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Self Evaluation Tool School-Based Tobacco Control Program

This self-evaluation tool is designed to give guidance to school districts in developing tobacco control programs. This tool's content is based on suggestion from Massachusetts school districts that have implemented programs.

General Information:

District Name:

Who is responsible for the tobacco control program, including program evaluation?
The data from this question included mostly personal names.

How does the district's tobacco control program link to community program, e.g., tobacco coalitions, local board of health programs, D.A.R.E., S.A.F.E., etc.?
D.A.R.E. (50%), Boards of Health (28%), Coalitions (15%), S.A.F.E. (10%), Parents (11%), Community (11%)

A. Policy Development And Implementation

1. does the school district have a tobacco-free school policy? (M.G.L., chapter 71, section 37H prohibits the use of tobacco products on school property.)
Yes 100%
No 0%

2. does it apply to all schools in the district?
Yes 100%
No 0%

3. does it apply to both smoking and smokeless tobacco?
Yes 99%
No 1%

4. How is it publicized?
Handbook (54%), Signs (37%), Announcements (16%)

5a. Does the school district have a comprehensive school health advisory committee? (The ESE requires health advisory Committees in its Health Protection Grants to schools.)
Yes 100%
No 0%

5b. Is tobacco formally discussed with this committee?
Yes 97%
No 3%

5c. Does the committee include a representative of the local board of health?
Yes 82%
No 18%

6. Is the school part of a tobacco coalition aimed at reducing the use of tobacco in the entire community?
Yes 81%
No 19%

7a. Are students/staff/parents involved in policy/program development and implementation?
Yes 96%
No 4%

7b. How many students are involved at each grade level?
The data from this question was not reported because it was difficult to interpret. Many respondents misunderstood.

B. Student Violation of Tobacco Free School Policy:

1. Does the policy list the consequences for:

(a) first offense?Yes 93%No 7%
(b) second offense?Yes 92%No 8%
(c) third offense?Yes 88%No 12%

2. Does it include an option for tobacco education, e.g., TEG, in lieu of suspension or other punishment?
Yes 58%
No 42%

3. Are parents notified about violations?
Yes 97%
No 3%

4. Does the school district adhere to Rule 14 of the Massachusetts Interscholastic Athletic Association which treats tobacco use the same as other drugs and requires that the student found in violation of the policy be prohibited from playing two consecutive games, etc.?
Yes 99%
No 1%

5. Are the policies implemented?
Yes 99%
No 1%

C. Staff Violation of Tobacco Free School Policy:

1. What are the consequences when teachers are found in violation of the policy?
Written (52%), Verbal (48%), Suspension (32%), Referral to cessation (18%), Dismissal (13%)

2. Are the policies implemented?
Yes 91%
No 9%

D. Enforcement of the Policy during Evenings/Nights, Weekends, and at Special School Events:

1. Is the tobacco-free school policy enforced during athletic events and other special school events? (If your answer is no, please go to question 4.)
Yes 95%
No 5%

2. How is the policy publicized?
Written Materials 29%
Announced during events 19%
(Both 51%)

3. Do the police assist in enforcing it during public events?
Yes 77%
No 23%

4. How is the policy enforced when community organizations use the school building during times when school is not in session?
Sign an agreement 54%
No active enforcement 22%
Other 24%
If other, please specify how:

N.B. Look for tobacco-free signs displayed in many areas of the school property, including at the entrance to the buildings. The signs should state "Tobacco-free" rather than "Smoke-free" as smokeless tobacco use is increasing and is often over looked in the tobacco control program.

E. Tobacco Prevention Education

1. What curriculum is being used for our tobacco prevention education?
Locally developed/locally developed with a few commercial resources (21%)
American Cancer/Lung/Heart Association (19%)
Great Body Shop (16%), Here's Looking at You (13%)

2. How many hours of training do teachers receive?
82% receive training. Hours not reported due to large number of outliers.

3. Approximately how many hours of tobacco education do students receive each year?

K2.143.68 & 94.8

4. Does the curriculum include smokeless tobacco?
Yes 100%
No 0%

5. Does the curriculum include refusal skills?
Yes 100%
No 0%

6. Is education provided to parents?
Yes 56%
No 44%

7a. Does the peer leadership program include tobacco prevention activities?
Yes 83%
No 17%

7b. Do peer leaders from middle/high schools work with students in their own age group?
Yes 75%
No 25%

7c. With younger students?
Yes 76%
No 24%

F. Tobacco Cessation

1. Does the school district have a tobacco cessation group (e.g., TAP--Tobacco Awareness Program)?

(High &) Middle School?Yes 42%No n/a
High School? (Only)Yes 27%No (For HS & MS) 31%
For Teachers? Yes 50%No 50%
For Parents?Yes 28%No 72%
For the CommunityYes 37%No 62%

2. If so, who facilitates it?
Health Coordinator/Health Educator (35%), Outside Agencies (27%), School Nurse (10%)

3. How often is it scheduled? Is it scheduled during the school day?
Scheduled on a "regular" basis (38%), "as needed" basis (15%) Scheduled during school day (27%), after school (31%)

N.B. Schools that schedule their tobacco cessation programs during the school day (e.g., either at different times each of the eight weeks or in lieu of one period of physical education each week) have had more success with the program. The ESE considers the tobacco cessation program as possible "instructional time" under the Education Reform Act (subject to local district determination).

4. How many students are currently in the program?
The data from this question was not reported because it was difficult to interpret. Many respondents misunderstood.

5. What are the results of the program to date?
Quit rate of 50% (5%), Attendees cut down (28%), Results in process of determination (13%)

6. What resources are available to teachers who wish to stop using tobacco?
Cessation programs/referrals (30%), Written materials (9%)

General Review Of The School Facilities/Grounds To Determine Whether The Policies Are Being Implemented

Part of the tobacco control program self-evaluation should include a review of the school facilities and ground. Faculty, administrators and students are encouraged to do the following:

  1. Look for placement of tobacco-free school signs. They should be prominently displayed.
  2. Look for evidence of smoking and smokeless tobacco use at the main entrance, at side entrances, in the stairwells, and on the athletic field.
  3. Observe whether school staff and students smoke in their cars or on school property.
  4. Monitor both student and faculty bathrooms during the day and observe for evidence of smoke.

Evaluation Summary: List areas requiring improvements and the district's plans for addressing each item.

Areas for improvement: Students smoking in bathrooms (14%), Staff smoking in cars (3%), Community smoking at after school events (3%)

Plans for addressing: Offering cessation (18%), Posting signs (25%), Monitoring (10%), Offering education (10%)

Evaluation completed by:




Form Contents Developed by the School Health Unit Division of Prevention
Bureau of Family and Community Health Massachusetts Department of Public Health

Commissioner's Letter || Executive Summary || Findings

Last Updated: April 15, 1997
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