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Table 3 CAM reach training curriculum modules

From: Intervention development for integration of conventional tobacco cessation interventions into routine CAM practice

Training module Content
Introduction Overall knowledge and skills goals for the training, three guiding principles of Reach training, four steps of a Helping conversation, video example of helping conversation between practitioner and patient.
Module 1 - Awareness Scope of the tobacco problem, tobacco’s effects on health and healing, importance of linking effects of tobacco use to patient’s health concerns, practice systems to identify tobacco use, harm from second hand and third hand smoke exposure, the CAM practitioner’s role in helping, context of helping, getting the helping conversation started, skills practice role play
Module 2 - Understanding Tobacco products and their harmful constituents, aspects of tobacco addiction (biological, psychological, social), active listening and communication skills (open-ended questions, reframing, body language), motivators and barriers to quitting (i.e. giving up tobacco), assessing readiness to quit, skills practice role play
Module 3 - Helping PHS guideline, types of cessation behavioral support services, cessation medications, referral skills, CAM approaches for tobacco cessation, motivational strategies (i.e. motivating and clarifying questions, eliciting ‘change talk’, ‘rolling with resistance’, emphasizing benefits of quitting, negotiating action), importance of continuing to offer helping conversations – even with patients not ready to quit, components of a simple quit plan, skills practice role play
Module 4 - Relating Finishing the helping conversation on a positive note, setting the stage/leaving door open to have future helping conversations, tips and strategies for following up, two final skills practice role play
Closure Distribution of printed practice support materials, discussion of how to use/implement printed materials to engage patients and promote practitioner’s willingness to help tobacco users quit, explanation of practice patient (standardized patient) office visit