Tobacco Treatment Training for Cancer Care Providers

癌症护理人员烟草治疗培训

基本信息

批准号：
10251905
负责人：
Jamie S. Ostroff
金额：
$ 13.67万
依托单位：
SLOAN-KETTERING INST CAN RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-08-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10251905
关键词：
Address Adoption American Association of Cancer Research Attitude Basic Science Cancer Care Facilities Cancer Education Grant Program Cancer Patient Cancer Survivor Cessation of life Chronic Clinical Clinical Practice Guideline Clinical Research Consultations Diagnosis Education Educational workshop Evaluation Faculty Goals Grant Guidelines Health Institution Knowledge Light Malignant Neoplasms Medical Morbidity - disease rate National Comprehensive Cancer Network Nurses Oncologist Oncology Online Systems Outcome Participant Patients Persons Pharmacists Professional Organizations Provider Psychologist Quality of life Recurrence Reporting Risk Risk Factors Second Primary Cancers Self Efficacy Smoke Smoker Smoking Social Workers Surgeon Surveys Time Tobacco Tobacco Dependence Tobacco Use Cessation Tobacco use Training Training and Education Translational Research Treatment-related toxicity anticancer research cancer care cancer education cancer therapy care providers cohort collaboratory course development design disorder risk education research evidence base implementation barriers implementation facilitation improved innovation learning strategy modifiable risk mortality multidisciplinary patient-level barriers practice setting premature programs provider-level barriers research to practice respiratory skill acquisition skills smoking cessation standard care system-level barriers tobacco cessation intervention training project treatment planning treatment response

项目摘要

PROJECT SUMMARY/ABSTRACT This proposed cancer education training project is designed to train oncology care providers to implement tobacco use assessment and treatment (TUAT) skills in their cancer care settings. Approximately 10-30% of cancer patients are current smokers at diagnosis and approximately 70% of patients who are current smokers at the time of diagnosis will continue smoking following their diagnosis. Persistent smoking is associated with cancer-specific and all-cause mortality, increased likelihood for second primary cancer, increased risk for disease recurrence, poor response to treatment and treatment-related toxicity. Given the evidence that persistent smoking is associated with adverse clinical outcomes, several leading oncology organizations have strongly endorsed TUAT delivery as an important metric for high quality cancer care. Unfortunately, adoption of TUAT into real world practice settings has been slow and uncommon. Whereas most recent surveys demonstrate that oncology providers agree that promoting tobacco cessation is important, most cancer care settings have not yet established tobacco cessation treatment as standard care, and lack of training and implementation support have been identified as needed for TUAT practice innovation in cancer research and care. Therefore, to address this significant research-to-practice gap, the overall purpose of this cancer education grant is to develop, implement and evaluate a short-term TUAT skills development workshop and collaborative training initiative that will train and provide technical assistance for oncology clinicians to deliver TUAT for tobacco-dependent patients. The proposed skills development effort will be enacted during a short- term period of training engagement commencing with a 2-day onsite workshop followed by six monthly videoconferences co-facilitated by Program Faculty with relevant TUAT expertise in cancer. The proposed skills development course will be delivered to eight successive cohorts of oncology care providers. The five- year cancer education program will train 25-50 new participants per year from diverse cancer practice settings with a total reach of 200 multidisciplinary participants. Specific aims are to: 1) Develop, disseminate and seek participant evaluation of a Tobacco Treatment Training-Oncology (TTT-O) education program consisting of in- person workshops and web-based, collaborative learning activities (Collaboratory) for multidisciplinary cancer care provider participants from diverse cancer practice settings; 2) Evaluate the impact of the TTT-O Workshop and Collaboratory on participants' TUAT knowledge, attitudes, self-efficacy and skills and 3) Evaluate the impact of participating in the TTT-O Workshop and Collaboratory on delivery and implementation of TUAT in participants' cancer care settings. The overarching goal of this cancer education program is to train oncology care providers to implement clinical practice guidelines for TUAT in order to reduce tobacco-related morbidity and mortality among cancer patients and survivors.

项目概要/摘要该拟议的癌症教育培训项目旨在培训肿瘤护理提供者实施癌症护理环境中的烟草使用评估和治疗 (TUAT) 技能。大约10-30% 癌症患者在诊断时为当前吸烟者，并且大约 70% 的患者为当前吸烟者在诊断时将在诊断后继续吸烟。持续吸烟与癌症特异性和全因死亡率、第二原发癌症的可能性增加、罹患癌症的风险增加疾病复发、治疗反应不佳以及治疗相关的毒性。鉴于有证据表明持续吸烟与不良临床结果相关，一些领先的肿瘤学组织已经发现强烈支持 TUAT 交付作为高质量癌症护理的重要指标。不幸的是，采用 TUAT 进入现实世界的实践环境是缓慢且不常见的。鉴于最近的调查证明肿瘤学提供者同意促进戒烟很重要，大多数癌症护理环境尚未将戒烟治疗确立为标准护理，并且缺乏培训和已确定 TUAT 癌症研究和实践创新所需的实施支持关心。因此，为了解决这一重大研究与实践之间的差距，这种癌症的总体目标教育补助金用于开发、实施和评估短期 TUAT 技能发展研讨会协作培训计划将为肿瘤临床医生提供培训和技术援助，以实现针对烟草依赖患者的 TUAT。拟议的技能开发工作将在短期内实施培训参与期限从为期 2 天的现场研讨会开始，然后是每月 6 次视频会议由项目教师和 TUAT 相关癌症专业知识共同主持。拟议的技能发展课程将连续向八个肿瘤护理提供者提供。五—— 年癌症教育计划每年将培训来自不同癌症实践环境的 25-50 名新参与者总共有 200 名跨学科参与者。具体目标是： 1) 开发、传播和寻求烟草治疗培训肿瘤学 (TTT-O) 教育计划的参与者评估，包括以下内容：针对多学科癌症的个人研讨会和基于网络的协作学习活动（协作）来自不同癌症实践环境的护理提供者参与者； 2）评估TTT-O研讨会的影响合作研究参与者的 TUAT 知识、态度、自我效能和技能，以及 3) 评估参加 TTT-O 研讨会和合作实验室对 TUAT 交付和实施的影响参与者的癌症护理环境。该癌症教育计划的总体目标是培训肿瘤学护理提供者实施 TUAT 临床实践指南，以减少烟草相关发病率以及癌症患者和幸存者的死亡率。