These behavioural theories and health promotion models have been applied in the school setting. This Swedish study combined classroom instruction, community support and public policy on tobacco use. The behavioural changes were measured in relation to specific health issues such as nutrition, smoking and alcohol use. The savings in health care costs were estimated through the use of an economic model. Since 1990 several provinces in Canada have incorporated CSH into their official policies and programs.
Tobacco is used here to show how a theory-based model can be applied in practice.
The increasing use of tobacco among young people, particularly girls, is an emerging concern for Canadians. Consequently, it is not surprising that Health Canada is using the CSH approach as one of its anti-tobacco strategies . Table 2 shows how the CSH approach can be applied in this area at the local level. The CSH framework identifies specific actions by agencies and professionals that should be coordinated. Health Canada has supported a variety of initiatives that implement this CSH approach to tobacco reduction.