title: Printed Educational Materials' Impact on Tobacco Cessation Brief Interventions in CAM Practice: Patient and Practitioner Experiences.
abstract: Printed educational materials (PEMs) have long demonstrated their usefulness as economical and effective media for health communication. In this article, we evaluate the impact of targeted tobacco cessation PEMS for use along with a brief intervention training designed for three types of complementary and alternative medicine (CAM) practitioners: chiropractic, acupuncture, and massage. We describe how PEMs in CAM practitioners' offices were perceived and used by practitioners and by patients. Semistructured qualitative interviews were conducted with 53 practitioners and 38 of their patients. This analysis specifically focused on developing and distributing project-related posters and pamphlets in CAM practice. Our findings indicate that materials (1) legitimated tobacco-related expertise among CAM practitioners and tobacco-related conversations as part of routine CAM practice, (2) increased practitioners' willingness to approach the topic of tobacco with patients, (3) created an effective way to communicate tobacco-related information and broaden the reach of brief intervention initiatives, and (4) were given to patients who were not willing to engage in direct discussion of tobacco use with practitioners.
authors: Northern Arizona University, Flagstaff, AZ, USA emery.eaves@nau.edu.
authors: Emery R
authors: ER
authors: Eaves
authors: University of Arizona, Tucson, AZ, USA.
authors: Mark
authors: M
authors: Nichter
authors: University of Arizona, Tucson, AZ, USA.
authors: Amy
authors: A
authors: Howerter
authors: University of Arizona, Tucson, AZ, USA.
authors: Lysbeth
authors: L
authors: Floden
authors: University of Arizona, Tucson, AZ, USA.
authors: Cheryl
authors: C
authors: Ritenbaugh
authors: University of Arizona, Tucson, AZ, USA.
authors: Judith S
authors: JS
authors: Gordon
authors: University of Arizona, Tucson, AZ, USA.
authors: Myra L
authors: ML
authors: Muramoto
mesh_terms: D015670:Acupuncture Therapy; D000529:Complementary Therapies / Q000379:methods*; D058015:Health Communication / Q000379:methods*; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D026882:Manipulation, Chiropractic; D008405:Massage; D010361:Patients / Q000523:psychology*; D013664:Teaching Materials; D020340:Tobacco Use Cessation / Q000379:methods*
keywords: behavioral intervention; complementary and alternative medicine; impact of PEMs; printed educational materials; secondhand smoke; tobacco cessation