Research Dissemination through the ASCO Virtual Learning Collaborative Pilot: Int

通过 ASCO 虚拟学习协作试点进行研究传播：Int

• 批准号: 8628068
• 负责人: JAMIE H VON ROENN
• 金额: $ 10万
• 依托单位: AMERICAN SOCIETY OF CLINICAL ONCOLOGY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-01 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8628068
• 关键词: Research; Dissemination; through; ASCO; Virtual

DESCRIPTION (provided by applicant): To address the complex care needs of patients with advanced cancer, palliative care is needed. Palliative care emphasizes medically appropriate goal setting, open communication with patients and families, and meticulous symptom assessment and control. Research from AHRQ and others indicates that palliative care interventions are successful in improving patient quality of life, reducing symptoms, improving satisfaction, and reducing caregiver stress. Despite a strong evidence base, research shows that suboptimal delivery of palliative care persists; patients with advanced cancer have multiple unaddressed and uncontrolled symptoms, and unmet psychosocial needs. Results from the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI) demonstrate the need for improvement in the outpatient oncology setting. As the leading medical specialty society in oncology, ASCO is uniquely positioned to disseminate evidence-based palliative care tools and resources to practicing oncologists. ASCO proposes development of an innovative strategy to disseminate palliative care research, in collaboration with the American Academy of Hospice and Palliative Medicine (AAHPM). The technology-based dissemination model integrates principles from collaborative quality improvement models. ASCO and AAHPM, along with the research team from Duke University, bring to this effort combined expertise in applied research, education, quality improvement, oncology, and palliative care. The long-term goal of this effort is to create a sustainable, scalable infrastrucure that will facilitate dissemination of palliative care research to multiple provider groups, and dissemination of patient-centered outcomes research results in other clinical areas. The specific aims of this proposal are: Aim 1: Develop the ASCO Virtual Learning Collaborative (VLC) to disseminate evidence-based solutions to support primary palliative care in oncology. The VLC will include a coordinated, customized suite of virtual learning modules, social networking/media, resource sharing, and webinar functionality adapted from existing ASCO technology solutions, and a toolbox of evidence-based resources. Aim 2: Pilot test, refine, and launch the ASCO Virtual Learning Collaborative. Teams from oncology practices will utilize the VLC to inform and support local tests of change using Plan-Do-Study-Act cycles. Teams will share best practices and resources through the VLC, benefiting from expert and peer guidance. We will utilize the RE-AIM framework to evaluate the pilot, including the impact of the VLC on quality measure performance related to primary palliative care; and the adoption and implementation of the VLC platform using usage data, surveys, interviews and focus groups. The palliative care toolbox will be widely available for use by oncologists and other disciplines. f supported by the pilot, the VLC will be launched for ASCO membership use.

描述（由申请人提供）：为了满足晚期癌症患者的复杂护理需求，需要姑息治疗。姑息治疗强调了医学上适当的目标设定，与患者和家庭的开放沟通以及精心症状的评估和控制。 AHRQ和其他人的研究表明，姑息治疗干预措施成功地改善了患者的生活质量，减轻症状，提高满意度以及减轻护理人员的压力。尽管有强大的证据基础，但研究表明，姑息治疗的次优率仍然存在。晚期癌症患者的症状有多个未受解答且未经控制的症状，并且心理社会需求未满足。美国临床肿瘤学会（ASCO）质量肿瘤学实践计划（QOPI）的结果表明，需要改善门诊肿瘤学的环境。 作为肿瘤学领先的医学专业学会，ASCO在肿瘤学家将基于证据的姑息治疗工具和资源传播到独特的位置。 ASCO与美国临终关怀医学学院（AAHPM）合作制定了一项创新战略来传播姑息治疗研究。基于技术的传播模型整合了协作质量改进模型的原理。 ASCO和AAHPM与杜克大学的研究团队一起，将这一努力结合在一起，在应用，教育，质量改进，肿瘤学和姑息治疗方面结合了专业知识。 这项努力的长期目标是创建可持续的，可扩展的侵蚀性，以促进姑息治疗研究向多个提供者群体传播，并在其他临床领域传播以患者为中心的结果研究结果。该提案的具体目的是：目标1：开发ASCO虚拟学习协作（VLC），以传播基于证据的解决方案，以支持肿瘤学中的主要姑息治疗。 VLC将包括一个协调的，定制的虚拟学习模块，社交网络/媒体，资源共享和网络研讨会功能，该功能从现有的ASCO技术解决方案以及基于证据的资源的工具箱中进行了调整。 AIM 2：试点测试，完善并启动ASCO虚拟学习协作。来自肿瘤学实践的团队将利用VLC使用计划进行研究的循环来告知和支持当地的变化测试。团队将通过VLC分享最佳实践和资源，从而受益于专家和同行指导。我们将利用RE-AIM框架来评估飞行员，包括VLC对与初级姑息治疗相关的质量度量绩效的影响；以及使用使用数据，调查，访谈和焦点小组的VLC平台的采用和实施。姑息治疗工具箱将被肿瘤学家和其他学科广泛使用。 F在飞行员支持的情况下，VLC将启动供ASCO会员使用。