Reducing the chasm in behavioral health care for older adults with cancer: Development of the Center for Implementation Research in Cancer in Later Life (CIRCL)

缩小老年癌症患者行为健康护理方面的鸿沟：晚年癌症实施研究中心 (CIRCL) 的发展

• 批准号: 10742163
• 负责人: SARA J CZAJA
• 金额: $ 20.12万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10742163
• 关键词: Address; Adherence; Aging; Alcohols; Area; Award; Behavior Therapy; Behavioral; Behavioral Model; Benchmarking; Cancer Patient; Cancer Survivor; Cancer Survivorship; Caregiver Burden; Caregivers; Caring; Clinic; Development; Dissemination and Implementation; Distress; Education; Elderly; Ensure; Environment; Evaluation; Fostering; Healthcare; Individual; Infrastructure; Infusion procedures; Institute of Medicine (U.S.); Institution; Interdisciplinary Study; Intervention; Intervention Studies; Knowledge; Leadership; Libraries; Malignant Neoplasms; Mental Health; Mentors; Mentorship; Methods; Mission; National Cancer Institute; Needs Assessment; Older Population; Outcome; Patient Care; Patient-Focused Outcomes; Phase; Physical activity; Policies; Population; Population Heterogeneity; Preparation; Problem Solving; Procedures; Quality of life; Recovery; Research; Research Activity; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Research Support; Resources; Series; Social Environment; Structure; Students; System; Technology; Tobacco use; Training; Training Programs; Training Support; Underrepresented Populations; United States National Institutes of Health; Update; behavior change; behavioral health; behavioral health intervention; cancer care; cancer diagnosis; cancer prevention; cancer therapy; clinical care; contingency management; cost effective; design; dissemination science; early-career faculty; effective intervention; efficacious intervention; evidence base; health care service utilization; human old age (65+); implementation barriers; implementation research; implementation science; improved; innovation; investigator training; outreach; physical conditioning; physical symptom; programs; sedentary lifestyle; symposium; telehealth; therapy development; treatment adherence; web site; webinar

PROJECT SUMMARY Older adults with cancer (OACs) comprise a large and growing proportion of cancer patients and survivors. Many OACs have unmet behavioral health needs with significant negative implications for their quality of life, physical health, and adherence to and recovery from cancer care. Efficacious interventions to address these needs have been developed but their implementation into cancer care is limited. Dissemination and implementation (D&I) research can address this gap by creating implementable interventions and identifying strategies for integrating these interventions into routine cancer care. Available D&I research infrastructure is limited by a lack of tailoring to population and project-specific needs, a focus on trainees and early career faculty, and insufficient resources to meet current demand. The proposed project addresses these limitations by developing new interdisciplinary research infrastructure, the Center for Implementation Research in Cancer in Later Life (CIRCL) that will infuse D&I research methods into new and existing projects across all stages of behavioral intervention development for OACs. CIRCL will consist of Administrative, Training, and Research Cores. The Administrative Core will provide expert leadership, support, and oversight to ensure that the mission and aims of CIRCL are accomplished. The Core will consist of an Executive Committee, administrative Support Team, external Advisory Council, and OAC and Caregiver Council. The Training Core will provide resources and networking opportunities to train investigators to integrate D&I science methods into their research including a webinar series, work-in-progress webinar, mentorship program, and resource library. The purpose of the Research Core is to evaluate the research needs of investigators and provide resources to facilitate research on the D&I of behavioral interventions for OACs. The Core will administer a national research needs assessment to inform the structure and content of CIRCL resources and will support a pilot awards program and annual research conference. The overall project objectives will be met across two phases. During the R21 phase (years 1-2), core components of CIRCL will be developed including hiring administrative staff, launching the CIRCL website, establishing the Advisory and OAC and Caregiver Councils, administering the research needs assessment, and developing standard operating procedures for all CIRCL activities. During the R33 phase (years 3-5), we will utilize this established infrastructure to train researchers and support D&I research projects. The resources available through CIRCL will be advertised nationally with targeted outreach to investigators in underrepresented groups to increase diversity in the research workforce. Benchmark evaluation during the R21 phase will ensure CIRCL resources are developed in a timely manner in preparation for the R33 phase. Evaluation of the R33 phase will assess utilization of CIRCL resources and the impact of those resources on the advancement of D&I research on behavioral interventions for OACs.

项目摘要 癌症（OAC）的老年人包括大量且不断增长的癌症患者和幸存者。 许多OAC都有未满足的行为健康需求，对其生活质量产生了重大负面影响， 身体健康，遵守癌症护理和康复。有效的干预措施解决这些 已经开发了需求，但是他们对癌症护理的实施是有限的。传播和 实施（D＆I）研究可以通过创建可实施的干预措施并确定来解决这一差距 将这些干预措施整合到常规癌症护理中的策略。可用的D＆I研究基础设施是 受人口和特定项目需求的裁缝，专注于学员和早期职业的限制 教师和不足以满足当前需求的资源。拟议的项目解决了这些限制 通过开发新的跨学科研究基础设施，癌症实施研究中心 在以后的生活（Cirl）中，将在所有阶段将D＆I研究方法注入新的和现有的项目 OAC的行为干预开发。 CIRCL将包括行政，培训和研究 内核。行政核心将提供专家领导，支持和监督，以确保 CIRCL的任务和目标已完成。核心将由执行委员会组成， 行政支持团队，外部咨询委员会以及OAC和护理人员委员会。训练核心 将提供资源和网络机会，以培训调查人员将D＆I科学方法整合到 他们的研究包括网络研讨会系列，进行工作的网络研讨会，指导计划和资源库。 研究核心的目的是评估研究人员的研究需求，并提供资源 促进对OAC行为干预的D＆I的研究。核心将管理一个国家 研究需求评估以告知CIRCL资源的结构和内容，并将支持飞行员 奖项计划和年度研究会议。总体项目目标将在两个 阶段。在R21阶段（1-2年）期间，将开发Circ的核心组成部分，包括招聘 行政人员，启动Circl网站，建立咨询和OAC和照顾者委员会， 管理研究需求评估，并为所有CIRCL制定标准操作程序 活动。在R33阶段（3-5年），我们将利用这一既定基础设施来培训研究人员 并支持D＆I研究项目。通过Circl提供的资源将在全国范围内广告 针对代表性不足的群体的调查人员有针对性的宣传，以增加研究劳动力的多样性。 R21阶段期间的基准评估将确保及时开发CIRCL资源 准备R33阶段。 R33阶段的评估将评估CIRCL资源的利用和 这些资源对OAC行为干预的D＆I研究的进步。