| Course | PUBH 4900 Capstone in Public Health |
|---|---|
| Week | Week 10 |
| Paper type | Recommendation argument memo |
| Length | About 630 words, 4 pages |
| Format | Memo, APA 7 citations |
| School | Walden University |
| Program | BS in Public Health |
| Updated | October 2026 |
Free sample paper for PUBH 4900 Week 10
Memorandum
To: Capstone Committee
From: BS in Public Health Capstone Student
Date: Month Day, Year
Re: Four recommendations from the capstone's findings, and one it declines to make
The Finding the Recommendations Rest On
The capstone found no support in the published record for the idea that San Francisco's flavor restriction drove up smoking among high school minors. The only direct estimate (Friedman, 2021) used a survey wave reported to have been fielded in the autumn of 2018 (Liu et al., 2023), ahead of the January 2019 start of enforcement, a month in which only 17% of retailers complied (Vyas et al., 2021). Each recommendation below is tied to a specific part of that finding.
Recommendation 1: State the Timing When Citing the Estimate
Anyone citing the San Francisco estimate, whether advocates, opponents, journalists or researchers, should state that the 2019 San Francisco survey wave appears to predate enforcement. This follows directly from the capstone's central finding. It does not ask anyone to stop citing the study; it asks that its main limit travel with it. The original author's own correction on survey dates (Friedman, 2022) makes this a reasonable expectation.
Recommendation 2: Publish District Fielding Windows
The capstone found that public survey files identify each wave by year, not by the months in which students answered. The national 2019 survey alone ran from August 2018 to June 2019 (Underwood et al., 2020). For district surveys, the fielding window should be published alongside the data. The omission is what allowed a policy evaluation to misdate its post-period, and it was discovered only through a private inquiry (Liu et al., 2023).
Recommendation 3: Date Exposure by Enforcement, Not Adoption
Local evaluators should define a policy's start by the date it was enforced and, where available, by measured compliance, rather than by the vote or the effective date. In San Francisco, compliance rose from 17% to an average of 80% only after enforcement began (Vyas et al., 2021), and flavored sales fell sharply only with enforcement (Gammon et al., 2022). An exposure date set months earlier would misclassify the period in between.
Recommendation 4: Pair Youth Surveys With Supply Data
When a single district survey is the only measure of youth behavior, evaluators should check it against compliance and sales data. In this project, supply-side data were what revealed the timing problem. A finding of increased smoking alongside falling cigarette sales should prompt a second look before publication. The check costs little: compliance inspections are routine in cities that license tobacco retailers, and sales series can be summarized by month. Neither replaces a survey of young people, but each can show whether the period a survey covers is the period the policy was actually in force.
The Recommendation This Project Declines to Make
It would be tempting to recommend that other cities adopt comprehensive flavor restrictions like San Francisco's. The capstone cannot support that. It showed that one piece of evidence against such policies is flawed; it did not show that San Francisco's policy reduced youth smoking. Reviews of other local restrictions report favorable effects on availability and sales (Rogers et al., 2022), but that evidence lies outside this project's question, and borrowing it here would substitute the field's conclusions for my own.
Who Should Act
Recommendation 1 is addressed to anyone who cites the study. Recommendation 2 is addressed to CDC's survey program and to participating districts. Recommendations 3 and 4 are addressed to local health department evaluators, including San Francisco's, which already holds the compliance data that made this analysis possible.
Summary
Four recommendations follow from the finding: carry the timing caveat, publish fielding dates, date exposure by enforcement and pair surveys with supply data. A fifth, adopting flavor restrictions elsewhere, is declined because the evidence for it lies outside the capstone's question.
References
Friedman, A. S. (2021). A difference-in-differences analysis of youth smoking and a ban on sales of flavored tobacco products in San Francisco, California. JAMA Pediatrics, 175(8), 863-865. https://doi.org/10.1001/jamapediatrics.2021.0922
Friedman, A. S. (2022). Clarification and correction of survey wave collection dates in an analysis of youth smoking and a ban on sales of flavored tobacco products in San Francisco, California. JAMA Pediatrics, 176(9), 947. https://doi.org/10.1001/jamapediatrics.2022.2388
Gammon, D. G., Rogers, T., Gaber, J., Nonnemaker, J. M., Feld, A. L., Henriksen, L., Johnson, T. O., Kelley, T., & Andersen-Rodgers, E. (2022). Implementation of a comprehensive flavoured tobacco product sales restriction and retail tobacco sales. Tobacco Control, 31(e2), e104-e110. https://doi.org/10.1136/tobaccocontrol-2021-056494
Liu, J., Hartman, L., Tan, A. S. L., & Winickoff, J. P. (2023). Youth tobacco use before and after flavoured tobacco sales restrictions in Oakland, California and San Francisco, California. Tobacco Control, 32(e1), e118-e120. https://doi.org/10.1136/tobaccocontrol-2021-057135
Rogers, T., Brown, E. M., Siegel-Reamer, L., Rahman, B., Feld, A. L., Patel, M., Vallone, D., & Schillo, B. A. (2022). A comprehensive qualitative review of studies evaluating the impact of local US laws restricting the sale of flavored and menthol tobacco products. Nicotine & Tobacco Research, 24(4), 433-443. https://doi.org/10.1093/ntr/ntab188
Underwood, J. M., Brener, N., Thornton, J., Harris, W. A., Bryan, L. N., Shanklin, S. L., Deputy, N., Roberts, A. M., Queen, B., Chyen, D., Whittle, L., Lim, C., Yamakawa, Y., Leon-Nguyen, M., Kilmer, G., Smith-Grant, J., Demissie, Z., Jones, S. E., Clayton, H., & Dittus, P. (2020). Overview and methods for the Youth Risk Behavior Surveillance System: United States, 2019. MMWR Supplements, 69(1), 1-10. https://doi.org/10.15585/mmwr.su6901a1
Vyas, P., Ling, P., Gordon, B., Callewaert, J., Dang, A., Smith, D., Chan, B., & Glantz, S. (2021). Compliance with San Francisco's flavoured tobacco sales prohibition. Tobacco Control, 30(2), 227-230. https://doi.org/10.1136/tobaccocontrol-2019-055549
Reading the PUBH 4900 Week 10 instructions
Recommendation assignments ask students to propose actions that follow from their capstone findings. Instructors expect each recommendation to be tied to specific evidence from the project and addressed to someone who can act. Prompts often want a reason each proposal could actually be carried out. Memos generally present three to five recommendations with sources. Strong memos also name a recommendation the evidence does not support and decline it. Some sections ask for an implementation plan alongside the recommendations; others ask for a policy brief format. Instructors are alert to recommendations that appear in the final pages without support earlier in the paper, a common reason capstones lose credit. A table linking each recommendation to its supporting finding can help, especially when there are more than three. Some instructors also ask students to rank recommendations by urgency or cost and to say which one they would pursue first if only one were possible.
How this PUBH 4900 Week 10 example is built
The memo restates the finding in three sentences. Four sections each present a recommendation, link it to a specific finding and cite the supporting source. A section declines to recommend broader adoption of flavor restrictions and explains why. A section names who should act on each recommendation, and a summary lists all four alongside the declined fifth. Each recommendation is short and points to a single finding, which makes the link easy to verify. The declined recommendation is explained at the same length as the accepted ones, so the reader sees that restraint was a decision rather than an omission.
Where the marks sit in the PUBH 4900 Week 10 rubric
Recommendation memos are judged on linkage, specificity, feasibility and restraint. Linkage credit requires each recommendation to follow from the capstone's own findings. Specificity credit rewards naming the actor and the action. Feasibility credit comes from explaining why the action is achievable. Restraint credit requires declining recommendations that rest on evidence outside the project. Memos that address recommendations to specific actors, such as survey programs or local evaluators, show an understanding of who can act. Recommendations that ask for low-cost changes grounded in existing data are often rated more feasible.
Common PUBH 4900 Week 10 mistakes, and how to avoid them
Recommendations often repeat general advice from the field. For each one, point to the finding in your capstone that supports it. Name who should act. Explain why it is feasible. Then ask what you would like to recommend but cannot support, and say so. A free recommendation memo for your capstone can be requested. Keep each recommendation to a short paragraph so the link to evidence stays visible. Draft your recommendations, then cover each one and ask what finding in your capstone supports it. If none does, cut it or move it to a list of ideas for future research. Keep the declined recommendation; it shows judgment.
Get a PUBH 4900 Week 10 example written to your instructions
Draft findings are the key input for Week 10, together with the prompt and rubric, because the recommendations must answer to them. A custom argument returns within 24-48h, with no fee on a first request, pairing each recommendation with its finding and its audience. Anything your findings cannot carry is either dropped or explicitly declined in the text.
More PUBH 4900 papers and BS in Public Health samples
- PUBH 4900 Week 1: Topic Shortlist
- PUBH 4900 Week 2: Answerable Question Memo
- PUBH 4900 Week 3: Data Availability Note
- PUBH 4900 Week 4: Exclusion Argument
- PUBH 4900 Week 5: Evidence Base Audit
- PUBH 4900 Week 6: Source Disagreement Memo
- PUBH 4900 Week 7: Reasoning Walkthrough
- PUBH 4900 Week 8: Midpoint Status Post
- PUBH 4900 Week 9: Counterclaim Section
- PUBH 4900 Week 11: Capstone Report
- HLTH 1000 Week 10: Evaluation Plan
- PUBH 4200 Week 10: Target Selection Memo
- HLTH 2110 Week 10: Practice Proposal
- PUBH 4100 Week 10: Attribution Argument
PUBH 4900 Week 10 questions, answered
Where can I find a free PUBH 4900 Week 10 sample paper?
The full Week 10 recommendation argument is shown above, turning the flavor ban findings into four proposals for city and state officials.
Why should recommendations follow only from the capstone's findings?
Borrowing advice from the wider field substitutes others' conclusions for the student's own evidence.
Why publish survey fielding windows?
Without them, evaluators can misdate the period a survey describes, as happened in San Francisco.
Why date policy exposure by enforcement?
A policy may not change what is sold until it is enforced, as compliance data from San Francisco show.
What recommendation does the memo decline?
That other cities adopt San Francisco's restriction, because the capstone did not show the policy reduced youth smoking.