Problem-Solving Skills Training for Clinicians Providing Psychosocial Care in Pediatric Oncology

为在儿科肿瘤学中提供心理社会护理的临床医生提供解决问题的技能培训

• 批准号: 9762585
• 负责人: Robert B Noll
• 金额: $ 25.7万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-06-09 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9762585
• 关键词: Address; Admission activity; Advanced Practice Nurse; Anxiety; Behavioral; Cancer Center; Cancer Patient; Caregivers; Caring; Child; Childhood; Communities; Coping Skills; Data; Diagnosis; Diffusion of Innovation; Disadvantaged; Distress; Education; Educational process of instructing; Educational workshop; Effectiveness; Extended Family; Failure; Family; Family member; Fathers; Feeling; Foundations; Funding; Goals; Group Meetings; Health Professional; Hematology; Human Resources; Institution; Intervention; Learning; Link; Literature; Logistics; Low income; Malignant Childhood Neoplasm; Malignant Neoplasms; Manuals; Medical; Mental Depression; Minority; Mothers; New Zealand; Nursing Societies; Oncology Nurse; Participant; Patient Care; Pediatric Hematology; Pediatric Oncology; Pediatric Oncology Group; Perception; Personal Satisfaction; Privatization; Problem Solving; Protocols documentation; Psyche structure; Psychologist; Psychosocial Assessment and Care; Publishing; Recommendation; Registries; Reporting; Research; Research Assistant; Resources; Siblings; Single Parent; Social Workers; Social support; Spouses; Strategic Planning; Supervision; Surveys; Teaching Method; Testing; Time; Training; Training Programs; Translating; United States National Institutes of Health; Update; Work; base; behavioral health; cancer care; care providers; caregiver functioning; clinical care; coping; cost; design; dissemination trial; emotional adjustment; experience; follow-up; health belief; improved; interest; intervention program; journal article; laboratory experience; meetings; member; oncology; outcome forecast; physical conditioning; primary caregiver; programs; psychosocial; public health relevance; resilience; response; satisfaction; skills; skills training; special interest group; symposium; theories; web site

 DESCRIPTION (provided by applicant): The emotional adjustment of children has been linked to parental, especially maternal, reports of their own mental/physical health; health beliefs; coping styles; and perceptions of family and community social support. In a report on maternal well-being and the functioning of healthy siblings of pediatric cancer patients published in the late 1980s, Sahler et al found that lower levels of maternal well-being were correlated with poorer adaptation among healthy siblings. The study also found that mothers of poorly adjusted siblings coped by accessing more resources than did mothers of better adjusted siblings. Interestingly, however, these mothers' level of satisfaction with their resources was remarkably low. It is unknown whether their dissatisfaction was due to accessing the wrong resources; their inability to articulate their needs with sufficient clarity to obtain appropriate help; or their falure to effectively apply whatever advice was offered. These findings led us to hypothesize that a systematic method for teaching mothers of children with cancer ways to identify and solve problems to increase coping skills would reduce their perceived distress and increase their levels of self- satisfaction and well-being. The Bright IDEAS paradigm of Problem Solving Skills Training (PSST) has now been tested in > 830 mothers of recently diagnosed childhood cancer patients and found to be highly effective in reducing their levels of distress. It is also one of a very few programs to have been designated a Research- tested Therapy and Intervention Program (RTIP) by the NCI and given a Dissemination Capability score of 5.0/5.0. Using the principles of Diffusion of Innovation Theory, this proposal is designed to build capacity by training 200 professionals in partnership with the Children's Oncology Group (COG), the Association of Pediatric Oncology Social Workers (APOSW), the Association of Pediatric Hematology/Oncology Nurses (APHON), and the Society of Pediatric Psychologists (SPP) special interest group in hematology/oncology how to provide PSST to mothers, fathers, and other primary caregivers at child cancer centers throughout the US. Website-based materials developed for this project will make PSST available world-wide.

 描述（由申请人提供）：儿童的情绪调整与父母（尤其是母亲）对自己的心理/身体健康信念的报告有关；以及在一份关于母亲的报告中对家庭和社区社会支持的看法。 Sahler 等人在 20 世纪 80 年代末发表的关于儿科癌症患者健康兄弟姐妹的幸福感和功能的研究中发现，母亲幸福感水平较低与健康兄弟姐妹的适应能力较差有关。该研究还发现，兄弟姐妹适应能力较差的母亲。复制者与适应良好的兄弟姐妹的母亲相比，获得更多的资源是有意义的，但是，这些母亲对自己的资源的满意度异常低，目前尚不清楚她们的不满是否是由于她们无法充分表达自己的需求。这些发现使我们认识到，教癌症儿童的母亲如何识别和解决问题以提高应对技能的系统方法将减少他们所感受到的痛苦和困难。提高他们的自我满足感Bright IDEAS 问题解决技能培训 (PSST) 范式现已在超过 830 名最近诊断出的儿童癌症患者的母亲中进行了测试，发现它对于减轻她们的痛苦程度非常有效。 很少有项目被 NCI 指定为经过研究测试的治疗和干预项目 (RTIP)，并且传播能力得分为 5.0/5.0，本提案旨在通过培训来建设能力。 200 名专业人士与儿童肿瘤学小组 (COG)、儿科肿瘤社会工作者协会 (APOSW)、儿科血液学/肿瘤护士协会合作(APHON) 和儿科心理学家协会 (SPP) 血液学/肿瘤学特别兴趣小组将研究如何向美国儿童癌症中心的母亲、父亲和其他主要护理人员提供为此项目开发的基于网站的材料。使 PSST 在全球范围内可用。

项目成果

Dissemination of an evidence-based behavioral intervention to alleviate distress in caregivers of children recently diagnosed with cancer: Bright IDEAS.

传播基于证据的行为干预措施，以减轻最近诊断出患有癌症的儿童的照顾者的痛苦：Bright IDEAS。

• 发表时间: 2022-10
• 影响因子: 3.2
• 作者: Voll, Megan;Fairclough, Diane L;Morrato, Elaine H;McNeal, Demetria M;Embry, Leanne;Pelletier, Wendy;Noll, Robert B;Sahler, Olle Jane Z
• 通讯作者: Sahler, Olle Jane Z