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）：临床试验对于发展改善癌症预防和治疗策略是必要的。不幸的是，只有不到10％的癌症患者参加了癌症研究。这种低参与率的原因有很多，包括后勤因素，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。肿瘤学护士与患者有治疗关系，并且据估计，与患者的接触是其医师的两倍。鉴于肿瘤学护士在支持有关护理和治疗的患者决策方面的密切参与，我们建议开发，实施和评估理论驱动的，互动的，基于网络的，量身定制的教育计划，以改善肿瘤学护士参与临床试验的患者决策。总体目标是增加与患者有关常规临床环境中临床试验的一般讨论。在计划行为理论的指导下，该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行为控制有关的临床试验的障碍。三个具体目的是：目标1）开发和试点测试肿瘤护士Impact，这是一项互动教育计划，该计划提供在线视频，以解决各个护士讨论临床试验作为患者治疗方案的障碍；目标2）实施肿瘤学护士对国家一级的影响并进行正式的计划评估。我们将通过电子邮件招募1,030个肿瘤学护理协会成员的代表性样本，以参加教育计划。该计划评估将评估护士教育以及计划内容和可接受性（受教育评估标准委员会的原则为指导）。该评估将包括对影响与教育文本的控制条件的随机比较；目标3）评估教育计划的调解人和主持人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有关临床试验的一般信息的障碍，癌症患者参与临床TIALS最终将增加。