Training providers in CBT plus Hypnosis - an evidence-based fatigue intervention

CBT 加催眠培训提供者 - 一种基于证据的疲劳干预措施

基本信息

批准号：
8997819
负责人：
Guy H Montgomery
金额：
$ 30.45万
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：
2015
资助国家：
美国
起止时间：
2015-09-23 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8997819
关键词：
Address Adjuvant Radiotherapy Adverse effects Age American American Society of Clinical Oncology Behavioral Biological Breast Cancer Patient Cancer Education Grant Program Cancer Patient Cancer Survivor Caring Characteristics Clinical Cognitive Cognitive Therapy Control Groups Country Data Diagnosis Disease-Free Survival E-learning Education Educational process of instructing Educational workshop Effectiveness Empathy Ensure Evaluation Expectancy Faculty Fatigue Feedback Film Future Goals Guidelines Healthcare Healthy People 2020 Hypnosis Intervention Knowledge Learning Licensing Life Life Expectancy Link Literature Malignant Neoplasms Medical Methods Mission Modality Modeling Multimedia National Comprehensive Cancer Network Nurses Outcome Participant Patients Play Professional Organizations Program Evaluation Programmed Learning Provider Psychiatrist Psychologist Psychosocial Assessment and Care Public Health Publishing Quality of Care Quality of life Radiation therapy Randomized Controlled Trials Recruitment Activity Reporting Resources Role Site Social Workers Supportive care Symptoms System Testing Therapeutic Time Training Training Programs Translations Woman adverse outcome advocacy organizations base cancer care cancer radiation therapy clinical practice cohort evidence base experience falls fight against improved lectures malignant breast neoplasm prevent psychosocial public health relevance research study research to practice response satisfaction skills success survivorship symposium theories uptake weapons

项目摘要

DESCRIPTION (provided by applicant): In 2014, over 230,000 American women were diagnosed with breast cancer (BCa), and nearly half will undergo adjuvant radiotherapy (RT). Although BCa RT increases disease-free survival and life expectancy, it is not without side-effects, primarily fatigue. Fatigue is the most prevalent symptom during BCa RT and it continues for months afterwards, having pervasive and detrimental effects on numerous aspects of patients' functioning and quality of life. Fatigue management, specifically cognitive-behavioral approaches, is recommended by the National Comprehensive Cancer Network and the American Society of Clinical Oncology. To address the important clinical and public health implications of BCa RT-related fatigue, our group developed and tested a brief Cognitive-Behavioral Therapy (CBT) intervention incorporating Hypnosis (CBTH) in two randomized controlled trials. Results revealed that CBTH managed RT-related fatigue in BCa patients during RT and for up to six months afterwards. Objectives: The goal of the proposed R25E is to train psychosocial cancer care providers in CBTH, giving them a new weapon in their fight against BCa RT-related fatigue. The Specific Aims are to: 1) Develop and implement a blended training program to teach psychosocial cancer care providers how to deliver CBTH to manage RT-related fatigue in BCa patients; 2) Evaluate the effectiveness of a CBTH training program on psychosocial cancer care providers' CBTH knowledge, skills, and "real world" clinical practice; and, 3) Identify trainee characteristics which predict CBTH knowledge, skills, and "real world" practice. The CBTH training content is guided by Roth & Philing's CBT competency model. Training will focus on the following competency domains: 1) CBTH theory and guiding principles; 2) Practical CBTH competencies (e.g., how to conduct CBT and Hypnosis); 3) Clinical and biological aspects of RT-related fatigue; 4) CBTH for fatigue in BCa RT patients; and, 5) Metacompetencies (e.g., therapeutic alliance, expectancies, empathy, cultural factors). The evaluation plan for the CBTH training program is guided by Miller's pyramid of clinical competencies, and will focus on three levels of evaluation: Knowledge and Practical Understanding, Skills, and Clinical Practice. Methods: Licensed psychosocial cancer care providers (N=400; including nurses, social workers, psychologists, and psychiatrists) from across the country will be recruited via professional organizations, listservs, and conferences. Trainees will participate in a blended training program including multimedia E-Learning and a 3-day live workshop, with evaluations linked to each modality. Trainees will also be evaluated at 3 and 6 months following the workshop. The training program will be disseminated through advocacy and professional organizations. Long-term goals: The proposed R25E is a critical first step toward improving quality of care and quality of life for BCa patients undergoing RT by producing a large cohort of psychosocial cancer care providers who are CBTH competent. Connection to NCI mission: This project is consistent with the Healthy People 2020 goal of improving quality of life of cancer patients and survivors.

描述（申请人提供）：2014 年，超过 230,000 名美国女性被诊断患有乳腺癌 (BCa)，近一半的女性将接受辅助放疗 (RT)，尽管 BCa RT 可以提高无病生存率和预期寿命，但并非没有。副作用，主要是疲劳是 BCa RT 期间最常见的症状，并且会持续数月，对患者的功能和质量的许多方面产生普遍影响。国家综合癌症网络和美国临床肿瘤学会推荐疲劳管理，特别是认知行为方法。为了解决 BCa RT 相关疲劳的重要临床和公共健康影响，我们的小组开发并测试了一项简短的建议。两项随机对照试验的认知行为疗法 (CBT) 干预结合催眠 (CBTH) 结果显示，CBTH 在放疗期间和术后六个月内可控制 BCa 患者与放疗相关的疲劳。拟议的 R25E 的目标是培训 CBTH 的社会心理癌症护理人员，为他们提供对抗 BCa RT 相关疲劳的新武器。具体目标是： 1) 制定并实施混合培训计划来教授社会心理癌症。护理人员如何提供 CBTH 来管理 BCa 患者与放疗相关的疲劳；2) 评估 CBTH 培训计划对社会心理癌症护理人员的 CBTH 知识、技能和“现实世界”临床的有效性实践；以及， 3) 确定预测 CBTH 知识、技能和“现实世界”实践的学员特征 CBTH 培训内容以 Roth & Philing 的 CBT 能力模型为指导。培训将侧重于以下能力领域。和指导原则；2) 实用的 CBTH 能力（例如，如何进行 CBT 和催眠）；3) 与 RT 相关的疲劳的临床和生物学方面；针对 BCa RT 患者疲劳的 CBTH；以及 5) 元能力（例如治疗联盟、期望、同理心、文化因素） CBTH 培训计划的评估计划以米勒临床能力金字塔为指导，并将重点关注三个层面。评估的内容：知识和实践理解、技能和临床实践方法：来自全国各地的持证心理社会癌症护理提供者（N = 400；包括护士、社会工作者、心理学家和心理医生）。将通过专业组织、列表服务和会议招募学员，参加混合培训计划，包括多媒体电子学习和为期 3 天的现场研讨会，并在 3 个月和 6 个月时对每种模式进行评估。研讨会结束后，培训计划将通过宣传和专业组织进行传播。长期目标：拟议的 R25E 是通过产生大量的结果来提高接受 RT 的 BCa 患者的护理质量和生活质量的关键的第一步。具有 CBTH 能力的心理社会癌症护理提供者群体与 NCI 使命的联系：该项目与“健康人民 2020”改善癌症患者和幸存者的生活质量的目标一致。