Department of Health and Human Services
	Research, Demonstration, and Evaluation Activities FY 2003 Plan and Budget February 2002

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RESEARCH AND DEMONSTRATIONS

(by HHS Strategic Plan Objective)

REDUCE TOBACCO USE, ESPECIALLY AMONG YOUTH (OBJECTIVE 1.1)

FY 2003 Priorities

CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION (CDC)

Research: CDC will support research to establish evidence-based, effective tobacco use prevention and control programs and to provide baseline data to evaluate programs. FY 2003 priorities include:

• expanding the knowledge of the health risks of nicotine, additives, and other potentially toxic compounds in tobacco.
• working with the World Health Organization to improve the comprehensiveness and accuracy of global surveillance systems.

Evaluation: CDC’s evaluation efforts will focus on:

• updating best practices in tobacco control.
• enhancing the science behind the recommended interventions.
• improving the dissemination of lessons learned.
• evaluating tobacco use prevention intervention for parents, for school-based programs for middle school students (“Toward No Tobacco”).

HEALTH SERVICES RESEARCH (NIH)

Research: In FY 2003, NIH funds will be used to support behavioral and prevention research in tobacco use and addiction. FY 2003 priorities include:

The National Cancer Institute (NCI) will continue research to:

• better understand youth tobacco use and addiction.
• assess activities that affect tobacco control.
• Develop and test new behavioral, pharmacological, and combination therapies to treat nicotine dependence.
• Examine current tobacco cessation programs for adolescents and young adults.
• Identify successful tobacco use prevention interventions.
• Examine the impact of new state and community tobacco control programs.

The National Institute of Child Health and Human Development (NICHD) will continue to support projects to develop and test telephone counseling intervention to prevent smoking re- initiation in a diverse population of pregnant women. If effective, this intervention will offer a new approach to providing health services to hard-to-reach populations, as well as providing an opportunity to decrease the prevalence of women who smoke during pregnancy or return to smoking after childbirth.

Evaluation: Beginning in FY 2002, NIH will conduct the final evaluation phase for Transdisciplinary Tobacco Use Research Centers (TTURCs). A panel of evaluation experts developed a draft measurement system that was then reviewed by the TTURCs, pilot tested, and revised. The final evaluation addresses several outcomes including feasibility, efficiency, collaboration, and rigor.