Enhancing Cancer Care Of Rural Dwellers Through Telehealth and Engagement (ENCORE)
通过远程医疗和参与加强农村居民的癌症护理 (ENCORE)
基本信息
- 批准号:10456885
- 负责人:
- 金额:$ 63.12万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-08-01 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:Academic Medical CentersAddressAdultAttentionCancer CenterCancer PatientCaringCatchment AreaCharacteristicsClinical TrialsClinical effectivenessColorectal CancerCommunity HospitalsComprehensive Cancer CenterComprehensive Health CareConsolidated Framework for Implementation ResearchControl GroupsCountryCountyDataDiseaseDissemination and ImplementationDistantEducationEmploymentFaceFutureGoalsHealthHealth InsuranceHealth systemHospitalsIncidenceIncomeIndividualInformation TechnologyInstitutionInsurance CoverageInterventionInterviewLow incomeMalignant NeoplasmsMalignant neoplasm of cervix uteriMalignant neoplasm of lungMalignant neoplasm of prostateMethodsMississippiMolecularMutationNewly DiagnosedOncologistOncologyOutcomePatient CarePatient-Focused OutcomesPatientsPlayPopulationPovertyPrognostic MarkerProgression-Free SurvivalsProviderPublic HealthQuality of CareRandomizedRecommendationResearch DesignRoleRuralRural CommunityRural HospitalsRural PopulationSelf ManagementService delivery modelSpecialized CenterSupportive careSurveysTennesseeTestingTherapeuticTravelUnderserved PopulationUnited Statesattentional controlbasecancer carecancer therapycare deliverycommunity partnershipdesigndisparity reductiondissemination strategyeffectiveness clinical trialeffectiveness implementation designeffectiveness implementation studyevidence baseimplementation strategyimprovedimproved outcomeintervention deliverymalignant breast neoplasmmortalitymortality disparitymultidisciplinarypatient-clinician communicationpatient-level barrierspredictive markerprimary outcomeprocess evaluationprogramspsychosocial wellbeingrecruitrelapse patientsremote deliveryresponserural arearural cancer carerural countiesrural dwellersrural patientsrural underservedsecondary outcomesocial health determinantstargeted agenttelehealththerapy designtreatment adherencetreatment planningtumorunderserved communityuptake
项目摘要
The proposed project is submitted in response to RFA-CA-18-026, providing an “IT-enabled, team-based care
delivery models … to deliver comprehensive, coordinated, high-quality cancer-related care to rural low-income
and/or underserved populations.” There are widening mortality disparities among rural cancer patients,
particularly those who live in counties with persistent poverty, making it critical to develop interventions to improve
outcomes for these patients. Therefore, the proposed study is based at seven rural hospitals in Tennessee and
Mississippi, states with large rural populations encompassing a third and a half of the population, respectively.
With barriers at the health system, provider and patient level, multi-level remotely-delivered interventions that
enable rural patients and providers to access expertise housed at a comprehensive cancer center hold
tremendous promise. Through the proposed study, we will employ a Type 1 Hybrid Effectiveness-Implementation
design, which includes a traditional clinical effectiveness trial along with a process evaluation of the intervention
delivery and implementation. Specifically, we will evaluate the 1) clinical effectiveness of a multi-level telehealthbased
intervention for rural hospitals consisting of provider-level access to a molecular tumor board and patientlevel
access to supportive care; and 2) facilitators and barriers to future larger scale dissemination and
implementation of this multilevel intervention, designed to enhance quality of rural cancer care delivery. The
intervention consists of non-randomized provider-level access to a tumor board which incorporates disease,
patient and molecular tumor characteristics to enhance treatment options, together with randomized patient-level
access to a self-management intervention versus attention control. The Consolidated Framework for
Implementation Research will be used to identify barriers and facilitators. These efforts are possible due to
existing community partnerships already in place, which will be leveraged to bring comprehensive care available
at our cancer center to rural cancer patients and providers through telehealth. To further underscore the
importance of our efforts, the Southern United States in which our academic cancer center is based has amongst
the highest cancer mortality rates, and is the region of focus for this application. Our short-term goals are to
explore means by which to enhance cancer care among rural cancer patients through broadly and remotely
sharing expertise available at our cancer center with rural underserved communities in our region. Our long-term
goals are to disseminate evidence-based strategies to improve outcomes among rural cancer patients.
提议的项目是根据RFA-CA-18-026提交的,提供“支持it的、基于团队的护理”
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Debra L Friedman其他文献
Cough, Shortness of Breath, and Malaise in a 19-year-old Adolescent.
一名 19 岁青少年的咳嗽、呼吸短促和不适。
- DOI:
- 发表时间:
2023 - 期刊:
- 影响因子:1.3
- 作者:
Nina E Hill;Debra L Friedman;J. Godown;Sara Zarnegar - 通讯作者:
Sara Zarnegar
Extracting Electronic Health Record Neuroblastoma Treatment Data With High Fidelity Using the REDCap Clinical Data Interoperability Services Module.
使用 REDCap 临床数据互操作性服务模块以高保真度提取电子健康记录神经母细胞瘤治疗数据。
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:4.2
- 作者:
Brian Furner;A. Cheng;A. Desai;Daniel J Benedetti;Debra L Friedman;Kirk D. Wyatt;Michael Watkins;S. Volchenboum;Susan L. Cohn - 通讯作者:
Susan L. Cohn
Debra L Friedman的其他文献
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{{ truncateString('Debra L Friedman', 18)}}的其他基金
Enhancing Cancer Care Of Rural Dwellers Through Telehealth and Engagement (ENCORE)
通过远程医疗和参与加强农村居民的癌症护理 (ENCORE)
- 批准号:
10165375 - 财政年份:2019
- 资助金额:
$ 63.12万 - 项目类别:
Research Into Visual Endpoints and RB Health Outcomes After Treatment: The RIVERBOAT Consortium
视觉终点和 RB 治疗后健康结果的研究:RIVERBOAT 联盟
- 批准号:
10228004 - 财政年份:2018
- 资助金额:
$ 63.12万 - 项目类别:
VOLT (Vanderbilt Oncology Training Program)
VOLT(范德比尔特肿瘤学培训计划)
- 批准号:
10554999 - 财政年份:2018
- 资助金额:
$ 63.12万 - 项目类别:
EXERCISE AND FITNESS IN CHILDHOOD CANCER SURVIVORS
儿童癌症幸存者的锻炼和健身
- 批准号:
7603461 - 财政年份:2007
- 资助金额:
$ 63.12万 - 项目类别:
EXERCISE AND FITNESS IN CHILDHOOD CANCER SURVIVORS
儿童癌症幸存者的锻炼和健身
- 批准号:
7379439 - 财政年份:2006
- 资助金额:
$ 63.12万 - 项目类别:
EXERCISE AND FITNESS IN CHILDHOOD CANCER SURVIVORS
儿童癌症幸存者的锻炼和健身
- 批准号:
7379360 - 财政年份:2006
- 资助金额:
$ 63.12万 - 项目类别:
Radiation Sensitivity, DNA Repair and Second Cancers
辐射敏感性、DNA 修复和第二种癌症
- 批准号:
7123897 - 财政年份:2004
- 资助金额:
$ 63.12万 - 项目类别:
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