Smoke-Free Policy Implementation: Theoretical and Practical Considerations

Amanda Fallin, Amie Goodin, Mary Kay Rayens, Sarah Morris, Ellen J. Hahn

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Secondhand smoke exposure is a major public health issue, increasing the risk of cardiovascular and respiratory diseases and cancer. Although best practices for adopting smoke-free policy are well understood, there is limited research on the effective implementation of smoke-free policy. This article presents theoretical and practical considerations for smoke-free policy implementation in three Kentucky communities guided by the Institutional Analysis and Development (IAD) Framework. Although both Danville and Lexington-Fayette County, Kentucky have comprehensive smoke-free policies, Danville had more effective implementation, as well as better outcomes. Further study is needed to understand the critical elements of smoke-free policy implementation and their association with population outcomes. The IAD is a promising model to guide the study of both policy adoption and implementation.

Original languageEnglish
Pages (from-to)81-92
Number of pages12
JournalPolicy, Politics, and Nursing Practice
StatePublished - Feb 5 2014

Bibliographical note

Publisher Copyright:
© The Author(s) 2015 Reprints and permissions:


  • Institutional Analysis and Development Framework
  • policy implementation
  • smoke-free policy

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects


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