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

基本信息

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
项目类别：
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

项目摘要

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.

抽象的本申请是为了响应特殊利益通知（NOSI）而提交的，该通知被确定为 NOT-CA-23-032。本补充的目标是描述组织和提供者层面的因素：区分收集和使用性取向和性别认同 (SOGI) 的社区肿瘤学实践来自性少数群体（SGM；例如女同性恋、男同性恋、双性恋、跨性别者）的数据。双性人等）受到的癌症研究关注有限，部分原因是大规模的研究工作由于肿瘤学实践中缺乏一致的 SOGI 数据收集，肿瘤学实践可能无法收集。尽管 SGM 癌症患者通常希望获得 SOGI 数据，但由于组织和提供者层面的障碍披露 SOGI，披露 SOGI 与 SGM 患者更好的结果相关，并且多个国家组织建议肿瘤学实践收集 SOGI 数据，作为减少 SGM 差异的努力的一部分。 NCI 社区肿瘤学研究计划 (NCORP) 是评估导致以下因素的理想网络：在 2022 年对 271 个 NCORP 实践进行的调查中，我们发现：在对 257 个肿瘤科的单独调查中，不到一半的诊所 (42%) 持续收集 SOGI 数据。由美国临床肿瘤学会 (ASCO) 支持的提供商，我们发现 SOGI 的收集肿瘤学实践中的数据与领导支持、数据收集资源和信念相关收集 SOGI 数据的重要性，更详细地探讨 SOGI 数据的障碍和促进因素。需要收集数据来为不同社区肿瘤学实践中的 SOGI 实施干预措施提供信息。在本研究中，我们将使用实施研究综合框架（CFIR）来评估实施因素，例如 NCORP 实践所在地法律的地缘政治背景影响 SOGI 数据收集（“外部环境”）、实践和提供者的特征和背景（“内部环境”和“个人”），以及在每个实践的临床流程中实施 SOGI 数据的策略（“创新”和“流程”）基于强有力的初步数据，我们将有目的地对 16 个 NCORP 进行抽样。我们将完成 3 项深入的实践，包括地理、实践环境和当前 SOGI 数据收集。在每个诊所进行访谈，每个诊所与直接护理提供者（例如肿瘤科医生、护士、高级诊所）进行面谈提供者）、管理员和负责接收数据的人员（例如前台工作人员、IT 专家）。具体目标是： 1) 评估实施情况，哪些因素对收集和使用数据产生影响使用定性主题分析和基于布尔逻辑的配置在社区肿瘤学中使用 SOGI 数据分析，2) 探索如何在社区肿瘤学实践中收集 SOGI 数据，目的是整理实践驱动的数据收集建议，以及 3) 探索 SOGI 数据如何在社区中使用肿瘤学实践，旨在为未来的干预措施提供信息，以改善 SGM 患者的癌症护理。

项目成果

期刊论文数量（143）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Chewing the fat for good health: ACSM3 deficiency exacerbates metabolic syndrome.

咀嚼脂肪有益健康：ACSM3 缺乏会加剧代谢综合征。

DOI：
发表时间：
2024-02
期刊：
影响因子：
0
作者：
Cazarin, Juliana;Altman, Brian J
通讯作者：
Altman, Brian J

Trajectories of physical well-being among adults with acute myeloid leukemia.

急性髓系白血病成人患者的身体健康轨迹。

DOI：
发表时间：
2024-03-01
期刊：
影响因子：
7.5
作者：
Jensen;Sohn, Michael;Consagra, William;Wang, Ying;Zhang, Zhihong;Locastro, Marissa;Davis, Jenae N;Buettner, Katheryn;Mortaz Hedjri, Soroush;El;Loh, Kah Poh
通讯作者：
Loh, Kah Poh

Development and Evaluation of a Multisource Approach to Extend Mortality Follow-Up for Older Adults With Advanced Cancer Enrolled in Randomized Trials.

开发和评估多源方法以延长随机试验中患有晚期癌症的老年人的死亡率随访。

DOI：
发表时间：
2024-04
期刊：
影响因子：
4.2
作者：
Lund, Jennifer L;Cacciatore, Jenna;Tylock, Rachael;Su, I;Sharma, Saloni;Hinton, Sharon Peacock;Smith, Sabirah;Nowels, Molly A;Chen, Xiaomeng;Duberstein, Paul R;Hanson, Laura C;Mohile, Supriya G
通讯作者：
Mohile, Supriya G

Changes in the consumption of isoflavones, omega-6, and omega-3 fatty acids in women with metastatic breast cancer adopting a whole-food, plant-based diet: post-hoc analysis of nutrient intake data from an 8-week randomized controlled trial.

采用全食物、植物性饮食的转移性乳腺癌女性异黄酮、omega-6 和 omega-3 脂肪酸消耗量的变化：对 8 周随机对照试验的营养摄入数据进行事后分析

DOI：
发表时间：
2024
期刊：
影响因子：
0
作者：
Lee, Jean;Campbell, Erin K;Culakova, Eva;Blanchard, Lisa M;Wixom, Nellie;Peppone, Luke J;Campbell, Thomas M
通讯作者：
Campbell, Thomas M

Effects of yoga on cancer-related fatigue and global side-effect burden in older cancer survivors.

瑜伽对老年癌症幸存者癌症相关疲劳和总体副作用负担的影响。

DOI：
发表时间：
2015-01
期刊：
影响因子：
0
作者：
Sprod, Lisa K;Fernandez, Isabel D;Janelsins, Michelle C;Peppone, Luke J;Atkins, James N;Giguere, Jeffrey;Block, Robert;Mustian, Karen M
通讯作者：
Mustian, Karen M