behind each the Staff Survey is reviewed with the

following time intervals for distribution in mind. Staff Survey conducted prior to Smoke Free Policy

development, during/post implementation and then at six-month intervals.

Participant Evaluation

The Participant Evaluation template was developed as part of the New Year’s Resolution Day event

resource package. This survey was developed with the intention of engaging participants in

providing feedback on the day with the aim of identifying what went well and ways that the event

may be improved.

VACCHO recommends that the intentions behind the Participant Evaluation is reviewed with the

following time intervals for distribution in mind. Participant Evaluation conducted during each

Smoke Free/Health Promotion Event.

VACCHO’s in-house Staff Survey

VACCHO’s in-house Staff Smoking Survey is used in conjunction with environmental scanning to

monitor and maintain VACCHO’s workplace smoke free policy and smoke free status. VACCHO

conducted both Staff Smoking Survey’s and Environmental Scans in January 2011, August 2011 and

again in January 2012. This has enabled VACCHO to gain trend data. Below are some examples of

comparative findings from VACCHO’s Staff Smoking Survey.


Table 4: VACCHO in-house survey results: Characteristics of VACCHO staff who participated in Smoking Surveys

Each of the graphs above indicates that the demographics of VACCHO have remained relatively

stable over time. In all three rounds, January 2011, August 2011 and January 2012 women have

consistently participated more than men. However, this may be reflective of a higher number of

women in the workplace. Similarly, the ratio 1:4 of managers to non-managers (respectively) who

participated has remained relatively constant over time. Additionally there have been no large

changes in the Smoking Status or Age brackets of staff that participated. This demonstrates that

there has been a good consistency of staff participating in the surveys over time.

Characteristics of VACCHO Staff who participated in Smoking Surveys

72%59% 56%

24% 41%35%

4% 0 9%

Jan 2011 Aug 2011 Jan 2012

Gender

women men not stated

24% 22% 20%

76% 78% 80%

Jan 2011 Aug 2011 Jan 2012

Do You Manage Staff?

managers non-managers

Age


Table 5: VACCHO in-house survey results continued

The above graph ‘Intention to Cease Among Smokers at VACCHO’ indicates a significant 39%

increase, from January 2011 to August 2011, in the number of staff intending to quit smoking in the

next six months. Additionally, this number remains relatively constant between August 2011 and

January 2012. This information is useful in informing management of the existing need in the

workplace for continued tobacco cessation support. Being able to identify this need is essential for

assisting staff to move through the stages of change and successfully quit the smokes.

Table 6: VACCHO in-house survey results: Where should staff and visitors not be allowed to smoke?

Two additional questions were added to the Staff Smoking Survey at VACCHO in August 2011, they

are as follows: one, staff and visitors should not be allowed to smoke 10metres from the building;

and two, staff and visitors should not be allowed to smoke 3 metres from the building. It is the later

question that has seen a marked increase, in January 2012, of 30%. This increase indicates that staff

are do not want staff or visitors to smoke within three (3) metres of VACCHO’s building.

Intention to Cease Among Smokers at VACCHO

0% 20% 40% 60% 80% 100%

3 meters from building

10 meters from building

Company cars

Near front door

Near back door

Near children

Where should staff and visitors not be allowed to smoke?Jan-12

Aug-11

Jan-11


As demonstrated above, survey’s that are reviewed and conducted regularly can provide a service

with evidence to: support and strengthen their Smoke Free Policy; contribute to continued

improvement; and, allow for targeted staff (and client, where appropriate) smoking cessation

support.

As ACCHO’s increasingly move towards becoming Smoke Free Workplaces, VACCHO will continue to

improve resources and support structures, to not only maintain but also strengthen ACCHO’s smoke

free status and continue to meet demands in this area.


Objective 2: Assist Health professionals working with Aboriginal clients to access training

and support them post training to deliver smoking cessation practice.

VACCHO is committed to building the capacity of its members. Recognising that there is a need to

support health professions across the membership to work with Aboriginal clients VACCHO, in 2011,

conducted a training based needs analysis that focused on ‘smoking cessation’ and ‘tobacco control’

skills and knowledge. The purpose of this needs analysis was to identify key gaps in training so that

VACCHO could respond accordingly. The needs analysis took the form of a survey and showed that

member services had good knowledge on impacts of smoking. The key gaps identified through this

training based needs analysis, for the identified tobacco workforce within ACCHO’s, were as follows:

1. knowledge on how to implement, maintain and monitor smoking policies

2. event planning

3. reporting on tobacco control and smoking cessation activities

4. using evidence to inform practice

5. confidence in delivering brief interventions on smoking cessation for staff and clients.

Consequently VACCHO has partnered with the Centre for Excellence in Indigenous Tobacco Control

(CEITC) and developed a training program that addresses gaps 1 through to 4, mentioned above. At

this stage the training that is provided by CEITC is not accredited training, however, VACCHO is

working to incorporate the CEITC based training as an accredited component of Certificate IV in

Population Health that the Education Training Unit (ETU) based at VACCHO may deliver. Additionally,

VACCHO works with Quit Victoria to address gap 5, mentioned above. Below is a training schedule

that outlines VACCHO’s coordinated efforts towards building the capacity of its membership in both

‘smoking cessation’ and ‘tobacco control’.

Training schedule for 2012-2013:

Date Training Body Key Focus Location Numbers that

participated

9th

-10th

February

2012

Quit Victoria Quit Educator training with an

Aboriginal health focus. Brief

intervention based training for

smoking cessation. Developing

skills in motivational

interviewing for both one-to-

one and small group tobacco

cessation sessions.

Thornbury 7

14th

- 15th

March

2012

CEITC Incorporating policy

development into a work plan.

Event planning and reporting

on activities.

Melbourne 4

17th

– 19th

April

2012

VACCHO-

Healthy

Lifestyles

Forum Team

Appling Health promotion

principles in an Aboriginal

Community Controlled Health

context. This training had a

Melbourne 70


focus on Tobacco, Sexual health

and Nutrition and Physical

activity.

14th

– 15th

May

2012




on activities.

Melbourne 8

6th

-7th

June 2012 Quit Victoria Quit Educator training with an

Aboriginal health focus. Brief

intervention based training for

smoking cessation. Developing

skills in motivational

interviewing for both one-to-

one and small group tobacco

cessation sessions.

Echuca TBC

12th

& 13th

June

2012




on activities.

Wodonga TBC

New financial year

July 2012-July 2013

VACCHO-

Education

Training Unit

(ETU) and

Public Health

and Research

Unit (PHRU)

Certificate IV in Population

Health

TBC TBC

VACCHO has been working to build the workforce capacity within its membership. To date VACCHO

has engaged eighty-nine (89) participants in training in the areas of ‘tobacco cessation’ and/or

‘tobacco control’. VACCHO has set itself a target of 150 participants by the end of the 2012 financial

year. As demonstrated above, the VACCHO based Health Lifestyle Forum was a great success and

has been responsible for 79% of

the total number of participation

rates to date.

Left: Healthy Lifestyle Forum

participants on the second day of

the three day event.


It is envisaged that the up and coming training in June will increase these numbers further and shift

VACCHO and its members even closer to the target. VACCHO acknowledges that the commitment of

our member services and participants are essential for us to be able to meet our collective goal.

VACCHO has been working to keep abreast of its memberships training needs. Accordingly, VACCHO

included a set of training centred questions within its baseline data survey for tobacco workers. The

first round of baseline survey collection took place in October-November 2011 and the comparison

round took place in April-May 2012. The comparison report is due to be released at the end of the

2012 financial year. The information gathered through this baseline survey for tobacco workers will

assist VACCHO to continue to develop essential training that is timely and reflective of ACCHO’s

evolving training needs.

Additionally, in April and May 2012 the Tobacco Cessation Team asked each identified tobacco

worker from within its membership ‘how can the Tobacco Cessation Team at VACCHO improve on

their program and better support ACCHO staff members?’ A key recurring request in response to this

question relates to training, in particular, ensuring that training in both ‘smoking cessation’ and

‘tobacco control’ is coordinated and made available in the regions as well as in Melbourne. Tobacco

workers indicated that as smoking is engrained in the culture of Aboriginal communities and is still

largely socially accepted, it is essential to increase the education and skills of as many ACCHO staff

members as possible to build capacity from within to tackle smoking. In response to this request

VACCHO has moved to incorporate training sessions in the regions, starting in June, with Quit

training taking place in Echuca and CIETC training taking place in Wodonga. It is anticipated that

regionalised training will not only increase participation rates but will reduce the barriers to

accessing professional development within the ACCHO workforce.


Objective 3: Implement Aboriginal tobacco cessation, community development and social

marketing.

VACCHO works with its membership to implement Aboriginal tobacco cessation across the State and

engages in a variety of activities to support community development and reduce barriers to

engaging in social marketing.

Implementing Aboriginal tobacco cessation

VACCHO empowers its membership to implement Aboriginal tobacco cessation through both

capacity building (training) and the facilitation of ACCHO’s becoming smoke free workplaces, which

has been achieved through change management as discussed in VACCHO’s response to Objectives 1

and 2 (above). However, measuring the collective success of VACCHO and its members to reduce the

number of Aboriginal staff and community members who smoke is in foundational stages of

development. A set of questions on recording smoking status and access to medical data records to

inform smoking cessation activities and targets was incorporated in the baseline data survey for

tobacco workers. As previously mentioned, a report on the baseline data survey will be released at

the close of the financial year, 2012.

At this time preliminary findings from the baseline survey indicate that tobacco workers mostly do

not record the interventions that they are involved in nor do they record the progress of staff and

community members in their efforts to cease smoking. However, tobacco workers do have either

first hand or second hand access to data from health records, which includes information from

Aboriginal Health Check’s and specific data on smoking status and rates of smoking within the

community. This information will be useful in informing evidence-based practice as the tobacco

workforce shifts towards measuring their impact on cessing tobacco use within the community.

Community development and social marketing

Activity 1: ‘Smoke Free’ Health Promotion Events:

The Tobacco Cessation Team at VACCHO sponsors key ‘smoke free’ health promotion events and

encourages all ACCHO’s from within its membership to participate. These events are opportunities

for both community development and social marketing. The Tobacco Cessation Team has developed

resource kits to support ACCHO’s to participate. These resource kits encourage ACCHO’s to engage

in social marketing, community engagement and development, report writing, and continuous

improvement. VACCHO uses themed Health Promotion Days such as World No Tobacco Day (WNTD)

and New Years Resolution Day (NYRD) as a way of engaging each of the twenty-four (24) member

services in health promotion activities within their local service, an opportunity to engage both staff

and community members alike. In recent years VACCHO has promoted the following ‘smoke free’

health promotion events:


May 2011 and 2012- WNTD

For the first ever WNTD, in 2011, VACCHO promoted each service having a ‘Smoke Free Hour’ to

attract even those smokers who had not thought of quitting smoking to participate with an

achievable challenge, one hour without smoking. It also provided an opportunity for ACCHO’s to

raise the topic of becoming a smoke free service.

In the lead up to the event VACCHO contacted and received permission from each of our members

CEO’s for their service to participate in promoting World No Tobacco Day – Smoke Free Hour. This

would be the first time that each of our respective services would participate in promoting tobacco

cessation on such a large scale. The event also encouraged services to engage with media outlets

and become more confident in using social marketing. To assist the VACCHO membership in

promoting their ‘World No Tobacco Day – Smoke Free Hour’ event VACCHO compiled the following

resources:

Contact list of all media outlets in Victoria;

Radio Cart that could be used at their local radio station or on their phone system;

Media Release that could be localised;

Fact Sheet on tobacco use and associated risks amongst Aboriginal people;

Show bags filled with culturally specific resources on smoking cessation;

Promotional animation video;

And, a selection of VACCHO Tobacco Cessation Posters and culturally specific signage.

Table 7: Number of participants attending World No Tobacco Day, May 2011

World No Tobacco Day Participation

0

10

20

30

40

50

60

70

80

90

100

Bar

won

Sout

h Reg

ion

Eas

tern

Metro

politan

Gippsl

and R

egion

Gra

mpian

s Reg

ion

Hum

e

Lodd

on M

allee

North

& W

est M

etro

polita

n

Sou

ther

n Metro

politan

No. of Participants


The ‘World No Tobacco Day Participation’ graph (above: Table 7) illustrates that the Victorian total

of community members who participated in WNTD 2011, at their local ACCHO, was eight hundred

and twenty-two (822) people. Please see Appendix D : VACCHO World No Tobacco Day Report –

Smoke Free Hour May 2011 for more detail on each of the members events.

WNTD 2012 is set to be held on Thursday 31st May, 2012. VACCHO has sent out a flyre for the event

and has invited each of the members to register for the event.

January-February 2012- NYRD

In 2012 VACCHO came up with a concept for an event that was based on opportunities and making a

fresh start in the New Year. And, in January and February 2012 ACCHO’s held their ‘New Year’s

Resolution Day’.

Similar to WNTD, in the lead up to the event, VACCHO contacted and received permission from each

of our members CEO’s for their service to participate in promoting New Years Resolution Day. The

Tobacco Cessation Team at VACCHO designed a template event package to encourage the tobacco

workers to record key details about the event and engage community in providing feedback on the

event. These template packs included the following materials:

- Event Flyer to be adapted to suit each specific ACCHO and then distributed in mail outs

and hung up as a mechanism for promoting the event;

- Event Budget Sheet to help plan and record expenditures for the event;

- Participant Evaluation to be completed by community members and staff that attend

the event;

- And, an Event Report to be completed by the tobacco worker or other event coordinator

and sent back to VACCHO.

Additionally, VACCHO sent out ‘Smoke Free Too Deadly’ show bags to each participating service. The

show bags contained the following: water bottle; badges; relaxation CD’s; stickers; and, tea tree

sticks.

NYRD 2012 inspired a variety of events with some organisations using the day to launch quit support

groups for staff and community members and others choosing to run information sessions, smoke

free lunches, smoke free sports days and youth wellbeing days. However, as there was some delay in

receiving ACCHO reports back on the NYRD event VACCHO has had to delay the development of a

more detailed report on the event, which is now expected to be completed by the end of June 2012.

VACCHO’s recording systems have made it possible to compare participation rates in ‘smoke free’

health promotion events. The graph below (Table 8) provides a comparison between WNTD 2011

and NYRD 2012.


Table 8: -Comparison of VACCHO members that held an event for World No Tobacco Day 2011 to those that

held an event for New Year’s Resolution 2012.

A comparison of the ‘agreed participation’ numbers against the ‘actual participation’ rate shows a

33% retention of participants for the WNTD 2011 and 82% retention of participants for the NYRD

2012. This demonstrates a significant 49% increase in retention rates over time. However, there has

been a decline in the number of reports being completed. The Tobacco Cessation Team is keen to

work with ACCHO’s more closely to devise a strategy for increasing reporting on events.

Future Planning

ACCHO’s have indicated that they would like to continue to be supported by VACCHO to run regular

health promotion events. At the April Smoke Free Mob teleconference all fifteen (15) participants

agreed that they would like to have the opportunity to engage in quarterly ‘smoke free’ health

promotion activities. Additional discussions during site visits and phone calls have confirmed these

sentiments and have raised ideas, such as, tobacco workers would like to be involved in picking the

timing for these events and in determining the key message for each event.

Activity 2: VACCHO health promotion resources on tobacco cessation

The Tobacco Cessation Team at VACCHO regularly circulates health promotion resources that have

been specifically developed for tobacco cessation within Aboriginal communities. Over the last 12

months the team has distributed the following resources to every member service: smoking signs;

champion posters; and, ‘smoke free too deadly’ show bags. To date, more than 900 signs have been

distributed. Additionally, a champion poster template has been developed and sent out

electronically to every service, which includes an interactive guide for creating a poster, so that local

champions and their personal stories can be on display across communities.

Activity 3: Supporting GEGAC’s Tobacco Cessation Advertisements

VACCHO’s Smoke Free Team have had discussions with Gippsland and East Gippsland Aboriginal

Health Centre (GEGAC) on their initiative to develop Tobacco Cessation Television Ads which are

specifically targeted at Aboriginal communities to seek permission in rolling these television ads


across Victoria with assistance from VACCHO. The CEO Jason King has given VACCHO authority to do

so once the television ads had been launched. VACCHO is currently negotiating with WIN TV,

Channel 10, SBS and NITV gauging prices and time slots that we are able to air. This is coordinated in

collaboration with GEGAC to ensure that it does not disrupt their roll out strategy. It is envisaged

that these ads will go State wide prior to the 2013 New Year.

Activity 4: Development of the Smoke Free Mob Website

As a prelude to the Healthy Lifestyle Forum 2012 the Tobacco Cessation Team at VACCHO launched

the Smoke Free Mob website. The Smoke Free Mob website is in interactive site that allows users to

explore a smoke free service, access smoking cessation resources and papers of relevance and

engage in forum for discussion. To access the website enter the following address into your browser:

http://smokefreemob.com.au/.

Activity 5: Monthly Smoke Free Mob Teleconferences

On the first Tuesday of each month the Tobacco Cessation Team hosts the monthly Smoke Free Mob

State wide teleconference. The purpose of these teleconferences is to provide a forum for open and

inclusive communicating with our members. Below is the process that VACCHO uses to facilitate

these meetings:

1. Send out a calendar request, through Microsoft Outlook, for the teleconference. This is

conducted one-month in advance.

2. Send out a draft agenda one-week before the teleconference and request contributions to

the agenda from the membership.

3. Send out the final agenda one-day before the teleconference.

4. Following the teleconference write up the meeting minutes and send it out to participants

for feedback before sending it out, via email, to the Smoke Free Mob for general circulation.

Partaking in regular meetings builds repour with and between the tobacco workforce and offers an

opportunity to share experiences, delivery updates, discuss issues of relevance and trouble shoot

with peers.

http://smokefreemob.com.au/


Objective 4: Ongoing evaluation and dissemination and sharing of findings of the project.

VACCHO is committed to engaging in continuous improvement and dissemination and sharing of

findings. The Tobacco Cessation Team has achieved this through the following mechanisms:

undertaking literature reviews to ensure that programs are reflective of evidence based best

practice; report writing; evaluation of activities; regular systems reviews and record keeping;

baseline data collection; progress reports on the program; and, an independent whole of program

evaluation.

The dissemination of findings of the project occur through the following mechanisms: open

distribution of reports; monthly updates through the Smoke Free Mob teleconferences; sharing of

good news stories through the ‘butts out bulletin’; regular updates in VACCHO’s E-lert; and,

presentations of updated findings at members meetings, National Aboriginal Community Controlled

Health Organisation (NACCHO) meetings, Aboriginal Tobacco Action Group (ATAG) meetings and at

relevant events. Below are some more detailed examples of VACCHO’s efforts in the evaluation and

ongoing dissemination of findings.

Literature reviews

VACCHO has conducted literature reviews on the following topic areas:

Nicotine Replacement Therapies

Youth Interventions on Tobacco Cessation

Champix and its use within Aboriginal communities as an NRT.

These literature reviews were developed in response to feedback that VACCHO was received from

clients and the Tobacco Workforce who use NRT’s and, particularly, Champix, because of the

negative symptoms arising with Aboriginal clients using the product. As Aboriginal communities

have recorded high populations of youth, VACCHO wanted to see what current evidence was saying

about Tobacco Cessation interventions amongst youth.

The literature also found that General Practice Guidelines were out-dated and needed to be

reviewed and that the only sources available were those developed by QUIT Victoria in 2008.

VACCHO has spoken to the Division of General Practice Victoria to assist VACCHO in the

development of new guidelines and a process map, which can be easily assessed and displayed.

Challenges that have been identified are the lack of health promotion activities around tobacco

cessation and inadequate education and training being provided to the Aboriginal Health Workforce,

including: healthy lifestyle workers, Aboriginal health workers, Tobacco Action Workers, Nurses and

General Practitioners. As promotion and training are crucial to ensuring comprehensive support is

provided to those community members who want to quit smoking these two areas must be

addressed.


System reviews and record keeping

The Tobacco Cessation Team has developed systems for recording member’s policy progression,

environmental scanning, resource distribution, teleconference attendance, and ‘smoke free’ health

promotion event participation (WNTD and NYRD). The team also keeps qualitative notes on

communications and site visits between VACCHO and its members. Each communication and/or site

visit provides an opportunity to list actions; each action and progression towards satisfying these

actions are logged. Over the past five months the Tobacco Cessation Team has been working to

streamline program-reporting systems for the Smoke Free Mob and have developed guidelines for

implementing these systems. Additionally, refining communication and program-tracking Excel

spread sheets has increased the efficiency and clarity of input data entries and has resulted in

greater continuity of service provision to our members.

Baseline Data

The Smoke Free Mob Baseline Data Survey was developed by VACCHO’s Tobacco Cessation Team

with the aim of gathering an evidence base of ACCHO’s organisational status regarding both

progression toward smoke free workplaces and existing tobacco workforce capacity.

As mentioned throughout this report, the first round of Baseline Data collection took place between

October-November 2011 and the second round between April-May 2012. As the second round of

data collection has only recently been completed the findings will follow in a separate report. We

look forward to presenting the Smoke Free Mob Baseline Data Comparison report, scheduled for

completion on June 30th, 2012.

Final evaluation of the Smoke Free Mob initiative

VACCHOs Tobacco Cessation Team has contracted an evaluator, Bill Genat, from Victoria University

to provide a final and independent evaluation of the Smoke Free Mob project. The evaluators report

is due on July 30th 2012. This evaluation will provide additional findings that will strengthen and

guide future directions for the Smoke Free Mob.


Discussion

The Smoke Free Mob has been successful in the following areas:

- Increasing the number of smoke free ACCHO’s across the State of Victoria.

- Supporting ACCHO’s to develop their own materials to enable them to go smoke free.

- Developing a range of social marketing campaigns and health promotion events with a focus

on motivating ACCHO staff and community members to give up the smokes or not take it up

in the first place.

- Assisting ACCHO’s to identify their community champions and develop resources, such as,

‘Champion posters’ that depict the stories of community members and their journey’s

towards quitting smoking, including: pregnant women; Elders; men; and, women.

- Collaboration with the Centre for Excellence in Indigenous Tobacco Control (CIETC) to

develop and deliver culturally specific workforce training packages that aim to increase the

capacity of identified tobacco workers in the following areas: staff wellbeing; work-plan and

program development; event planning and management; capturing evidence and evaluating

programs; and, developing a smoke-free workplace policy.

- Collaboration with Quit Victoria to develop a training package for Aboriginal Health Workers

and all other ACCHO employees so as to embed tobacco control across the organisation.

- Establishing a Baseline Survey for Tobacco Workers that gages ACCHO’s progression towards

becoming smoke free organisations and the tobacco workers capacity for tobacco cessation.

- Maintaining comprehensive records of ACCHO’s progression towards becoming smoke free

and their engagement in smoke free activities.

- Establishing a positive and welcomed relationship with ACCHO’s and their identified tobacco

workers.

- Continuing VACCHO’s leadership role by providing a central point of co-ordination in tobacco

cessation for ACCHO’s across the eight regions of Victoria, including: Eastern Metropolitan

Region; North and West Metropolitan Region; Southern Metropolitan Region; The Barwon

South-Western Region; The Grampians Region; The Loddon Mallee Region; Hume Region;

and, The Gippsland Region (DHS, 2011).

On review of the Smoke Free Mob initiative a number of areas for future action can be identified.

Strategies for tackling smoking into the future include:

- Streamlining the coordination of the growing tobacco action workforce. This may include the

facilitation of face-to-face gatherings on a quarterly basis.

- Supporting ACCHOs to develop an evidence base for their practice and assisting them to use

this evidence base to inform future actions.


- Continual development of Social Marketing materials and support for health promotion

activities.

- Continual improvement of training, with a key focus, working towards accredited Certificate

IV in Population Health.

- Ongoing strengthening of partnerships with Quit Victoria and CIETC so as to provide

adequate training outcomes across the State.

- Ongoing monitoring of the workforce’s capacity to deliver on tobacco cessation and

prevention strategies and working to fill any gaps as they become evident.


Conclusion As evidenced in this final progress report (above) the Smoke Free Mob initiative has been very

successful in meeting its four (4) performance indicators. As ACCHO’s are trending strongly towards

becoming smoke free organisations and tobacco cessation is now solidly on the agenda of VACCHO’s

membership it is imperative that a strong and streamlined coordination remains embedded.


References

1. Australian Bureau of Statistics (2007). "Tobacco Smoking - Aboriginal and Torres Strait

Islander people: A snapshot, 2004-2005 (folio 4722.0.55.044)." Journal(Issue)

http://www.abs.gov.au/ausstats/[email protected]/mf/4722.0.55.004/.

2. Australian Institute of Health and Welfare (2007). "2007 National Drug Strategy Household

Survey: Detailed Findings." Journal (Issue)

http://www.aihw.gov.au/publications/index.cfm/title/10674.

3. Centre for Excellence in Indigenous Tobacco Control (2008). Smoking Rates.

http://www.ceitc.org.au/smoking-rates.

4. Department of Health Service, State Government of Victoria (2011). Our Regions.

http://www.dhs.vic.gov.au/our-regions.

http://www.abs.gov.au/ausstats/[email protected]/mf/4722.0.55.004/

http://www.aihw.gov.au/publications/index.cfm/title/10674

http://www.ceitc.org.au/smoking-rates

http://www.dhs.vic.gov.au/our-regions


Appendices

Appendix A: Smoking Policy Guidelines

Smoke Free Policy

1. What is a smoke free policy? A smoke free policy is a formal written document outlining an

organisation’s stance on smoking. It should address all of the issues relating to smoking in the

workplace. The purpose of a policy is not to shame smoking co-workers or community members; it

is about protecting everyone from the harmful effects of Environmental Tobacco Smoke (ETS).

Mapping the environment (using an environmental scan) of tobacco within your organisation will

give you some indication of what needs to be included in the policy by helping to identify problem

areas. The more specific the policy can be the better! Things you might need to consider at your

workplace when considering a smoking policy include:

- Do you think management supports the development of a smoking policy? - Is there a group of staff (or clients) who could contribute to developing and supporting a

smoking policy? - Do staff believe the site should be totally smoke-free? - Where do staff believe smokers should be expected to go to smoke? - Do staff believe smokers should be allowed to smoke out the front of site premises on the

footpath? - What support do staff believe should be given to workers who smoke and want to quit

(incentives)? - What do staff believe should happen when people do not adhere to policy)? - When do staff believe the policy should come into effect?

The policy should include an explanation about why the policy is important and needed for the

organisation.

2. How is a policy implemented? Every organisation is different and therefore needs a unique policy.

However, there are some key steps to creating a good healthy policy, these include:


VACCHO Smoking Policy Example

Sample Smoke-Free Workplace Policy

Aim

The aim of this policy is to ensure that VACCHO as a lead health organisation provides a safe and

health promoting environment for its staff members. In doing so VACCHO provides leadership in

smoke free environments and people.

This policy assists address

Smoking being the principal contributing factor to the majority of preventable life-shortening health conditions in the Aboriginal community, including cardiovascular disease, cancer and other illness associated with diabetes.

As an Aboriginal health service we have responsibility to model actions that reduce the effect of smoking on people’s health.

We have a duty of care under common law plus the Occupational Health and Safety Act (1985) to ensure the health and safety of all workers in the workplace.

Scope

This policy applies to VACCHO staff members and visitors.

For the purposes of this policy, staff members include:

all VACCHO employees

VACCHO volunteers

contractors/sub-contractors and any of their employees whilst engaged on work for VACCHO

consultants or consultants’ employees whilst engaged on VACCHO work

agents whilst acting on behalf of VACCHO.

Organisation’s expectations and commitment

Smoking is not permitted:

within buildings and vehicles

within 10 meters of organisation’s buildings or land

with clients, visitors or stakeholders when staff are representing the organisation.

Supports for staff who smoke

We recognise that smoking is an addiction and attempts to stop require different forms of support.

Given the complex nature of smoking addiction, VACCHO is committed to supporting staff in their

efforts to quit smoking by supporting:

one-on-one sessions with a QUIT educator during work time

hypnotherapy (up to three sessions)

nicotine replacement therapy (NRT) costs up to $100.00

time during work to seek medical advice about quitting smoking.


Other methods of supporting staff to quit smoking will be considered and all methods should be

discussed with the relevant line-manager.

Disciplinary procedures

This policy is linked to the Disciplinary Policy.

Organisation responsibilities:

appropriate signage will be placed throughout the workplace

advertisements for new staff will state that VACCHO is a smoke-free workplace

all staff will have equal opportunity to access smoking cessation support

all events will be smoke-free

literature on smoking impacts and quitting will be available for all staff to access.

Senior Management

The Chief Executive Officer and the Board of Directors accept overall responsibility for the effective

management of workplace health, safety and welfare

Staff Management

Managers at all levels are responsible, within the scope of their authority, for ensuring that: the

objectives of this policy are integrated into work practices

Staff responsibilities

All staff members are required to adhere to the policy

Staff members wishing to discuss any aspect of this policy are invited to contact

CEO or the OH&S representative

For more information on smoke free policy see:

Policy section of the Smoke Free Too Deadly resource kit (VACCHO).

Going Smoke Free: A guide for workplaces (Quit Victoria)

CEITC Talking Up Good Air: Australian Indigenous Tobacco Control Resource Kit http://www.ceitc.org.au/talkin-good-air-health-worker-resource-kit

Queensland Government and Cancer Council Smoke Free Policy Guide for Workplaces http://www.health.qld.gov.au/atod/documents/smokefreepolicy_work.pdf

Workplace Smoke Free Laws http://www.health.vic.gov.au/tobaccoreforms/downloads/smoke-free_workplaces_guide.pdf

Tobacco in Australia; Facts and Issue http://www.tobaccoinaustralia.org.au/downloads/chapters/Ch15_Smokefreeenv.pdf

http://www.ceitc.org.au/talkin-good-air-health-worker-resource-kit

http://www.health.qld.gov.au/atod/documents/smokefreepolicy_work.pdf

http://www.health.vic.gov.au/tobaccoreforms/downloads/smoke-free_workplaces_guide.pdf

http://www.tobaccoinaustralia.org.au/downloads/chapters/Ch15_Smokefreeenv.pdf


Appendix B: Environmental Scanning Guidelines

How to do an Environmental Scan?

Plot all of the following on a site map and take photographs were possible:

Context

1. Do you have a smoke-free policy? (Get a copy of any policies)

2. How are people informed of the policy?

3. Do you have any smoking cessation support for clients, what are they?

4. How many staff have undertaken tobacco cessation training?

5. How are staff supported to go smoke-free?

6. Are there any plans in place for more staff to undertake tobacco cessation training in the

future?

Mapping

7. Are there butts on the ground at your service site? Where are they and how many?

8. Are butt bins currently provided? Where are they on site?

9. Where do people currently smoke, including official and non-official smoking areas?

10. Who has direct vision to smoking areas (official and non-official)? Are children able to see

people who are smoking?

11. Are people visiting the service exposed to passive smoke/environmental tobacco smoke

(ETS), where?

12. Are smoking areas near air-conditioning vents, doors or windows?

Signage

13. Are there signs directing people to the designated smoking area or that the service if

smoke-free (like schools)? Where are they?

14. Is there promotional material on smoking cessation? Where?


Appendix C: Benefits of Surveying

Benefits of Surveying Surveying your staff and community on their attitudes and behaviour toward tobacco smoking is a

great tool to find out what community and want, and what needs to change.

Traditional paper surveys are effective if time is taken to hand out and individually collect the

surveys; however using online surveying can be quicker and easier for everyone.

One of the great benefits of an online survey software is that it collects and analyses your results

automatically, which takes a lot of the busy work out of your research.

Online surveys have the following additional benefits:

Reducing lengthy delays between collecting data and interpreting the results.

Removing the problems caused by lost or damaged paper surveys.

Eliminating problems related to interpreting responses that are written by hand.

Reducing the time it takes for participants to complete and submit a survey.

Reducing the amount of consumable materials required to administer the survey.

Placing the survey in a location where it can easily be found and administered.

Broadening the audience of the survey while improving response rates.

The results of the survey assist with:

Building on current workplace smoke free policy with staff participation & inclusion.

Finding suitable practice for the workplace in assisting staff quit smoking.

Assisting the workplace on their approach internally and health promotion.

Identifying target groups.

Promoting the policy internally.

Raising the awareness of smoking with realisation from individual answers for people on their level of smoking (being true to themselves).

Policy review.

The process of change management.

Doing a baseline staff survey when tobacco reform initially begins, or before changes are

implemented, and then doing a follow up one sometime later is excellent in showing results of

intervention/change.

The second survey can be used in comparison and is a follow up from the first survey which helps to

identify what’s working and what can be done better in the future surrounding tobacco. This is also

an important part of the policy review process.


Staff Survey Example Organisational staff profile

Do you see this organisation as a “health” organisation Yes No

that should take a stand on smoking?

Do you know if this organisation currently has a smoking policy Yes No

Have you previously undertaken Quit training Yes No

Would you like to undertake Quit training Yes No

Are you a current smoker Yes No

If yes, would like to quit smoking Yes No

Do you think your organisation should support staff

to quit Yes No

What support do you think would be of most benefit to staff that are attempting to quit? (please tick

as many options as you like)

One on one quit sessions provided at no cost

Covering the cost of Nicotine Replacement Therapies by organisation

Creation of a support group

Financial incentives

Policy changes that prohibit smoking on premises

I don’t think the organisation should support staff with quitting

Other:

_____________________________________________________________________

Do you know who staff and community members can go to for support within the organisation to

help them quit? Yes No

If you are a smoker, do you feel comfortable seeking cessation

support from co-workers who are trained in tobacco control? Yes No

If you are a smoker, who would you go to for support within your community or workplace to assist

you to quit smoking?

__________________________________________________________________________________


Do you support a smoking ban, both staff and community, for the

entire premises? Yes No

Do you support having a designated “Smokers Area” Yes No

for the organisation?

If yes, where do you think the area should be?

______________________________________________

Do you support a ban on smoking in work cars? Yes No

Do you support a smoking ban on all employees when they

are in public as a health worker? Yes No

Would you be prepared to be involved in the development or Yes No

review of smoking policy in this organisation

(meet with other staff to discuss etc)?

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