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：
10011775
负责人：
SYDNEY MORSS DY
金额：
$ 19.84万
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/10011775
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 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过程中至关重要，从诊断到治疗和生存，以及疾病晚期和生命的尽头。改善癌症疼痛管理在未来十年至关重要，鉴于 (1) 更多数量的癌症幸存者受到癌症及其治疗的长期影响，(2) 时间更长晚期癌症患者的生存率较高，疼痛时间更长且更复杂，并且 (3) 越来越多的证据表明慢性阿片类药物通常无效，并且有许多不良反应和风险。癌症疼痛常常是具有挑战性的;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，尤其是疲劳和睡眠障碍。在美国，严重的癌症疼痛仍然很常见；质量疼痛管理的效果往往不理想；关键有效的非药物策略，例如康复，以及患者教育和支持等心理社会方法未得到充分利用；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生物学方面，但其他相关症状以及与心理（例如痛苦、情绪）和社会（例如文化、家庭、经济压力）因素。生物心理社会方法的有效性是公认的，但是改善癌症护理的使用需要跨学科的卫生专业教育和质量改进方法。该教育计划基于广泛的健康专业教育约翰·霍普金斯大学彭博公共卫生与医学学院和支持性肿瘤学项目希望之城的教育计划。总体目标是提高美国应对生物心理社会癌症的能力疼痛管理。为了实现这一目标，我们将培训 360 名癌症护理专业人员（医生、护士、社会工作者）工人和其他人）超过了该奖项。在为期 15 周的计划中，参与者将参加 8 场网络研讨会、一场在线研讨会模拟课程、为期 2 天的强化技能研讨会、2 次研讨会前准备和 4 次研讨会后准备研讨会实施教师与参与者电话会议。目标是 (1) 实施课程用于培训医疗保健专业人员生物心理社会癌症疼痛管理的原则和质量改进，（2）维持和完善新获得的疼痛管理和质量改进通过持续的支持和建立网络社区来掌握技能，以及（3）评估有效性计划结束后的教育和一年的可持续性。由教师、顾问和专家组成的专家团队患者倡导者将规划、制定和评估该计划，包括专业和执行方面的专家教育、疼痛管理及相关问题和症状、基于技能的支持性肿瘤学教育和护理质量。首席研究员结合了数十年的教育经验生物心理社会疼痛管理和项目开发的卫生专业人员。我们有来自以下方面的支持地方和国家癌症网络和组织招募多样化、合格的参与者库和支持将其付诸实践，以改善患者护理和治疗结果为目标。