Achieving Excellence in Biopsychosocial Cancer Pain Management through a Comprehensive Quality Education Program

通过全面的优质教育计划实现生物心理社会癌症疼痛管理的卓越

基本信息

批准号：
10251052
负责人：
SYDNEY MORSS DY
金额：
$ 18.59万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10251052
关键词：
Achievement Address Advanced Malignant Neoplasm Adverse effects Advocate Attitude Award Behavioral Biological Cancer Pain Management Cancer Patient Cancer Survivor Caregiver support Chronic Cities City of Hope Comprehensive Cancer Center Clinical Research Cognitive Cognitive Therapy Collaborations Community Networks Diagnosis Distress Education Educational Curriculum Educational workshop Effectiveness Faculty Faculty Workshop Family Fatigue Goals Health Professional Institutes Institution Interdisciplinary Education Knowledge Learning Length Life Experience Longevity Malignant Neoplasms Measures Medical Medicine Methods Moods Nurses Oncology Opioid Pain Pain management Pain quality Participant Patient Care Patient Education Patient-Focused Outcomes Patients Pharmacology Physicians Principal Investigator Problem Solving Professional Education Program Development Program Sustainability Psychosocial Assessment and Care Public Health Schools Quality of Care Quality of life Recording of previous events Recovery Rehabilitation therapy Research Research Personnel Risk Sleep Sleep disturbances Social Workers Symptoms Time Training United States advanced disease associated symptom base biopsychosocial cancer care cancer health disparity cancer pain care outcomes caregiver education design education research education resources effectiveness evaluation end of life evidence base experience faculty mentor improved improved outcome opioid therapy pain model pain symptom patient safety programs psychologic psychosocial recruit satisfaction simulation skills social stressor survivorship symposium webinar

项目摘要

Pain management is critical throughout cancer care, from diagnosis through treatment and survivorship, and in advanced illness and at the end of life. Improving cancer pain management is critical over the next decade, given (1) more number of cancer survivors with long-term consequences of cancer and its treatment, (2) longer survival with advanced cancer, with more time with and complexity of pain, and (3) growing evidence that chronic opioids are often ineffective and have many adverse effects and risks. Cancer pain is often challenging; it interacts with many issues, including psychological and social concerns and other symptoms, especially fatigue and sleep disturbances. Severe cancer pain is still frequent in the United States; the quality of pain management is often suboptimal; key effective nonpharmacologic strategies, such as rehabilitation, and psychosocial approaches, such as patient education and support, are underused; and disparities in management persist. A key solution, using a biopsychosocial approach, considers not only biological aspects, but other related symptoms and interactions with psychological (e.g., distress, mood) and social (e.g., culture, family, financial stressors) factors. The effectiveness of biopsychosocial approaches is well-established, but improving use in cancer care requires both interdisciplinary health professional education and quality improvement approaches. This education program is based on the extensive health professional education programs at Johns Hopkins Bloomberg School of Public Health and Medicine and supportive oncology education programs of the City of Hope. The overall goal is to improve US capacity for biopsychosocial cancer pain management. To accomplish this, we will train 360 cancer care professionals (physicians, nurses, social workers and others) over the award. In a 15-week program, participants will participate in 8 webinars, an online simulation program, a 2-day intensive skills-based workshop, and 2 pre-workshop preparatory and 4 post- workshop implementation faculty-participant conference calls. The aims are to (1) implement a curriculum for training healthcare professionals in principles of biopsychosocial cancer pain management and quality improvement, (2) sustain and refine newly acquired pain management and quality improvement skills through ongoing support and building a networking community, and (3) assess the effectiveness of the education after the program and sustainability at one year. An expert team of faculty, advisors and patient advocates will plan, produce, and evaluate the program, including experts in professional and executive education, pain management and associated issues and symptoms, skills-based supportive oncology education and quality of care. The Principal Investigators have combined decades of experience in educating health professionals in biopsychosocial pain management and program development. We have support from local and national cancer networks and organizations to recruit a diverse, qualified participant pool and support implementation into practice, with the goal of improving patient care and outcomes.

疼痛管理在整个癌症护理中至关重要，从诊断到治疗和生存以及晚期疾病和生命的尽头。在接下来的十年中，改善癌症疼痛管理至关重要，给定（1）更多具有癌症及其治疗长期后果的癌症幸存者，（2）更长患有晚期癌症的生存，有更多时间和疼痛的复杂性，以及（3）越来越多的证据表明慢性阿片类药物通常无效，并且具有许多不利影响和风险。癌症疼痛通常是具有挑战性的;它与许多问题相互作用，包括心理和社会问题以及其他症状，特别是疲劳和睡眠障碍。在美国，严重的癌症疼痛仍然经常出现。质量疼痛管理通常是次优的；关键有效的非药物策略，例如康复和心理社会方法，例如患者教育和支持，都没有使用；和差异管理坚持。使用生物心理社会方法的关键解决方案不仅考虑了生物学方面但是其他相关的症状以及与心理（例如，痛苦，情绪）和社会的互动（例如，文化，家庭，财务压力）因素。生物心理社会方法的有效性是完善的，但是改善癌症护理的使用需要跨学科的健康专业教育和质量改进方法。该教育计划基于广泛的卫生专业教育约翰·霍普金斯彭博公共卫生和医学学院的计划和支持性肿瘤学希望之城的教育计划。总体目标是提高美国生物心理社会癌的能力疼痛管理。为此，我们将培训360名癌症护理专业人员（医师，护士，社会工人和其他人）授予该奖项。在15周的计划中，参与者将参加8个网络研讨会，这是一个在线仿真计划，为期2天的基于技能的研讨会以及2次工作工厂预备以及4次后研讨会实施教师参与会议电话。目的是（1）实施课程用于培训医疗保健专业人员，以实现生物心理社会癌症疼痛管理原则和质量改进，（2）维持和完善新获得的疼痛管理和质量改善通过持续的支持和建立网络社区的技能，（3）评估有效性计划之后的教育和一年的可持续性。教师，顾问和患者倡导者将计划，制作和评估该计划，包括专业和高管专家教育，疼痛管理以及相关问题和症状，基于技能的支持性肿瘤学教育和护理质量。首席调查人员在教育方面拥有数十年的经验生物心理社会疼痛管理和计划开发的卫生专业人员。我们得到了来自本地和国家癌症网络和组织招募多样化的合格参与者池和支持实践实施，目的是改善患者护理和结果。