Organizational readiness and engagement of community oncology practices in implementing tobacco use assessment and treatment

社区肿瘤学实践在实施烟草使用评估和治疗方面的组织准备和参与

基本信息

批准号：
10274351
负责人：
Jamie S. Ostroff
金额：
$ 12.94万
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 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10274351
关键词：
Adherence Adoption Adult American College of Radiology Imaging Network Cancer Control Research Cancer Control Research Program Cancer Research Project Cessation of life Characteristics Clinical Trials Color Communities Community Clinical Oncology Program Continuity of Patient Care Data Data Collection Diagnosis Disease Documentation Eastern Cooperative Oncology Group Enrollment Evidence based intervention Focus Groups General Population Geographic Locations Goals Group Interviews Guidelines Heterogeneity Hybrids Improve Access Individual Infrastructure Intervention Knowledge Malignant Neoplasms Methods National Cancer Institute National Comprehensive Cancer Network Oncology Outcome Parents Patients Population Population Heterogeneity Process Provider Quality of Care Reporting Research Research Methodology Resources Risk Rural Service delivery model Site Smoke Smoking Subgroup Surgeon Surveys System Testing Tobacco Tobacco use Treatment outcome United States United States Public Health Service Variant anticancer research base burden of illness cancer care cancer diagnosis cancer prevention cancer site care delivery cigarette smoking community based practice community engaged research community engagement community setting contextual factors design disability disparity reduction ethnic minority population evidence base evidence based guidelines forest health care settings implementation facilitation implementation outcomes implementation strategy implementation trial improved mortality multiple chronic conditions organizational readiness parent grant patient population premature programs racial minority rural area scale up screening smoking cessation smoking prevalence social disadvantage underserved community underserved minority uptake urban area virtual

项目摘要

PROJECT SUMMARY/ABSTRACT Smoking remains a leading cause of preventable premature disease, disability, and death in the United States. Tobacco use assessment and treatment is important for individuals with cancer diagnoses, because persistent smoking can increase illness burden and contribute to negative treatment outcomes. Although the National Comprehensive Cancer Network (NCCN) recommends evidence-based tobacco use assessment and treatment, the actual delivery of smoking cessation in the context of cancer care has been inconsistent. Few studies have examined how organizational level factors influence the adoption of NCCN guidelines for smoking cessation in oncology practices. Community based oncology networks serve diverse populations including rural, economically/socially disadvantaged, racial and ethnic minorities, and low-resourced communities. We propose to enhance the clinical trial for the parent grant, “Implementing A Virtual Tobacco Treatment in Community Oncology Practices” (R01CA214427; MPIs Dr. Park and Dr. Ostroff) by: 1) examining organizational contexts that influence adoption of tobacco treatment interventions in cancer care settings; and 2) identifying strategies to facilitate implementation of tobacco use assessment and treatment in NCORP cancer Community Sites and Minority/Underserved Community Sites enrolled in the parent R01 trial. Quantitative research methods will be used to explore the association between organizational readiness to implement tobacco use assessment and treatment and the capacity for cancer care delivery in NCORP community oncology practices. Using a mixed methods approach, we will evaluate sub affiliate level engagement, assess barriers and facilitators to community-engaged research (CEnR), and identify potential implementation strategies to improve adoption of tobacco use assessment and treatment in community oncology settings with a focus on understanding variation among the NCORP sites participating in the SSS 2.0 trial. The significance of this project is its contribution to the limited knowledge about contextual factors influencing the adoption of tobacco use assessment and treatment in community oncology settings. This project will also identify how best to engage community oncology sub affiliates and inform strategies for improving adoption and integration of smoking cessation in community oncology practices. Findings will inform the design of a planned large-scale type III hybrid implementation trial that will test various implementation strategies for developing systems for tobacco use documentation and improving adoption of tobacco use assessment and treatment in community oncology settings.

项目概要/摘要吸烟仍然是美国可预防的过早疾病、残疾和死亡的主要原因烟草使用评估和治疗对于癌症诊断患者非常重要，因为持续吸烟会增加疾病负担并导致负面的治疗结果。国家综合癌症网络 (NCCN) 建议进行基于证据的烟草使用评估和治疗方面，在癌症治疗的背景下实际戒烟的情况很少见。研究探讨了组织层面因素如何影响 NCCN 吸烟指南的采用停止肿瘤学实践。基于社区的肿瘤学网络为不同人群提供服务，包括农村、经济/社会弱势群体、种族和族裔少数群体以及资源匮乏的社区。建议加强家长补助金的临床试验，“在社区肿瘤学实践”（R01CA214427；MPIs Dr. Park 和 Dr. Ostroff）：1) 检查影响癌症护理机构中烟草治疗干预措施采用的组织环境；以及 2) 确定促进 NCORP 实施烟草使用评估和治疗的策略癌症社区站点和少数族裔/服务不足的社区站点参加了母 R01 试验。将使用定量研究方法来探索组织准备度之间的关联实施烟草使用评估和治疗以及 NCORP 提供癌症护理的能力我们将使用混合方法来评估社区肿瘤学实践。参与，评估社区参与研究 (CEnR) 的障碍和促进因素，并确定潜在的改进社区烟草使用评估和治疗采用的实施战略肿瘤学环境，重点是了解参与 SSS 2.0 的 NCORP 站点之间的差异该项目的意义在于它对有关背景因素的有限知识的贡献。影响社区肿瘤学环境中烟草使用评估和治疗的采用。项目还将确定如何最好地让社区肿瘤学附属机构参与进来，并为以下方面的战略提供信息：改善戒烟在社区肿瘤学实践中的采用和整合。设计计划中的大规模 III 型混合实施试验，以测试各种实施方案开发烟草使用记录系统和提高烟草使用采用率的战略社区肿瘤学环境中的评估和治疗。