Online Tobacco Cessation Training & Competency Assessment for CAM Practitioners

在线戒烟培训

基本信息

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
项目类别：
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

项目摘要

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）：针对 CAM 从业者的在线戒烟培训和能力评估摘要尽管经过数十年的公共卫生努力，烟草使用仍然是美国主要的可预防死亡原因。随着越来越多的美国人口使用补充和替代医学 (CAM)，CAM 从业者是美国卫生系统的重要组成部分。然而，这些从业者基本上被排除在国家促进健康生活方式的公共卫生议程之外。为了弥补公共卫生政策中的这一差距，亚利桑那大学的研究人员开发了一种面对面的戒烟 BI 培训和办公系统干预措施，专门针对针灸师、脊椎按摩师和按摩治疗师（CAM 从业者）的独特需求而设计，作为当前戒烟计划的一部分。 NCI 资助的 CAM Reach 项目 (CAMR)。 CAMR 的长期目标是帮助所有脊椎按摩师、针灸师和按摩治疗师将 PHS 烟草依赖治疗指南的建议纳入他们的日常实践中。通过制定专为 CAM 从业者量身定制的、易于获取、可接受且可扩展的戒烟培训计划，这一雄心勃勃的目标将变得更加可行。基于网络的培训具有满足大规模培训传播需求的明显潜力。然而，尽管针对卫生专业人员的网络培训的使用呈爆炸式增长，但基于网络的临床技能能力评估仍然不完善。为了实现 CAM 从业者促进戒烟和使用基于指南的治疗的潜力，需要更多地了解影响 CAM 从业者烟草干预行为的促进和抑制因素，例如社会影响和保险报销。戒烟保险报销 BI 服务现在已广泛为传统医生提供，但附属于保险公司的 CAM 从业人员却并非如此。鉴于传统从业者和 CAM 从业者之间存在显着差异，关于影响传统从业者采用戒烟行为的因素的现有知识不能自信地推断到 CAM 从业者。因此，在准备进行更大规模的传播试验以检查培训和报销对 CAM 从业者戒烟实践的影响时，该发展提案的具体目标是： 1) 调整现有的面对面戒烟简短干预培训计划，该计划专门针对为脊椎按摩师、针灸师和按摩治疗师量身定制，通过互联网进行治疗，2) 开发一种新颖的基于网络的工具来评估 CAM 从业者在戒烟 BI 技能方面的能力，并进行试点验证将能力评估工具与标准化患者的实时视频角色扮演进行比较的研究，3) 与 120 名 CAM 从业者（40 名针灸师、40 名脊椎按摩师、40 名按摩治疗师）一起试点测试基于网络的 CAMR 培训的可用性、可访问性、可接受性和对患者的影响从业者的戒烟知识、自我效能和能力； 4) 对影响从业者戒烟行为的因素进行混合方法形成性研究，重点关注执业环境、同伴社会影响和保险报销。