HLTH 509
LOGIC MODEL TEMPLATE
FILL IN YOUR HYPOTHETICAL PROGRAM INFORMATION IN THIS CHART. Continue on next page if needed.
PURPOSE or MISSION:
To increase the awareness of risks associated with Tobacco Smoking and help them quit by offering Chantix as part of their
treatment plan.
INPUTS or RESOURCES:
-Medical Professionals;
Medical Providers, Nurses,
Nurse pracctitioners, Public
Health Nurses.
-Addiction counselors
-Funding
-Medication(Chantix)
ACTIVITIES:
The medical professionals
addicition counselors, will
educate on the risks associated
with tobacco smoking how
they can help patients with quit
by offering Chantix as part of
treatment plan. There will be
scheduled counselling
sessions, provider visits to
discuss options and address
any concerns that might rise
druin the period of the
program.
Participants will be educated
OUTPUTS:
Participants will be required to
attend monthly counsellings
with counsellors and medical
providers to discuss progress
Participation in the program
will be evaluated based on the
attendance these counsellings
and their commitment in
taking of the Chantix.
Also the success of the
program will be measeured by
the number of individuals who
EFFECTS:
Short-Term Outcomes
-increased quit attempts among
current tobacco users
- Increased number of tobacco
users receiving counseling
and/or cessation medication
- Increased intention to quit
among current tobacco users
Mid-Term Outcomes:
- Increased public and private
partnerships with local, state
organizations, and other
medical facilities to broaden
CONSTRAINTS or
BARRIERS:
Patients may be afraid of
relapse. Also, there is the fear
of the effects of Chantix, as
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HLTH 509
well as withdrawal symptoms. on the benefits associated from
tobacco cessation, and
encouragement provided in the
form counsellings and check
ups.
will quit tobacco smoking at
the end of the six-month
program.
the program to encourage
more smokers to quit.
Long-Term Outcomes
-Increased cessation among
current tobacco users
- Reduced tobacco prevalence
and consumption
-Reduced tobacco related
morbidity and mortality
-Reduced tobacco-related
medical expenditures
CONTEXT or CONDITIONS:
Educational flyers and brochures will be distributed to patients to the Kirk Army Health Clinic, and to select participants based on
their current smoking status. Initial symposium to will be held to introduce the program and discuss terms and conditions involved.
There will be mandatory monthly counselling session, and visits with medical professionals to address any concerns and monitor
progress. Chantix will be provided to participants, covered by individual’s health insurance. Participants should be willing to quit
smoking.
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