Meaning-Centered Psychotherapy Training Program for Cancer Care Clinicians

项目摘要/摘要 这个项目的总体目标是“以意义为中心的癌症护理心理治疗培训” 提供者“(MCPT)，是为了继续促进以意义为中心的实施和传播 心理治疗(MCP)，通过多模式培训计划的研究测试的干预计划(RTIP) 为癌症护理临床医生服务。有大量证据表明有必要对目标进行干预 抑郁症患者的抑郁、绝望、意义丧失以及精神和生存苦恼 晚期癌症的挑战。为了满足这种需求，Breitbart和他的同事开发了MCP作为一种创新的 和新的干预措施，以增强意义和减少绝望的晚期癌症患者面对 死亡。自从我们的国家卫生研究所(NIH)R25拨款获得资助以来，我们已经成功地开发了MCPT 并培训了来自各种临床机构和机构的297名临床医生。如建议的那样，我们利用 Re-AIM框架，由五个不同的因素组成：1)达到，2)效果，3)采用，4)实施，以及 5)维护，评估MCPT计划对MCP转化为临床实践的影响。 初步结果表明，学员对MCPT方案非常满意，已熟练掌握 在MCP的交付中，已经成功地在自己的临床环境中实施了MCP，并正在维护 或在培训后提高他们的MCP技能。我们正在申请将这笔25卢比的赠款续期5年，以实现 癌症护理临床医生对我们的创新、身临其境的培训表现出极大的兴趣，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。我们将提供这一点 在6-10年期间对另外336名临床医生进行培训，并加强培训的后续内容 以进一步提高MCP技能在临床实践中的维护、采用和实施。这也将使 美国将继续收集有关在不同领域的患者实施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性疾病 通过培训一支庞大的、多样化的临床医生队伍，在护理治疗环境中开展工作。因此，这一行动的具体目标是 研究的目的是：目标1：为癌症护理临床医生提供并进一步发展MCP培训方案 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个学科； 目标2：通过辅导员对MCPT参与者和参与者的评分来评估学员的MCP技能习得 对计划以及技能的采用、实施和维护的满意度；以及目标3：评估 加强后续培训和参与MCP社区活动对MCP实施的影响 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.