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Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study.
BMC Complement Altern Med. 2014 Dec 18; 14:510.BC

Abstract

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.

Authors+Show Affiliations

Department of Family and Community Medicine, University of Arizona College of Medicine, 1450 N, Cherry Avenue, Tucson, AZ 85719, USA. myram@email.arizona.edu.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25524595

Citation

Muramoto, Myra L., et al. "Tobacco Brief Intervention Training for Chiropractic, Acupuncture, and Massage Practitioners: Protocol for the CAM Reach Study." BMC Complementary and Alternative Medicine, vol. 14, 2014, p. 510.
Muramoto ML, Howerter A, Matthews E, et al. Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study. BMC Complement Altern Med. 2014;14:510.
Muramoto, M. L., Howerter, A., Matthews, E., Floden, L., Gordon, J., Nichter, M., Cunningham, J., & Ritenbaugh, C. (2014). Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study. BMC Complementary and Alternative Medicine, 14, 510. https://doi.org/10.1186/1472-6882-14-510
Muramoto ML, et al. Tobacco Brief Intervention Training for Chiropractic, Acupuncture, and Massage Practitioners: Protocol for the CAM Reach Study. BMC Complement Altern Med. 2014 Dec 18;14:510. PubMed PMID: 25524595.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tobacco brief intervention training for chiropractic, acupuncture, and massage practitioners: protocol for the CAM reach study. AU - Muramoto,Myra L, AU - Howerter,Amy, AU - Matthews,Eva, AU - Floden,Lysbeth, AU - Gordon,Judith, AU - Nichter,Mark, AU - Cunningham,James, AU - Ritenbaugh,Cheryl, Y1 - 2014/12/18/ PY - 2014/05/06/received PY - 2014/12/09/accepted PY - 2014/12/20/entrez PY - 2014/12/20/pubmed PY - 2015/9/5/medline SP - 510 EP - 510 JF - BMC complementary and alternative medicine JO - BMC Complement Altern Med VL - 14 N2 - 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. SN - 1472-6882 UR - https://www.unboundmedicine.com/medline/citation/25524595/Tobacco_brief_intervention_training_for_chiropractic_acupuncture_and_massage_practitioners:_protocol_for_the_CAM_reach_study_ L2 - https://bmccomplementalternmed.biomedcentral.com/articles/10.1186/1472-6882-14-510 DB - PRIME DP - Unbound Medicine ER -