Table 1 Major themes from key informant interviews
Interest in CAMR Study | Thought tobacco cessation was relevant and important to practice; CAMR and participation in tobacco cessation viewed as a public health service |
Experience w/ Tobacco use (TU) Conversations | TU conversations not typically initiated by practitioners unless requested by client/patient; TU not uniformly assessed among new clients/patients; practitioners felt most comfortable with initiating conversations about TU with established clients/patients |
Barriers to TU Conversations | Patient might perceive TU conversations as intrusive - potential client alienation or confrontation; being perceived as giving a “sales pitch”; time constraints; cost effectiveness of TU conversations; scope of practice concerns (massage therapists); potential for patient to be dissatisfied and leave the practice |
Training Content Desired | Tobacco use effects on health and the healing process, link between tobacco use and common presenting problems; TU conversation starters; biomedical and psychological perspectives of tobacco addiction; TU cessation referral resources |
Tone Desired | Encouraging, supportive, focused on listening and referral |
Environmental/System Change | Intake appointments typically long, allow for lifestyle conversations; return client flow allows for follow up conversations; intake forms could be modified to include TU questions; posters and handouts welcomed in practice |
Research/Training logistics | No-cost training and CEUs extremely desirable; practice patient protocol acceptable and positively regarded |