Meaning-Centered Psychotherapy Training Program for Cancer Care Clinicians

项目总结/摘要 该项目的总体目标是“以意义为中心的癌症护理心理治疗培训”， 提供者”（MCPT）的任务是继续促进以意义为中心的 心理治疗（MCP），通过多模式培训计划进行的研究测试干预计划（RTIP） for cancer癌症care护理clinician临床医生.有大量证据表明，有必要采取干预措施， 抑郁，绝望，失去意义，精神和存在的痛苦，在病人应付 晚期癌症的挑战。为了满足这一需求，Breitbart及其同事开发了MCP作为一种创新的 和新的干预，以提高意义和减少绝望的晚期癌症患者生活在面对 死亡自从我们的国家卫生研究院（NIH）R25拨款资助，我们已经成功地开发了MCPT 并培训了来自各种临床机构和环境的297名临床医生。如建议，我们利用 RE-AIM框架，由五个不同的因素组成：1）覆盖范围，2）有效性，3）采用，4）实施， 5)维护，以评价MCPT项目对MCP转化为临床实践的影响。 初步结果表明，学员对MCPT计划非常满意， 在提供MCP方面，已经在自己的临床环境中成功实施了MCP，并正在保持 或在培训后提高他们的MCP技能。我们正在申请这项R25赠款的5年续期， 癌症护理临床医生对我们的创新，沉浸式培训表示出极大的兴趣，并进一步 向需要循证心理社会护理的晚期癌症患者传播MCP。我们将提供这个 在第6-10年期间培训另外336名临床医生，并加强培训的后续部分 进一步提高MCP技能的维护、采用和在临床实践中的实施。这还将使 我们将继续收集关于在不同的“真实的世界”中对患者实施MCP的数据， 临床环境。该项目的长期目标是将MCP传播到各种癌症和姑息治疗中。 通过培训大量不同的临床医生骨干，改善护理治疗环境。因此，这一具体目标 目标1：提供并进一步发展MCP培训计划，为癌症护理临床医生， 为癌症患者提供心理肿瘤学和心理社会姑息治疗服务的多学科; 目标2：通过辅导员对MCPT参与者和参与者的评分， 对计划的满意度以及技能的采用、实施和维护;目标3：评估 加强后续培训和参与多边协商程序社群活动对多边协商程序执行的影响 和技能维护。

Project Summary/Abstract The overall objective of this project, entitled “Meaning-Centered Psychotherapy Training for Cancer Care Providers” (MCPT), is to continue facilitate the implementation and dissemination of Meaning-Centered Psychotherapy (MCP), a Research-Tested Intervention Program (RTIP) through a multi-modal training program for cancer care clinicians. There is extensive evidence demonstrating a need for interventions targeting depression, hopelessness, loss of meaning and spiritual and existential distress in patients coping with the challenges of advanced cancer. To address this need, Breitbart and colleagues developed MCP as an innovative and novel intervention to enhance meaning and reduce despair in advanced cancer patients living in the face of death. Since our National Institute of Health (NIH) R25 grant was funded, we have successfully developed MCPT and trained 297 clinicians from a wide variety of clinical institutions and settings. As proposed, we utilized the RE-AIM framework, comprised of five distinct factors: 1) Reach, 2) Efficacy, 3) Adoption, 4) Implementation, and 5) Maintenance, to evaluate the impact of the MCPT program on the translation of MCP into clinical practice. Preliminary results indicate that trainees are extremely satisfied with the MCPT program, have become proficient in the delivery of MCP, have successfully implemented MCP in their own clinical settings, and are maintaining or improving their MCP skills post-training. We are applying for a 5-year renewal of this R25 grant to capitalize on overwhelming interest expressed by cancer care clinicians in our innovative, immersive training and to further disseminate MCP to advanced cancer patients in need of evidence-based psychosocial care. We will offer this training to an additional 336 clinicians during years 6-10 and enhance the follow-up components of the training to further improve MCP skill maintenance, adoption, and implementation in clinical practice. This will also enable us to continue to collect data on the implementation of MCP with patients in the “real world” across diverse clinical settings. The long-term goal of this project is to disseminate MCP to a wide variety of cancer and palliative care treatment settings through the training of a large, diverse cadre of clinicians. Thus, the specific aims of this study are to: Aim 1: Provide and further develop a training program in MCP for cancer care clinicians from multiple disciplines who provide psycho-oncology and psychosocial palliative care services for cancer patients; Aim 2: Evaluate trainees’ MCP skill acquisition through facilitators’ ratings of MCPT participants and participants’ satisfaction with the program and adoption, implementation, and maintenance of skills; and Aim 3: Evaluate the impact of enhanced follow-up training and engagement in MCP community activities on MCP implementation and skill maintenance.