Overall objective | â–Ş Train chiropractors, acupuncturists and massage therapists to perform tobacco BIs with their patients |
Aims | â–Ş Evaluate the effectiveness of the CAMR training by studying practitioner BI behavior and patient tobacco cessation activity. â–Ş Conduct a qualitative study with a sub-sample of enrolled practitioners and patients to examine factors associated with implementing tobacco cessation BIs |
Design and methods | ▪ Single group, Pre/post post design; assessments measured knowledge, attitudes, beliefs and confidence about tobacco BIs (assessed at baseline, and 3-, 6-, 9- and 12-months post-training). ▪ Training was a one-day, in-person workshop and included a one-hour in-situ “practice patient” learning activity 1–2 weeks later. ▪ Practitioners were provided tobacco cessation materials (pamphlets and posters) to display in their practices and distribute to their patients. ▪ After the CAMR training, research staff visited practices every 2–4 weeks for 3 months, to encourage practitioners to incorporate study patient materials and implement tobacco cessation activities into routine practice. ▪ N = 99 practitioners (30 chiropractors, 27 acupuncturists and 42 massage therapists) enrolled in the study. ▪ N = 595 clients of enrolled practitioners participated in the study. ▪ Of these participants, 54 practitioners and 38 patients were selected for qualitative interviews spread across all three cohorts. |