Dissemination of an evidence-based behavioral intervention to alleviate distress in caregivers of children recently diagnosed with cancer: Bright IDEAS.

Dissemination of an evidence-based behavioral intervention to alleviate distress in caregivers of children recently diagnosed with cancer: Bright IDEAS.
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DOI:
10.1002/pbc.29904
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发表时间:
2022-10
影响因子:
3.2
通讯作者:
--
中科院分区:
医学3区
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--
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四项多中心随机临床试验,超过1400名新诊断癌症儿童的照顾者表明,解决问题技能培训的Bright IDEAS(BI)范式是一种可接受的有效方法,可以减轻他们所经历的高水平痛苦。为了促进提供循证护理人员的支持,建议在儿科肿瘤护理标准,这里描述的项目旨在传播BI 200心理社会专业人士。我们与儿童肿瘤学小组(COG)、儿科肿瘤学社会工作者协会(APOSW)、儿科血液学/肿瘤学护士协会(APHON)以及儿科心理学协会(SPP)儿科血液学/肿瘤学特别兴趣小组合作。会员调查显示,对商业智能培训的热情很高。我们组织了培训,包括审查BI的证据基础、角色扮演和各个站点的实施策略。在培训后的一个月、两个月、三个月和五个月举行了四次旨在加强执行工作的电话会议。在小组委员会、亚太妇女地位办公室、亚太妇女网和SPP年度会议期间举办了10次为期一天半的讲习班。共有来自134个地点的209名心理社会临床医生接受了培训。评价非常有利。截至上次电话会议,受训人员已向545人提供了BI。最初的传播目标已经实现。BI现在在许多儿科肿瘤中心可用,但尚未成为常规护理的一部分。未来的工作重点是实施可能会考虑自上而下的方法,包括与儿科肿瘤学家和医院领导直接沟通,系统地纳入这种循证干预的好处。
Four multisite randomized clinical trials of > 1400 caregivers of children newly diagnosed with cancer showed that the Bright IDEAS (BI) paradigm of problem-solving skills training is an acceptable and efficacious approach to alleviating the high levels of distress they experience. To facilitate providing evidence-based care-giver support as recommended in the pediatric oncology standards of care, the project described here was designed to disseminate BI to 200 psychosocial professionals. We partnered with the Children’s Oncology Group (COG), Association of Pediatric Oncology Social Workers (APOSW), Association of Pediatric Hematology/Oncology Nurses (APHON), and special interest group in pediatric hematology/oncology of the Society for Pediatric Psychology (SPP). Membership surveys revealed substantial enthusiasm for training in BI. We structured training to include review of the evidence base for BI, role plays, and strategies for implementation at individual sites. Four conference calls designed to enhance implementation were held one, two, three, and five months after training. Ten 1.5-day workshops were held in conjunction with annual meetings of COG, APOSW, APHON, and SPP. A total of 209 psychosocial clinicians from 134 sites were trained. Evaluations were highly favorable. Trainees had provided BI to 545 individuals as of the last conference call. Initial dissemination goals were met. BI is now available at numerous pediatric oncology centers, but it has not become part of routine care. Future work focused on implementation might consider top-down approaches that include direct communication with pediatric oncologists and hospital leaders about the benefits of incorporating this evidence-based intervention systemically.
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发表时间: 2015-12-01
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