Sexual Orientation and Gender Identity Data Collection in Community Oncology Practice

社区肿瘤学实践中的性取向和性别认同数据收集

• 批准号: 10831229
• 负责人: KAREN M. MUSTIAN
• 金额: $ 10万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10831229
• 关键词: Address; Administrator; American Society of Clinical Oncology; Area; Attention; Awareness; Belief; Cancer Patient; Cancer Research Network; Cancer Research Project; Cancer Survivorship; Caring; Characteristics; Clinical Trials; Collection; Communities; Community Clinical Oncology Program; Consolidated Framework for Implementation Research; Data; Data Collection; Dedications; Disclosure; Disparity; Disparity population; Funding; Future; Gender Identity; Geography; Goals; Individual; Inequity; Intake; Intervention; Interview; Laws; Leadership; Lesbian Gay Bisexual Transgender Intersex; Logic; Malignant Neoplasms; Midwestern United States; Names; National Cancer Institute; National Institute on Minority Health and Health Disparities; Nurses; Oncologist; Oncology; Outcome; Ownership; Patients; Persons; Privatization; Process; Provider; Recommendation; Research; Responsible Person; Risk Factors; Sampling; Screening for cancer; Sex Orientation; Sexual and Gender Minorities; Specialist; Surveys; Transcript; analytical method; anticancer research; cancer care; cancer health disparity; cancer risk; care delivery; care providers; clinical practice; data resource; experience; gender minority group; implementation determinants; implementation efforts; implementation evaluation; implementation intervention; implementation study; improved; innovation; interest; lifetime risk; member; morphogens; patient responsibilities; practice setting; programs; provider factors; provider-level barriers; queer; response

ABSTRACT This application is being submitted in response to the Notice of Special Interest (NOSI) identified as NOT-CA-23-032. This supplement’s goal is to characterize organizational and provider-level factors that differentiate community oncology practices that collect and use sexual orientation and gender identity (SOGI) data from those that do not. Sexual and gender minority people (SGM; e.g., lesbian, gay, bisexual, transgender, intersex, etc.) have received limited cancer research attention, in part because large-scale research efforts are hampered by lack of consistent collection of SOGI data in oncology practices. Oncology practices may not collect SOGI data due to organizational- and provider-level barriers, even though SGM cancer patients often want to disclose SOGI, disclosure of SOGI is correlated with better outcomes among SGM patients, and multiple national organizations recommend that oncology practices collect SOGI data as part of efforts to reduce SGM disparities. The NCI Community Oncology Research Program (NCORP) is the ideal network to assess factors leading to SOGI data collection in diverse oncology settings. In a survey of 271 NCORP practices in 2022, we found that less than half of practices (42%) were consistently collecting SOGI data. In a separate survey of 257 oncology providers supported by the American Society of Clinical Oncology (ASCO), we found that collection of SOGI data at an oncology practice was associated with leadership support, resources for data collection, and belief in the importance of collecting SOGI data. More detailed exploration of barriers and facilitators to SOGI data collection is needed to inform SOGI implementation interventions across diverse community oncology practices. In this study, we will use the Consolidated Framework for Implementation Research (CFIR) to assess implementation factors such as the geopolitical context of laws where NCORP practices are located that influence SOGI data collection (“Outer Setting”), the characteristics and contexts of the practices and providers (“Inner Setting” and “Individuals”), and strategies for implementing SOGI data within each practice’s clinical flow (“Innovation" and “Processes”). Building on strong preliminary data, we will purposively sample 16 NCORP practices diverse in geography, practice setting, and current SOGI data collection. We will complete 3 in-depth interviews at each practice, one each with a direct care provider (e.g., oncologist, nurse, advanced practice provider), an administrator, and a person responsible for intake data (e.g., front desk staff, IT specialist). Our specific aims are: 1) To assess which implementation factors are difference-makers in the collection and use of SOGI data in community oncology using qualitative thematic analysis and Boolean-logic-based configurational analysis, 2) To explore how SOGI data are collected in community oncology practices, with the goal of collating practice-driven recommendations for data collection, and 3) To explore how SOGI data are used in community oncology practices, with the goal of informing a future intervention to improve cancer care for SGM patients.

抽象的 该申请是为了响应特殊利益通知（NOSI）而提交 Not-CA-23-032。 区分收集和使用性取向和性别认同的社区肿瘤学实践（SOGI） 性和性别少数人（SGM；例如，女同性恋，同性恋，双性恋，变性者，变性人， 双性恋等）获得了癌症研究的有限，在一部分中，由于规模研究的范围是 由于缺乏肿瘤学实践中的SOGI数据收集的收集而受到阻碍。 尽管SGM癌症患者经常想要，因此由于组织和提供商级别的障碍而引起的SOGI数据。 披露Sogi，Sogi的披露与SGM患者的结果更好的结果和多个国家有关 组织建议肿瘤实践收集SOGI数据，作为减少SGM差异的范围的一部分。 NCI社区肿瘤研究计划（NCORP）是评估导致因素的理想网络 Sogi数据收集在2022年对271个NCORP实践的调查中 在257个肿瘤学的调查中，不到一半的实践（42％）是收集SOGI数据的合并。 美国临床肿瘤学会（ASCO）支持的提供者，我们。 与领导力支持，数据收集资源以及信念相关的祖先实践数据 收集SOGI数据的重要性。 需要收集来告知各种社区肿瘤实践的SOGI实施。 在这项研究中，我们将使用合并框架进行实施研究（CFIR）评估 实施因素，例如NCORP实践所在的法律的地缘政治背景 影响SOGI数据收集（“外部设置”），实践和提供商的特征和环境 （“内部环境”和“个人”），以及实践临床流中实施SOGI数据的策略 （“创新”和“过程”）。 我们将竞争3深3个深度3的深度3 每种练习的访谈，每个练习都有一个直接护理提供者（例如，肿瘤学，护士，高级实践 提供者），一个管理员和负责摄入数据的人（例如，前台工作人员，IT专家） 具体目的是：1）评估哪些实施因素是收集和使用中的差异。 使用定性主题分析和基于布尔逻辑的配置，社区肿瘤学中的SOGI数据 分析，2）探讨如何在社区肿瘤学实践中收集Sogi数据，以进行整理 练习驱动的数据收集建议，以及3）探索Sogi区域数据中的数据 肿瘤学实践是为了告知将来的干预措施，以改善SGM患者的癌症护理。

项目成果

Older patients' experiences following initial diagnosis of acute myeloid leukemia: A qualitative study.

• DOI: 10.1016/j.jgo.2022.08.017
• 发表时间: 2022-11
• 期刊: JOURNAL OF GERIATRIC ONCOLOGY
• 影响因子: 3
• 作者: Abdallah, Maya;Kadambi, Sindhuja;Parsi, Meghana;Rai, Maitreyee;Mendler, Jason H.;Wittink, Marsha;Duberstein, Paul R.;Tsang, Mazie;Klepin, Heidi D.;Loh, Kah Poh
• 通讯作者: Loh, Kah Poh

I'm not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer.

• DOI: 10.1016/j.pec.2021.03.007
• 发表时间: 2021-10
• 期刊: PATIENT EDUCATION AND COUNSELING
• 影响因子: 3.5
• 作者: Alpert, Ash B.;Gampa, Vikas;Lytle, Megan C.;Manzano, Charlie;Ruddick, Roman;Poteat, Tonia;Quinn, Gwendolyn P.;Kamen, Charles S.
• 通讯作者: Kamen, Charles S.

The effects of high-dose calcitriol and individualized exercise on bone metabolism in breast cancer survivors on hormonal therapy: a phase II feasibility trial.

高剂量骨化三醇和个体化运动对激素治疗乳腺癌幸存者骨代谢的影响：II 期可行性试验。

• DOI: 10.1007/s00520-018-4094-4
• 发表时间: 2018
• 期刊: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
• 作者: Peppone,LukeJ;Ling,Marilyn;Huston,AlissaJ;Reid,MaryE;Janelsins,MichelleC;Puzas,JEdward;Kamen,Charles;DelGiglio,Auro;Asare,Matthew;Peoples,AnitaR;Mustian,KarenM
• 通讯作者: Mustian,KarenM

Surgical readmissions: results of integrating pre-, peri- and postsurgical care.

手术再入院：整合术前、围术期和术后护理的结果。

• DOI: 10.1002/nop2.52
• 发表时间: 2016
• 期刊: Nursing open
• 影响因子: 2.3
• 作者: Noyes,Katia;Baack-Kukreja,Janet;Messing,EdwardM;Schoeniger,Luke;Galka,Eva;Pan,Wei;Xueya,Cai;Fleming,FergalJ;Monson,JohnRt;Mohile,SupriyaG;Francone,Todd
• 通讯作者: Francone,Todd

PENTEC: Biodevelopmental Considerations in Pediatric Patients With Cancer and Childhood Cancer Survivors.

PENTEC：儿科癌症患者和儿童癌症幸存者的生物发育考虑因素。

• DOI: 10.1016/j.ijrobp.2023.09.054
• 发表时间: 2023
• 期刊: International journal of radiation oncology, biology, physics
• 作者: Bates,JamesE;Marples,Brian;Hudson,MelissaM;Williams,AnnaLynnM;Marcus,Karen;Howell,Rebecca;Paulino,Arnold;Constine,LouisS
• 通讯作者: Constine,LouisS