Biobehavioral intervention training for supportive care professionals

支持护理专业人员的生物行为干预培训

基本信息

批准号：
8920516
负责人：
BARBARA L. ANDERSEN
金额：
$ 29.93万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-26 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8920516
关键词：
Address Adoption Area Attitude Behavior Therapy Behavioral Benchmarking Cancer Control Cancer Model Cancer Patient Cancer Survivor Caring Clinical Clinical Nurse Specialists Clinical Skills Clinical effectiveness Communication Competence Development Diet Disease Education Educational Curriculum Educational Intervention Educational workshop Effectiveness Enrollment Ensure Evaluation Evaluation Reports Feedback Goals Health Health Benefit Health Personnel Health Priorities Health behavior Healthcare Systems Home environment Institute of Medicine (U.S.)Institutes Institution Instruction Internet Intervention Knowledge Left Life Linear Models Literature Maintenance Malignant Neoplasms Manuals Measures Mediator of activation protein Mental Health Mental Health Services Minority Modeling Nurse Psychotherapist Ohio Outcome Patient Self-Report Patients Phase Problem Solving Professional Education Program Evaluation Provider Psychiatric Nursing Psychologist Psychosocial Assessment and Care Public Health Publications Publishing Quality of life Reporting Research Personnel Risk Sampling Scientist Self Efficacy Sexuality Site Smoking Social Workers Social support Stress Supportive care Symptoms Testing Time Training Training Programs Treatment Efficacy Underrepresented Minority Underserved Population Universities biobehavior cancer care cancer diagnosis cancer recurrence chemotherapy depressive symptoms emotional distress evidence base functional status improved instructor meetings open label phase II trial prevent psychologic psychological distress psychosocial satisfaction skills success survivorship symposium teacher treatment adherence uptake

Address Adoption Area Attitude Behavior Therapy Behavioral Benchmarking Cancer Control Cancer Model Cancer Patient Cancer Survivor Caring Clinical Clinical Nurse Specialists Clinical Skills Clinical effectiveness Communication Competence Development Diet Disease Education Educational Curriculum Educational Intervention Educational workshop Effectiveness Enrollment Ensure Evaluation Evaluation Reports Feedback Goals Health Health Benefit Health Personnel Health Priorities Health behavior Healthcare Systems Home environment Institute of Medicine (U.S.)Institutes Institution Instruction Internet Intervention Knowledge Left Life Linear Models Literature Maintenance Malignant Neoplasms Manuals Measures Mediator of activation protein Mental Health Mental Health Services Minority Modeling Nurse Psychotherapist Ohio Outcome Patient Self-Report Patients Phase Problem Solving Professional Education Program Evaluation Provider Psychiatric Nursing Psychologist Psychosocial Assessment and Care Public Health Publications Publishing Quality of life Reporting Research Personnel Risk Sampling Scientist Self Efficacy Sexuality Site Smoking Social Workers Social support Stress Supportive care Symptoms Testing Time Training Training Programs Treatment Efficacy Underrepresented Minority Underserved Population Universities biobehavior cancer care cancer diagnosis cancer recurrence chemotherapy depressive symptoms emotional distress evidence base functional status improved instructor meetings open label phase II trial prevent psychologic psychological distress psychosocial satisfaction skills success survivorship symposium teacher treatment adherence uptake

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项目摘要

DESCRIPTION (provided by applicant): As noted in the 2008 Institute of Medicine report, Cancer care for the whole patient: Meeting psychosocial health needs, the psychological distress of the vast majority of cancer patients is not addressed, posing a serious public health problem for the U.S. health care system. The NCI has acknowledged this by designating supportive care and quality of life issues of cancer survivors as health priority areas. However, progress has been limited for at least two reasons: 1) There is a gulf between the availability of empirically supported treatments (ESTs) that can produce psychosocial and health benefits for patients and their dissemination; and, 2) There are few mechanisms for supportive care professionals to receive any training in the latest developments in evidence based cancer control approaches. To address both gaps, 8 three-day training institutes are proposed for competitively selected (N=320) psychologist, social worker, and mental health clinical nurse specialists. The curriculum will be the empirically supported Biobehavioral Intervention (BBI). This treatment has yielded robust and enduring gains, including reductions in patients' emotional distress, improvements in social support, treatment adherence (chemotherapy), health behaviors (diet, smoking), and symptom and functional status, and reduced risk for cancer recurrence. Training components will include stress reduction, communication with health care providers, social support, problem solving, health behaviors, sexuality, and maintenance of change. Guided by the RE-AIM model (Reach, Effectiveness, Adoption, Implementation, Maintenance) of Abrams [1] and Glasgow et al. [2] program evaluation and dissemination will have a multi-level plan, with primary level benchmarks being success in educating trainees in BBI understanding and delivery; the secondary level being the trainee's clinical use of BBI; the tertiary level being an open label (phase II) trial of the BBI as disseminated to and implemented by trainees; and, the fourth level benchmarks being adoption of the BBI at the trainees' institution and uptake of the published BBI therapist and patient manuals. The overarching goal is to train supportive care professionals in the use of the BBI in order to improve care of cancer patients and survivors by the delivery of empirically supported psychosocial treatment.

描述（由申请人提供）：如2008年医学研究所报告，《针对整个患者的癌症护理：满足心理健康需求》，没有解决绝大多数癌症患者的心理困扰，对美国卫生保健系统构成了严重的公共卫生问题。 NCI通过将癌症幸存者的支持性护理和生活质量问题指定为健康优先领域来承认这一点。但是，由于至少两个原因，进展受到限制：1）在经验支持治疗（EST）的可用性之间存在鸿沟，这些治疗（EST）可以为患者及其传播带来社会心理和健康益处； 2）几乎没有任何机制可以让支持性护理专业人员接受基于证据的癌症控制方法的最新发展中的任何培训。为了解决这两个差距，提议为竞争性选择（n = 320）心理学家，社会工作者和心理健康临床护士专家提出8个为期三天的培训机构。该课程将是经验支持的生物行为干预（BBI）。这种治疗方法已产生了强劲的增长，包括减少患者的情绪困扰，改善社会支持，治疗依从性（化学疗法），健康行为（饮食，吸烟），症状和功能状况以及癌症复发的风险降低。培训组成部分将包括减轻压力，与医疗保健提供者的沟通，社会支持，解决问题，健康行为，性行为和维持变化。在Abrams [1]和Glasgow等人的Re-Aim模型（覆盖范围，有效性，采用，实施，维护）的指导下。 [2]计划评估和传播将制定多层计划，主要级别的基准是成功地教育受训者的BBI理解和交付；次要级别是学员对BBI的临床使用；第三级是BBI的开放标签（II阶段）试验，被学员传播并实施；而且，第四级的基准是在受训者的机构中采用BBI，并吸收已发表的BBI治疗师和患者手册。总体目标是培训支持性护理专业人员的使用BBI，以通过提供经验支持的心理社会治疗来改善癌症患者和幸存者的护理。