Oncology Nurse IMPACT:Improving Communication with Patients about Clinical Trial

肿瘤科护士影响：改善与患者有关临床试验的沟通

基本信息

批准号：
8865579
负责人：
Barbara Daly
金额：
$ 32.4万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-06-06 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8865579
关键词：
Address Algorithms Attitude Behavior Behavior Control Belief Cancer Patient Caring Clinical Clinical Research Clinical Trials Communication Communities Databases Decision Making Education Educational Intervention Effectiveness Electronic Mail Enrollment Evaluation Family member Feedback Generic Drugs Goals Government Health Health Personnel Individual Industry Institution Intention Joints Knowledge Malignant Neoplasms Mediating Mediator of activation protein Modeling Nurses Nursing Education Nursing Societies Oncologic Nursing Oncology Nurse Online Systems Participant Patient Education Patient Participation Patients Performance Physicians Planning Theory Play Professional Organizations Program Effectiveness Program Evaluation Randomized Recruitment Activity Reporting Research Infrastructure Role Rural Community Sampling Structure Surveys Testing Text Therapeutic Time Training Training Support Work anticancer research base cancer prevention cancer therapy demographics education evaluation empowered improved member patient advocacy group prevent primary outcome programs prospective research study satisfaction theories tool treatment strategy usability web site

项目摘要

DESCRIPTION (provided by applicant): Clinical trials are necessary to develop improved cancer prevention and treatment strategies. Unfortunately, less than ten percent of cancer patients take part in cancer research studies. There are many reasons for this low participation rate, including logistical factors, as well as the knowledge and attitudes of patients, and the influence of family members, communities, institutions, and health care providers. Oncology nurses share a therapeutic relationship with their patients, and are estimated to have twice as much contact with patients as their physician counterparts. Given the close involvement of oncology nurses in supporting patient decision making about care and treatment, we propose to develop, implement, and evaluate a theory- driven, interactive, web-based, tailored educational program to improve oncology nurse engagement in patient decision making about clinical trials. The overall goal is to increase oncology nurse general discussions with patients about clinical trials in routine clinical settings. Guided by the Theory of Planned Behavior, this web-based educational program will systematically assess and address nurses' barriers to discussing clinical trials related to knowledge, attitudes, perceived normative beliefs, and perceived behavioral control. The three specific aims are: Aim 1) to develop and pilot test Oncology Nurse IMPACT, an interactive educational program that delivers online videos to address individual nurses' barriers to discussing clinical trials as a treatment option with patients; Aim 2) to implement Oncology Nurse IMPACT on a national level and conduct a formal program evaluation. We will recruit a representative nationwide sample of 1,030 Oncology Nursing Society members by email to participate in the educational program. The program evaluation will assess nurse education, and program content and acceptability (guided by principles of the Joint Committee on Standards for Educational Evaluation). This evaluation will include a randomized comparison of IMPACT vs. a control condition of educational text; and Aim 3) to evaluate the mediators and moderators of education program effect on intentions to discuss clinical trials with patients. We hypothesize that by overcoming nurses' barriers to discussing general information about clinical trials with patients, cancer patient participation in clinical tials will ultimately increase.

描述（由申请人提供）：临床试验对于制定改进的癌症预防和治疗策略是必要的。不幸的是，只有不到百分之十的癌症患者参加癌症研究。参与率低的原因有很多，包括后勤因素，以及患者的知识和态度，以及家庭成员、社区、机构和医疗保健提供者的影响。肿瘤科护士与患者保持着治疗关系，据估计，肿瘤科护士与患者的接触次数是医生同行的两倍。鉴于肿瘤科护士密切参与支持患者有关护理和治疗的决策，我们建议开发、实施和评估一个理论驱动、交互式、基于网络、量身定制的教育计划，以提高肿瘤科护士对患者决策的参与度临床试验。总体目标是增加肿瘤科护士与患者就常规临床环境中的临床试验进行一般性讨论。在计划行为理论的指导下，这个基于网络的教育计划将系统地评估和解决护士讨论与知识、态度、感知的规范信念和感知的行为控制相关的临床试验的障碍。这三个具体目标是：目标 1) 开发并试点测试 Oncology Nurse IMPACT，这是一个交互式教育计划，可提供在线视频，以解决个别护士与患者讨论临床试验作为治疗选择的障碍；目标 2) 在国家层面实施肿瘤护士影响并进行正式的计划评估。我们将通过电子邮件招募全国范围内具有代表性的 1,030 名肿瘤护理学会会员来参加该教育计划。计划评估将评估护士教育、计划内容和可接受性（以教育评估标准联合委员会的原则为指导）。该评估将包括 IMPACT 与教育文本控制条件的随机比较；目标 3) 评估教育计划的中介因素和调节因素对与患者讨论临床试验的意图的影响。我们假设，通过克服护士与患者讨论临床试验一般信息的障碍，癌症患者对临床试验的参与最终将会增加。