Competency-based training to advance clinical proficiencies and reduce disparities in the treatment of tobacco dependence

基于能力的培训，以提高临床熟练程度并减少烟草依赖治疗方面的差异

• 批准号: 9792039
• 负责人: Christine Elizabeth Sheffer
• 金额: $ 16.4万
• 依托单位: ROSWELL PARK CANCER INSTITUTE CORP
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-16 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9792039
• 关键词: Accreditation; Active Learning; Address; Awareness; Behavioral; Cancer Control; Charge; Clinical; Clinical Research; Communities; Competence; Consensus; Development; Discipline; Disease; Educational Curriculum; Educational workshop; Effectiveness; Empathy; Evaluation; Evidence based treatment; Fostering; Funding; Goals; Health Knowledge, Attitudes, Practice; Health Personnel; Health Services Accessibility; Healthcare; High Prevalence; Individual; Intellectual functioning disability; Knowledge; Manuals; Manuscripts; Mental Health; Methods; Military Personnel; Minority Groups; Modeling; Nature; Participant; Phase; Physically Handicapped; Population; Preparation; Prevalence; Process; Professional Organizations; Public Health; Publishing; Research; Research Personnel; Resources; Slide; Smoking; Substance Use Disorder; Testing; Tobacco; Tobacco Dependence; Tobacco use; Tobacco-Related Carcinoma; Trainers Training; Training; Training Activity; Training Programs; Training and Education; Variant; Veterans; Woman; Work; anticancer research; base; biopsychosocial; cancer education; cancer health disparity; curriculum development; disparity reduction; education research; ethnic minority population; experience; improved; innovation; instrument; intersectionality; learning strategy; low socioeconomic status; member; multidisciplinary; prevent; racial minority; research to practice; response; sexual minority; skill acquisition; skills; smoking prevalence; socioeconomics; tobacco abstinence; tobacco control; tobacco user; tool; treatment disparity; treatment planning

Despite remarkable decreases in tobacco use, the benefits of tobacco control efforts are not equitably distributed. Tobacco-related disparities include a higher prevalence of daily smoking, lower rates of quitting, poorer responses to standard evidence-based treatments, less access to evidence-based treatments, variation in health care providers' delivery of tobacco treatment, and an increased burden of tobacco-related cancers and other tobacco-related diseases. Many tobacco users belong to more than one disparate group. Addressing these disparities is a high priority for cancer and tobacco control efforts. Critical barriers to reducing tobacco- related disparities include a tobacco treatment workforce unprepared to understand, assess, and treat tobacco users from disparate groups; knowledge deficits regarding the nature and impact of tobacco-related disparities; known research-to-practice gaps in the clinical proficiencies needed to treat tobacco use among disparate groups more effectively; and a unidimensional or essentialist conceptualization of the determinants that contribute to these inequities. These barriers prevent the development of personalized, relevant comprehensive tobacco treatment plans for these individuals. A unified, multidisciplinary competency-based curriculum developed by tobacco treatment disparities research, practice, and training experts and disseminated nationally would represent significant progress toward addressing these barriers. The goal of this project is to develop an innovative, competency-based Tobacco Use Treatment among Disparate Populations (TUT-DP) Training Module that will advance the proficiencies of the clinical and research workforce to meet the biomedical, behavioral, and clinical needs of groups that experience tobacco-related disparities. Experts in the field from multiple disciplines perceive a need for this resource. Among the innovative aspects of this project is the use of Intersectionality to integrate models of disparities and develop guiding principles for understanding biopsychosocial influences that produce tobacco-related disparities across disparate populations. The specific aims are: Aim One: Using a multidisciplinary team of tobacco research, practice, and training experts and an iterative process, develop a competency-based, highly disseminable TUT-DP Training Module that includes train-the-trainer resources, slides, and problem-based and experiential learning activities supported by high- quality recorded demonstration and trigger videos, a training manual, and learner evaluation instruments. Aim Two: Pilot test and refine the TUT-DP Training Module with trainers and learners from diverse professional backgrounds. Aim Three: Disseminate the TUT-DP Training Module broadly among tobacco treatment training programs and relevant professional organizations. This project is expected to have a sustained and powerful impact on the field by disseminating an innovative and engaging multidisciplinary training experience that advances clinical proficiencies and serves as an essential tool for clinical training in tobacco disparities. We will seek additional funding through the appropriate mechanism to examine the effectiveness of the TUT-DP Training Module in the next phase of this cancer education work.

尽管使用烟草的使用显着减少，但烟草控制工作的好处并不公平 分布式。与烟草有关的差异包括较高的日常吸烟率，较低的戒烟发生率， 对标准循证治疗的反应较差，较少获得基于证据的治疗的方法，变异 在医疗保健提供者提供烟草治疗的方面，以及与烟草有关的癌症的负担增加 和其他与烟草有关的疾病。许多烟草用户属于多个不同的组。寻址 这些差异是癌症和烟草控制工作的重点。减少烟草的关键障碍 相关差异包括烟草治疗劳动力，无法理解，评估和治疗烟草 来自不同组的用户；关于与烟草相关差距的性质和影响的知识缺陷； 在不同 小组更有效；以及对决定因素的一维或本质主义概念化 促进这些不平等。这些障碍阻止了个性化，相关的发展 这些人的全面烟草治疗计划。一个统一的基于多学科的能力 烟草治疗差异研究，实践和培训专家开发的课程以及 全国传播将代表解决这些障碍的重大进展。目标的目标 项目是在不同人群中开发创新的，基于能力的烟草使用治疗 （TUT-DP）培训模块，该模块将提高临床和研究人员的能力以满足 经历与烟草相关差异的群体的生物医学，行为和临床需求。专家 来自多个学科的领域意识到对此资源的需求。该项目的创新方面是 使用交叉口来整合差异模型并制定指导原则以理解 生物心理社会影响在不同人群中产生与烟草相关的差异。具体 目的是：目标：使用烟草研究，实践和培训专家的多学科团队 迭代过程，开发一个基于能力的，高度可见的TUT-DP培训模块，其中包括 培训培训师资源，幻灯片以及基于问题和经验的学习活动， 质量记录了演示和触发视频，培训手册和学习者评估工具。目的 第二个：通过培训师和学习者从多样化的专业人士和学习者中完善TUT-DP培训模块 背景。目标三：在烟草治疗培训中广泛传播TUT-DP训练模块 计划和相关专业组织。预计该项目将具有持续和强大的 通过传播创新且引人入胜的多学科培训经验来影响该领域的影响 进步临床能力，是烟草差异临床培训的重要工具。我们将 通过适当的机制寻求额外的资金来检查TUT-DP的有效性 在这项癌症教育工作的下一阶段培训模块。