Implementing A Virtual Tobacco Treatment in Community Oncology Practices

在社区肿瘤学实践中实施虚拟烟草治疗

基本信息

批准号：
10558480
负责人：
Jamie S. Ostroff
金额：
$ 32.58万
依托单位：
MASSACHUSETTS GENERAL HOSPITAL
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：
2018-02-01 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10558480
关键词：
Abstinence Address Adoption Age American Association of Cancer Research American College of Radiology Imaging Network American Society of Clinical Oncology Attention Biochemical Cancer Patient Cancer Prognosis Cancer Research Project Cancer Survivor Caring Characteristics Communities Community Clinical Oncology Program Community Healthcare Comprehensive Cancer Center Computers Consolidated Framework for Implementation Research Cotinine Counseling Data Diagnosis Eastern Cooperative Oncology Group Effectiveness Enrollment Ethnic Origin Evaluation Focus Groups Future Gender Geographic Locations Guidelines Health Household Hybrids Intervention Interview Link Malignant Neoplasms Measures Medical Mental Depression Methods Minority Motivation National Comprehensive Cancer Network Nicotine Dependence Outcome Outcomes Research Pathway interactions Patients Penetration Persons Policies Population Prevalence Preventive care Primary Neoplasm Proctor framework Publishing Race Radiation therapy Randomized Recommendation Recording of previous events Reporting Research Resources Risk Risk Factors Risk Reduction Services Site Smoker Smoking Smoking History Surgeon Surgical complication Surveys Survival Rate Tablets Technology Telephone Testing Time Tobacco Tobacco Dependence Tobacco Use Cessation Training Treatment Effectiveness Videoconferencing Work cancer care cancer diagnosis cancer therapy chemotherapy cohort compare effectiveness cost design effectiveness evaluation effectiveness/implementation design effectiveness/implementation trial evidence base evidence based guidelines follow-up handheld mobile device implementation barriers implementation framework implementation process implementation research improved innovation intervention delivery meetings modifiable risk nicotine replacement outreach post implementation primary outcome programs quitline remote delivery research to practice satisfaction scale up smoking cessation smoking-related disease sociodemographics tobacco abstinence tobacco cessation intervention treatment as usual treatment group treatment guidelines trial design underserved community uptake virtual virtual assessment virtual delivery

项目摘要

There are over 15.5 million cancer survivors in the U.S.; survival rates are increasing, but unfortunately 10-30% of cancer patients are current smokers at the time of diagnosis. The 2014 Surgeon General's report concluded that there is sufficient evidence ) linking smoking to adverse health outcomes in cancer patients and b) that quitting smoking improves cancer prognosis. Accordingly, the National Comprehensive Cancer Network published its first smoking cessation guidelines for patients with cancer in 2015. a Most cancer patients do not receive tobacco cessation support and, specifically, evidence-based tobacco treatment guidelines have not been implemented in community cancer settings where the vast majority of cancer patients receive care. The investigative team developed and tested the integration of an evidence based intensive tobacco treatment (IT), delivered in-person and via phone in English and Spanish, at two comprehensive cancer centers. Using innovative live videoconferencing technology ), we propose a virtual implementation of the IT in community sites affiliated with the newly established ECOG-ACRIN NCI Community Oncology (delivered via computer or mobile device Research Program (NCORP). We will use a Hybrid Type 1 effectiveness-implementation trial design to examine the effectiveness (7-day cotinine confirmed point-prevalence abstinence at 6 months) of two delivery approaches. We will randomize 224 cancer patients who are current smokers to either the virtual intensive tobacco treatment (VIT) or Enhanced Usual Care (EUC; quitline referral and site-specific usual care ). The VIT consists of extended motivational counseling, delivered by a centralized tobacco coach, plus 12 weeks of combination nicotine replacement therapy (patch plus lozenge). Secondary aims will identify patient and NCORP sites characteristics associated with VIT effectiveness and implementation, guided by Proctor's' implementation research outcome recommendations and the Consolidated Framework for Implementation Research (CFIR). Implementation will be facilitated through patient exit interviews (n=40), biannual meetings with NCORP site PIs and staff, pre/post NCORP PI/clinicians/staff surveys (n=100), and post-trial NCORP site focus groups (n=10). This proposal is innovative in its 1) virtual design (clinician outreach through brief videos (Vidscrip) and treatment delivery), 2) access and targeted cancer treatment to diverse cancer community patients, and 3) transdisciplinary team, which includes experts in cancer care, tobacco treatment, implementation, and community cancer trials. Demonstrating the implementation of a videoconferencing tobacco treatment at NCORP sites will establish a pathway for disseminating evidence based tobacco treatment and close the gap of treatment delivery in resource sparse community oncology settings.

美国有超过 1550 万癌症幸存者；存活率正在增加，但是不幸的是，10-30% 的癌症患者在诊断时正在吸烟。 2014年外科医生的报告得出的结论是，有足够的证据）将吸烟与癌症患者的不良健康结果和 b) 戒烟可改善癌症预后。据此，国家综合癌症网络发布了第一份吸烟报告 2015 年癌症患者戒烟指南。一个大多数癌症患者没有接受戒烟支持，特别是基于证据的烟草治疗指南尚未在绝大多数癌症患者所在的社区癌症环境中实施接受护理。调查小组开发并测试了基于证据的集成强化烟草治疗 (IT)，以英语和西班牙语亲自或通过电话提供，地址：两个综合性癌症中心。使用创新的实时视频会议技术），我们提出了 IT 的虚拟实施隶属于新成立的 ECOG-ACRIN NCI 社区肿瘤学的社区网站（通过电脑发送或移动设备研究计划（NCORP）。我们将使用混合 1 型有效性实施试验旨在检查有效性的设计（7 天可替宁证实点流行率戒断在 6 月）两种交付方式。我们将随机抽取 224 名目前患有癌症的患者吸烟者接受虚拟强化烟草治疗 (VIT) 或增强型日常护理 (EUC；戒烟热线转介和特定地点的日常护理）。 VIT 包括扩展的激励由集中烟草教练提供的咨询，加上 12 周的组合尼古丁治疗替代疗法（贴剂加含片）。次要目标是识别患者和 NCORP 与 VIT 有效性和实施相关的站点特征，以 Proctor 的指导实施研究成果建议和综合框架实施研究（CFIR）。将通过以下方式促进实施病人退出访谈 (n=40)、与 NCORP 现场 PI 和工作人员的半年一次会议， NCORP 前/后 PI/临床医生/工作人员调查 (n=100) 和试验后 NCORP 现场焦点小组 (n=10)。这该提案的创新之处在于 1) 虚拟设计（通过简短视频 (Vidscrip) 向临床医生进行宣传）和治疗提供），2）为不同的癌症社区提供有针对性的癌症治疗患者，以及 3) 跨学科团队，其中包括癌症护理、烟草方面的专家治疗、实施和社区癌症试验。示范实施 NCORP 站点的视频会议烟草治疗将建立传播途径基于证据的烟草治疗并缩小资源稀缺情况下治疗提供的差距社区肿瘤学设置。

项目成果

期刊论文数量（1）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Study protocol for a hybrid type 1 effectiveness-implementation trial testing virtual tobacco treatment in oncology practices [Smokefree Support Study 2.0].

DOI：
10.1186/s12889-022-13631-w
发表时间：
2022-07-15
期刊：
BMC PUBLIC HEALTH
影响因子：
4.5
作者：
Goshe, Brett M.;Rasmussen, Autumn W.;Wagner, Lynne, I;Sicks, JoRean D.;Gareen, Ilana F.;Carlos, Ruth C.;Herman, Benjamin A.;Walter, Angela Wangari;Regan, Susan;Levy, Douglas E.;Mahon, Irene;Muzikansky, Alona;Neil, Jordan M.;Lui, Michelle;Dilip, Deepika;Malloy, Laura;Gonzalez, Irina;Finkelstein-Fox, Lucy;McCann, Caitlin;Perez, Elissa;Ostroff, Jamie S.;Park, Elyse R.
通讯作者：
Park, Elyse R.