Commercial tobacco abuse among American Indian/Alaskan Native tribal populations has reached epidemic levels. Yet tobacco as a sacred ceremonial element is not only a historical fact, but also a continuing ritual practiced across all tribal groups. To better understand, document, and define this Dual View concerning ceremonial (sacred) tobaco use and commercial (daily recreational) tobacco use, a pilot study was funded by the National Cancer Institute as part of its Native Researchers Cancer Control Training Program in partnership with an American Indian urban health center in Phoenix, Arizona. This session will present findings of the research project using a blended model of qualitative and quantitative data to document the views, attitudes, beliefs, and behaviors concerning tobacco use habits among the target population. Projects such as this are essential for the development of tribally specific and culturally appropriate inerventions and programs in commercial tobacco cessation. To begin to understand where, when, and how the switchover occurs from sacred tobacco to everyday use, we must first determine how this dual view affects behaviors and what, if any, effect it has in daily living patterns. At the conclusion of this program, the learner will better understand: (1) The dual view of tobacco among tribal populations, (2) How this dual view/uses of tobacco affects smoking patterms, (3) Measurable steps in program development using this dual view.