Table 1.

Major themes from key informant interviews

Interest in CAMR Study	Thought tobacco cessation was relevant and important to practice; CAMR and participation in tobacco cessation viewed as a public health service
Experience w/ Tobacco use (TU) Conversations	TU conversations not typically initiated by practitioners unless requested by client/patient; TU not uniformly assessed among new clients/patients; practitioners felt most comfortable with initiating conversations about TU with established clients/patients
Barriers to TU Conversations	Patient might perceive TU conversations as intrusive - potential client alienation or confrontation; being perceived as giving a “sales pitch”; time constraints; cost effectiveness of TU conversations; scope of practice concerns (massage therapists); potential for patient to be dissatisfied and leave the practice
Training Content Desired	Tobacco use effects on health and the healing process, link between tobacco use and common presenting problems; TU conversation starters; biomedical and psychological perspectives of tobacco addiction; TU cessation referral resources
Tone Desired	Encouraging, supportive, focused on listening and referral
Environmental/System Change	Intake appointments typically long, allow for lifestyle conversations; return client flow allows for follow up conversations; intake forms could be modified to include TU questions; posters and handouts welcomed in practice
Research/Training logistics	No-cost training and CEUs extremely desirable; practice patient protocol acceptable and positively regarded