Online Tobacco Cessation Training & Competency Assessment for CAM Practitioners

在线戒烟培训

• 批准号: 8490155
• 负责人: MYRA L. MURAMOTO
• 金额: $ 23.54万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8490155
• 关键词: Accounting; Address; Adopted; Adoption; Affect; American; Area; Arizona; Behavior; Behavior Therapy; Cause of Death; Chiropractor; Client; Clinical Skills; Collaborations; Communication; Competence; Complementary and alternative medicine; Custom; Development; E-learning; Educational Curriculum; Educational Intervention; Educational process of instructing; Educational workshop; Environment; Evaluation; Feasibility Studies; Funding; Goals; Guidelines; Healed; Health; Health Policy; Health Professional; Health system; Healthcare; Hour; Insurance; Insurance Carriers; Internet; Intervention; Knowledge; Leadership; Left; Life; Life Style; Massage; Medical; Methods; Online Systems; Participant; Patients; Pattern; Persons; Play; Population; Preparation; Production; Public Health; Recommendation; Research; Research Personnel; Resources; Role; Self Efficacy; Services; Social Environment; Social Network; Source; System; Testing; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; Training; Training Programs; United States Public Health Service; Universities; Validation; Visit; Withholding Treatment; abstracting; base; brief intervention; cost; dissemination trial; experience; follow-up; healing; holistic approach; medical specialties; meetings; motivational enhancement therapy; novel; peer; public health relevance; routine practice; skills; social; tool; training project; usability; validation studies; Accounting; Address; Adopted; Adoption; Affect; American; Area; Arizona; Behavior; Behavior Therapy; Cause of Death; Chiropractor; Client; Clinical Skills; Collaborations; Communication; Competence; Complementary and alternative medicine; Custom; Development; E-learning; Educational Curriculum; Educational Intervention; Educational process of instructing; Educational workshop; Environment; Evaluation; Feasibility Studies; Funding; Goals; Guidelines; Healed; Health; Health Policy; Health Professional; Health system; Healthcare; Hour; Insurance; Insurance Carriers; Internet; Intervention; Knowledge; Leadership; Left; Life; Life Style; Massage; Medical; Methods; Online Systems; Participant; Patients; Pattern; Persons; Play; Population; Preparation; Production; Public Health; Recommendation; Research; Research Personnel; Resources; Role; Self Efficacy; Services; Social Environment; Social Network; Source; System; Testing; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; Training; Training Programs; United States Public Health Service; Universities; Validation; Visit; Withholding Treatment; abstracting; base; brief intervention; cost; dissemination trial; experience; follow-up; healing; holistic approach; medical specialties; meetings; motivational enhancement therapy; novel; peer; public health relevance; routine practice; skills; social; tool; training project; usability; validation studies

DESCRIPTION (provided by applicant): Online tobacco cessation training & competency assessment for CAM practitioners Abstract Despite decades of public health efforts tobacco use remains the leading preventable cause of death in the US. As a significant and increasing proportion of the US population utilizes complementary and alternative medicine (CAM), CAM practitioners are a critical part of the US health system. Yet these practitioners have been largely left out of the nation's public health agenda promoting healthy lifestyle behaviors. To address this gap in public health policy, University of Arizona researchers have developed an in-person tobacco cessation BI training and office system intervention specially tailored for the unique needs of acupuncturists, chiropractors, and massage therapists (CAM practitioners) as part of the current NCI-funded CAM Reach Project (CAMR). The long-term goal of CAMR is to help all chiropractors, acupuncturists, and massage therapists to integrate recommendations from the PHS tobacco dependence treatment guideline into their routine practice. This ambitious goal will be more feasible with development of cessation training programs, tailored for CAM practitioners, which are accessible, acceptable, and scalable. Web-based training has clear potential to meet large-scale training dissemination needs. However, despite the exploding use of web-based training for health professionals, web-based evaluation of clinical skills competency is still under developed. To realize CAM practitioners' potential to promote tobacco cessation and use of guideline-based treatment, there is a need to know more about the facilitative and inhibitory factors influencing CAM practitioner tobacco intervention behaviors, e.g. social influence and insurance reimbursement. Insurance reimbursement for tobacco cessation BI services is now widely available for conventional medical practitioners, but this is not the case for CAM practitioners affiliated with insurers. Given marked differences between conventional and CAM practitioners, extant knowledge about factors influencing conventional practitioner adoption of tobacco cessation behaviors cannot be confidently extrapolated to CAM practitioners. Thus, in preparation for a larger dissemination trial to examine the effect of trainng and reimbursement on CAM practitioner cessation practices, the Specific Aims of this developmental proposal are to: 1) Adapt an existing in-person tobacco cessation brief intervention training program that is specifically tailored for chiropractors, acupuncturists, and massage therapists for delivery via Internet, 2) Develop a novel, web-based tool to assess CAM practitioner competence in tobacco cessation BI skills, and conduct a pilot validation study comparing the competency assessment tool to live video role plays with a standardized patient, 3) Pilot test the web-based CAMR training with 120 CAM practitioners (40 acupuncturists, 40 chiropractors, 40 massage therapists) for usability, accessibility, acceptability and effects on practitioner knowledge, self-efficacy, and competency with tobacco cessation; and 4) Conduct mixed methods formative research on factors influencing practitioner tobacco cessation behaviors, focusing on, practice environment, peer social influence, and insurance reimbursement.

描述（由申请人提供）：尽管数十年的公共卫生努力烟草使用仍然是美国的主要可预防死亡原因，但在线戒烟训练和能力评估摘要摘要。作为美国人口中的很大一部分和越来越多的人使用互补和替代医学（CAM），CAM从业人员是美国卫生系统的关键部分。然而，这些从业人员在很大程度上被排除在国家公共卫生议程之外，促进了健康的生活方式行为。为了解决公共卫生政策的这一差距，亚利桑那大学的研究人员开发了一个面对面的烟草戒烟BI培训和办公室系统干预措施，专门针对针灸师，脊椎治疗师和按摩治疗师（CAM从业人员）的独特需求量身定制，作为当前NCI资助的CAM访问项目（CAMR）的一部分。 CAMR的长期目标是帮助所有脊医，针灸师和按摩治疗师将PHS烟草依赖治疗指南的建议整合到其常规实践中。对于为CAM从业人员量身定制的戒烟培训计划的制定，这个雄心勃勃的目标将更加可行，这些计划是可访问，可接受且可扩展的。基于Web的培训具有明显的潜力，可以满足大规模的培训传播需求。但是，尽管对卫生专业人员的基于Web的培训爆炸性使用，但基于Web的临床技能能力评估仍在开发中。为了实现CAM从业人员促进烟草戒烟和使用基于准则的治疗的潜力，需要更多地了解影响CAM从业者烟草干预行为的促进性和抑制性因素，例如社会影响力和保险报销。烟草戒烟BI服务的保险报销现已广泛用于常规医生，但对于与保险公司有关联的CAM从业人员而言，情况并非如此。鉴于常规从业人员和CAM实践者之间的明显差异，有关影响常规从业者采用烟草戒烟行为的因素的现有知识不能自信地向CAM从业人员进行。因此，在准备更大的传播试验以检查培训和补偿对CAM实践者戒烟实践的影响时，该发展建议的具体目的是：1）适应现有的人身上的烟草戒烟简短干预培训计划，该计划专门针对沿着沿着沿着沿着沿着互联网的工具量身定制的临床效果，并为互联网提供了互联网，2）在烟草停止BI技能中，并进行试验验证研究，将能力评估工具与标准化患者进行现场视频角色扮演，3）试验测试基于Web的CAMR培训，与120名CAM从业人员（40名针灸师，40个脊医，40个按摩治疗师，40个按摩治疗师），可及性，可接受性，可接受性，可接受性，供您的知识和自我助理，自我供应能力，自我能力，自我供应率，以及自我培训，以及自我供应能力，和自我效力，供应率，效力，效率，效果，效率，效率，效率，效率效率，效率效率，效率高效，并效果效果; 4）对影响从业者烟草戒烟行为的因素进行混合方法进行混合方法，重点关注，实践环境，同伴社会影响力和保险报销。