|Overall objective||▪ Train chiropractors, acupuncturists and massage therapists to perform tobacco BIs with their patients|
▪ Evaluate the effectiveness of the CAMR training by studying practitioner BI behavior and patient tobacco cessation activity.|
▪ 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.