{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:33:24Z","timestamp":1777923204823,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R25CA233416"],"award-info":[{"award-number":["R25CA233416"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tobacco-related disparities are a leading contributor to health inequities among marginalized communities. Lack of support from health professionals is one of the most cited barriers to tobacco cessation reported by these communities. Improving the proficiencies with which health professionals incorporate social and cultural influences into therapeutic interactions has the potential to address this critical barrier. In general, training to improve these proficiencies has shown promise, but the specific proficiencies required for treating tobacco use among marginalized communities are unknown. This project aimed to develop a competency-based curriculum to improve these proficiencies among health professionals with experience and training in the evidence-based treatment of tobacco use, and then pilot test the content delivered via an expert review of a virtual, self-paced workshop.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used the Delphi Technique to systematically identify the specific competencies and corresponding knowledge and skill sets required to achieve these proficiencies. Educational content was developed to teach these competencies in a virtual workshop. The workshop was evaluated by 11 experts in the field by examining pre- and post-training changes in perceived knowledge, skill, and confidence levels and other quantitative and qualitative feedback. Repeated measures analysis of variance and paired sample t-tests were used to examine pre-post training differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Six competencies and corresponding skill sets were identified. After exposure to the virtual workshop, the experts reported significant increases in the overall proficiency for each competency as well as increases in nearly all levels of knowledge, skill, and confidence within the competency skill sets. Qualitative and quantitative findings indicate that content was relevant to practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings provide preliminary support for 6 competencies and skills sets needed to improve therapeutic interpersonal interactions that recognize the importance of social and cultural influences in the treatment of tobacco use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08897077231200987","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T06:40:49Z","timestamp":1697438449000},"page":"313-322","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Advancing Proficiencies for Health Professionals in the Treatment of Tobacco Use Among Marginalized Communities: Development of a Competency-Based Curriculum and Virtual Workshop"],"prefix":"10.1177","volume":"44","author":[{"given":"Christine E.","family":"Sheffer","sequence":"first","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-2345","authenticated-orcid":false,"given":"Alina","family":"Shevorykin","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta","family":"Freitas-Lemos","sequence":"additional","affiliation":[{"name":"Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darian","family":"Vantucci","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Carl","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Bensch","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Marion","sequence":"additional","affiliation":[{"name":"Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah O.","family":"Erwin","sequence":"additional","affiliation":[{"name":"Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip H.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Nutrition and Health, Miami University, Oxford, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill M.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie S.","family":"Ostroff","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"bibr1-08897077231200987","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7111a1"},{"key":"bibr2-08897077231200987","volume-title":"Let\u2019s Make the next Generation Tobacco-Free: Your Guide to the 50th Anniversary Surgeon General\u2019s Report on Smoking and Health","author":"Health and Human Services Department","year":"2014"},{"key":"bibr3-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.21.2348"},{"key":"bibr4-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28509"},{"key":"bibr5-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2008.028241"},{"key":"bibr6-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.02.003"},{"key":"bibr7-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1177\/107327481602300415"},{"key":"bibr8-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab193"},{"key":"bibr9-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntac110"},{"key":"bibr10-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.012809.103613"},{"key":"bibr11-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntu266"},{"key":"bibr12-08897077231200987","unstructured":"Spika D, Heckley G, Gerdtham UG. What Do Demographics Have to Do with It? An Oaxaca-Blinder Decomposition of Changes over Time in Inequalities in Alcohol, Narcotics and Tobacco-Related Ill Health in Sweden. Working Paper; 2018. Accessed August 29, 2022. https:\/\/www.econstor.eu\/handle\/10419\/260256"},{"key":"bibr13-08897077231200987","volume-title":"Communities in Action: Pathways to Health Equity","author":"National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on Community-Based Solutions to Promote Health Equity in the United States","year":"2017"},{"key":"bibr14-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.34217"},{"key":"bibr15-08897077231200987","volume-title":"Tobacco Control Research Priorities for the Next Decade: Working Group Recommendations for 2016-2025","author":"Mermelstein R","year":"2016"},{"key":"bibr16-08897077231200987","volume-title":"Smoking Cessation: A Report of the Surgeon General","author":"United States Public Health Service Office of the Surgeon General, National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health","year":"2020"},{"key":"bibr17-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.01952.x"},{"key":"bibr18-08897077231200987","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.2.211"},{"key":"bibr19-08897077231200987","first-page":"1","volume":"1","author":"Society AC","year":"2018","journal-title":"Am Cancer Soc"},{"key":"bibr20-08897077231200987","volume-title":"Combating Tobacco Use in Military and Veteran Populations","author":"Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Smoking Cessation in Military and Veteran Populations","year":"2009"},{"issue":"5","key":"bibr21-08897077231200987","first-page":"81","volume":"62","author":"Centers for Disease Control and Prevention (CDC)","year":"2013","journal-title":"Morb Mortal Wkly Rep"},{"key":"bibr22-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.284985"},{"key":"bibr23-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006414"},{"key":"bibr24-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1093\/phr\/118.4.293"},{"issue":"8","key":"bibr25-08897077231200987","first-page":"666","volume":"94","author":"Nelson A.","year":"2002","journal-title":"J Natl Med Assoc"},{"key":"bibr26-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000156861.58905.96"},{"key":"bibr27-08897077231200987","volume-title":"Improving Cultural Competence to Reduce Health Disparities","author":"Butler M","year":"2016"},{"key":"bibr28-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1017\/jsc.2014.30"},{"key":"bibr29-08897077231200987","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052416"},{"key":"bibr30-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-10-43"},{"key":"bibr31-08897077231200987","volume-title":"Who Will Keep the Public Healthy?: Educating Public Health Professionals for the 21st Century","author":"Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Educating Public Health Professionals for the 21st Century","year":"2003"},{"key":"bibr32-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1096\/fba.2020-00061"},{"issue":"6","key":"bibr33-08897077231200987","first-page":"58","volume":"35","author":"Parry SB.","year":"1996","journal-title":"Training"},{"issue":"3","key":"bibr34-08897077231200987","first-page":"95","volume":"9","author":"Wong SC.","year":"2020","journal-title":"Int J Acad Res Progress Educ Dev"},{"key":"bibr35-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2013.08.009"},{"issue":"4","key":"bibr36-08897077231200987","doi-asserted-by":"crossref","first-page":"287","DOI":"10.4103\/ijnmr.ijnmr_185_21","volume":"27","author":"Cheraqpur M","year":"2022","journal-title":"Iran J Nurs Midwifery Res"},{"key":"bibr37-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.cptl.2019.12.022"},{"key":"bibr38-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.73.1.106"},{"key":"bibr39-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2003.10.001"},{"key":"bibr40-08897077231200987","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp13X660814"},{"key":"bibr41-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)04169-6"},{"key":"bibr42-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31819a5acc"},{"key":"bibr43-08897077231200987","first-page":"S9","volume":"52","author":"Mercer SW","year":"2002","journal-title":"Br J Gen Pract"},{"key":"bibr44-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1186\/s40639-016-0024-9"},{"key":"bibr45-08897077231200987","doi-asserted-by":"publisher","DOI":"10.4102\/safp.v63i1.5244"},{"key":"bibr46-08897077231200987","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-117-8-700_2"},{"key":"bibr47-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2021-212078"},{"key":"bibr48-08897077231200987","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-135-3-200108070-00022"},{"key":"bibr49-08897077231200987","doi-asserted-by":"publisher","DOI":"10.2147\/AMEP.S202115"},{"key":"bibr50-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2011.03.005"},{"key":"bibr51-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2020.11.024"},{"key":"bibr52-08897077231200987","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibaa011"}],"container-title":["Substance Abuse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08897077231200987","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08897077231200987","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08897077231200987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:40:26Z","timestamp":1777668026000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08897077231200987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":52,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/08897077231200987"],"URL":"https:\/\/doi.org\/10.1177\/08897077231200987","relation":{},"ISSN":["0889-7077","1547-0164"],"issn-type":[{"value":"0889-7077","type":"print"},{"value":"1547-0164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}