{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:09:40Z","timestamp":1769584180553,"version":"3.49.0"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>This article highlights strategies for implementing successful rural public health campaigns by sharing insights from the <jats:italic>Spit It Out \u2013 West Virginia<\/jats:italic> Project. Active since 2007, the project expanded to Mingo County in 2023 to address high smokeless tobacco use through culturally relevant education and cessation workshops. Key components included leveraging local partnerships, tailoring campaigns to community norms, and integrating accessible support services like the West Virginia Tobacco Quitline. Outcomes demonstrated increased awareness, behavioral change, and community engagement. Our perspective offers practical lessons for designing effective, community-based interventions in rural settings to address pressing public health challenges.<\/jats:p>","DOI":"10.3389\/fpubh.2025.1503858","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T15:36:11Z","timestamp":1740584171000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Spit It Out West Virginia: a perspective of smokeless tobacco cessation and education in rural West Virginia"],"prefix":"10.3389","volume":"13","author":[{"given":"Donald","family":"Reed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Lusk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Truman","family":"Dangerfield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallory","family":"Ball","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janna","family":"Stoner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Bowles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"key":"ref1","author":"Products","year":"2023"},{"key":"ref2","author":"Products","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"14","DOI":"10.4103\/ijmr.ijmr_2025_17","article-title":"Regulation of toxic contents of smokeless tobacco products","volume":"148","author":"Kumar","year":"2018","journal-title":"Indian J Med Res"},{"key":"ref4","year":"2024"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"475","DOI":"10.15585\/mmwr.mm7218a1","article-title":"Tobacco product use among adults \u2013 United States, 2021","volume":"72","author":"Cornelius","year":"2023","journal-title":"Morb Mortal Wkly Rep"},{"key":"ref6","year":""},{"key":"ref7","year":"2024"},{"key":"ref8","year":""},{"key":"ref9","volume-title":"West Virginia behavioral risk factor surveillance system","year":"2021"},{"key":"ref10","year":"2024"},{"key":"ref11","year":""},{"key":"ref12","year":""},{"key":"ref13","year":"2014"},{"key":"ref14","year":""},{"key":"ref15","author":"Horn","year":""},{"key":"ref16","doi-asserted-by":"publisher","first-page":"83","DOI":"10.3389\/fpubh.2016.00083","article-title":"Perceptions of the role of West Virginia\u2019s cooperative extension Service in Tobacco Control Coalitions","volume":"4","author":"Reed","year":"2016","journal-title":"Front Public Health"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1503858\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T15:48:30Z","timestamp":1741621710000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1503858\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":16,"alternative-id":["10.3389\/fpubh.2025.1503858"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1503858","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"article-number":"1503858"}}