Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study

BMC Complementary and Alternative Medicine

Cheryl Ritenbaugh¹  James Cunningham¹  Mark Nichter²  Judith Gordon¹  Lysbeth Floden¹  Eva Matthews¹  Amy Howerter¹  Myra L Muramoto¹ 

[1] Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N. Cherry Avenue, Tucson, AZ 85719, USA;School of Anthropology, University of Arizona, 1009 E. South Campus Drive, Tucson, AZ 85721, USA

关键词: Qualitative study;    Longitudinal study;    System intervention;    Massage therapy;    Chiropractic;    Acupuncture;    Communication;    Training;    Brief intervention;    Tobacco cessation;   

Others  :  1089635
DOI  :  10.1186/1472-6882-14-510

 received in 2014-05-06, accepted in 2014-12-09,  发布年份 2014

【 摘 要 】

Background

Tobacco use remains the leading cause of morbidity and mortality in the US. Effective tobacco cessation aids are widely available, yet underutilized. Tobacco cessation brief interventions (BIs) increase quit rates. However, BI training has focused on conventional medical providers, overlooking other health practitioners with regular contact with tobacco users. The 2007 National Health Interview Survey found that approximately 20% of those who use provider-based complementary and alternative medicine (CAM) are tobacco users. Thus, CAM practitioners potentially represent a large, untapped community resource for promoting tobacco cessation and use of effective cessation aids. Existing BI training is not well suited for CAM practitioners’ background and practice patterns, because it assumes a conventional biomedical foundation of knowledge and philosophical approaches to health, healing and the patient-practitioner relationship. There is a pressing need to develop and test the effectiveness of BI training that is both grounded in Public Health Service (PHS) Guidelines for tobacco dependence treatment and that is relevant and appropriate for CAM practitioners.

Methods/Design

The CAM Reach (CAMR) intervention is a tobacco cessation BI training and office system intervention tailored specifically for chiropractors, acupuncturists and massage therapists. The CAMR study utilizes a single group one-way crossover design to examine the CAMR intervention’s impact on CAM practitioners’ tobacco-related practice behaviors. Primary outcomes included CAM practitioners’ self-reported conduct of tobacco use screening and BIs. Secondary outcomes include tobacco using patients’ readiness to quit, quit attempts, use of guideline-based treatments, and quit rates and also non-tobacco-using patients’ actions to help someone else quit.

Discussion

CAM practitioners provide care to significant numbers of tobacco users. Their practice patterns and philosophical approaches to health and healing are well suited for providing BIs. The CAMR study is examining the impact of the CAMR intervention on practitioners’ tobacco-related practice behaviors, CAM patient behaviors, and documenting factors important to the conduct of practice-based research in real-world CAM practices.

【 授权许可】

   
2014 Muramoto et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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