E-Counseling in psychosocial cancer care: A competency-based E-Learning approach

心理社会癌症护理中的电子咨询：基于能力的电子学习方法

基本信息

批准号：
8549174
负责人：
Guy H Montgomery
金额：
$ 31.13万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-21 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8549174
关键词：
Achievement Admission activity Adoption Adult Age American American Psychological Association Anxiety Attitude Behavior Behavioral Medicine Benchmarking Cancer Control Cancer Education Grant Program Cancer Patient Cancer Survivor Characteristics Clinical Research Computers Counseling Country Data Demographic Factors Development Diagnosis Emotional Ethics Evaluation Faculty Future Goals Health Health Psychology Instructional Technology Internet Intervention Learning Legal Licensing Life Malignant Neoplasms Methods Modeling Multimedia Needs Assessment Nurses Patients Pattern Perception Privacy Programmed Learning Provider Psychiatric Social Work Psychiatrist Psychologist Psychosocial Assessment and Care Quality of life Reaction Recruitment Activity Reporting Research Resources Respondent Risk Schedule Self Efficacy Social Work Social Workers Societies Therapeutic Time Training Training Programs Transportation base cancer care cancer diagnosis cancer prevention clinical practice cohort cost effective design falls follow-up improved interest meetings member oncology psychosocial public health relevance satisfaction skills social stigma sound survivorship

项目摘要

DESCRIPTION (provided by applicant): Up to 89% of cancer patients have unmet psychosocial needs. E-Counseling, defined as the use of the Internet to deliver psychosocial interventions, offers patients in need the ability to receive psychosocial cancer care in a clinically efficacious, cost-effective, and convenient manner. E-Counseling overcomes barriers which stand in the way of more traditional face-to-face counseling methods, and increases provider reach. Unfortunately, few psychosocial cancer care providers are trained in E-Counseling skills. Our recent needs assessment of psychosocial cancer care providers (N=104) indicated that only 4% of providers currently practice E-Counseling with cancer patients and survivors, 12% felt they had sufficient training in how to conduct E-Counseling, and 93% stated they would be interested in E-Counseling online training. To remedy this gap in professional training and respond to provider interest, the aims of the proposal are to: 1) Develop and implement an online training program in E-Counseling for psychosocial cancer care providers (E-Counseling for Cancer Course: ECCC); 2) Evaluate the effects of ECCC on trainee competency in E-Counseling for cancer; 3) Evaluate the effects of ECCC on clinical practice behavior; and, 4) Identify trainee characteristics which predict adoption of E-Counseling. The project is guided by two theoretical approaches. The training component of ECCC is guided by a Foundational Competency Approach. In particular, training will focus on developing the following skills: Empirically-based practice of E-Counseling for cancer, Legal compliance in E-Counseling for cancer, Ethical conduct in E-Counseling for cancer, Therapeutic relationship development in E-Counseling for cancer, and Culturally sensitive E-Counseling for cancer. ECCC faculty members are experts in each of the E-Counseling foundational competencies. The evaluation component of ECCC is guided by the Kirkpatrick Evaluation Model, and will focus on three levels of evaluation: Reactions (satisfaction), Learning (achievement of competency benchmarks), and Transfer (adoption of E-Counseling into clinical practice). Licensed psychosocial cancer care providers (N=820; including psychologists, nurses, social workers, and psychiatrists) from across the country will be recruited via professional listservs. Admissions will be rolling. Once accepted, they will participate in ECCC, a five module, multimedia, E-Learning program. Trainees will be evaluated as part of each module and at three and six months following ECCC completion. In summary, despite E-Counseling's tremendous promise for psychosocial cancer care, few psychosocial cancer care providers are trained to deliver it. Essentially, there is high demand for E-Counseling, but limited supply of E-Counseling providers. Therefore, this R25E is designed to train psychosocial cancer care providers in how to provide high quality, competent E-Counseling that is empirically based, legally compliant, ethically sound, empathic, and culturally sensitive.

描述（由申请人提供）：高达 89% 的癌症患者的社会心理需求未得到满足。电子咨询被定义为利用互联网提供社会心理干预，使有需要的患者能够以临床有效、经济有效且方便的方式接受心理社会癌症护理。电子咨询克服了传统面对面咨询方法的障碍，并扩大了服务提供者的覆盖范围。不幸的是，很少有癌症心理护理提供者接受过电子咨询技能培训。我们最近对癌症心理护理提供者的需求评估 (N=104) 表明，目前只有 4% 的提供者对癌症患者和幸存者进行电子咨询，12% 认为他们在如何进行电子咨询方面接受过足够的培训，93%表示他们对电子咨询在线培训感兴趣。为了弥补专业培训方面的这一差距并回应提供者的兴趣，该提案的目的是： 1) 为心理社会癌症护理提供者开发和实施电子咨询在线培训计划（癌症电子咨询课程：ECCC）； 2) 评估 ECCC 对癌症电子咨询学员能力的影响； 3）评估ECCC对临床实践行为的影响； 4) 确定可预测电子咨询采用的学员特征。该项目以两种理论方法为指导。 ECCC 的培训部分以基础能力方法为指导。具体而言，培训将侧重于培养以下技能：基于经验的癌症电子咨询实践、癌症电子咨询的法律合规性、癌症电子咨询的道德行为、癌症电子咨询的治疗关系发展，以及具有文化敏感性的癌症电子咨询。 ECCC 教职员工都是电子咨询基础能力方面的专家。 ECCC 的评估部分以柯克帕特里克评估模型为指导，重点关注三个评估级别：反应（满意度）、学习（能力基准的实现）和转移（将电子咨询应用于临床实践）。来自全国各地的有执照的社会心理癌症护理提供者（N = 820；包括心理学家、护士、社会工作者和精神科医生）将通过专业列表服务招募。招生将滚动进行。一旦被录取，他们将参加 ECCC，这是一个五个模块的多媒体电子学习项目。学员将作为每个模块的一部分，在 ECCC 完成后的三个月和六个月内接受评估。总之，尽管电子咨询在心理社会癌症护理方面有着巨大的前景，但很少有心理社会癌症护理提供者接受过提供这种服务的培训。从本质上讲，对电子咨询的需求很高，但电子咨询提供商的供应有限。因此，该 R25E 旨在培训社会心理癌症护理提供者如何提供高质量、有能力的电子咨询，这些咨询以经验为基础、合法合规、道德合理、具有同理心和文化敏感性。