PREVENTIVE ONCOLOGY ACADEMIC AWARD

预防肿瘤学学术奖

• 批准号: 2681246
• 负责人: DAVID A KATZ
• 金额: $ 9.4万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-07-13 至 2003-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2681246
• 关键词: cancer prevention; child health care personnel; clinical research; counseling; health care personnel performance; health care policy; health care service utilization; health services research tag; human subject; smoking cessation

DESCRIPTION: (Applicant's Description) As a general internist with training in clinical epidemiology, David A. Katz, M.D., M.Sc. is an excellent candidate to fulfill the goals of the Preventive Oncology Academic Award (POAA). His professional focus is the evaluation of practice guidelines and clinical practice policies; in particular, he has a strong commitment toward research in tobacco control and cancer prevention. Improving the evidence base for practice guidelines and devising novel ways to implement them is especially pertinent for the POAA, as guidelines have great potential to improve the overall delivery of cancer prevention clinical care. Along these lines, the research goal of this proposal is to complete a controlled intervention trial, involving consecutive outpatient smokers presenting to ten primary care clinics. This research is designed to determine the effectiveness of utilizing non-physician staff to implement the Agency for Health Care Policy and Research (AHCPR) Smoking Cessation Clinical Practice Guideline. In this trial, intake clinicians (medical assistants and practice nurses) will be trained to perform systematic identification of smoking status, to offer brief cessation counseling, and to arrange follow-up. Major endpoints will be 1) the proportion of smoking patients who receive recommended guideline interventions, and 2) self-reported and biochemically confirmed cessation rates. The educational goals of this proposal are 1) to augment Dr. Katz's training in areas pertinent to preventive oncology, including design of effectiveness trials, biostatistics, and smoking cessation in clinical practice, and 2) to expose Dr. Katz to national intervention studies in cancer prevention and tobacco control. Dr. Katz will devote 100 percent of his efforts toward the goals of the POAA. His proposed research will provide much needed evidence on the effectiveness of a national smoking cessation guideline in clinical practice, as well as more general insights into the utilization of guidelines to improve preventive care. Dr. Katz will fulfill the intent of the POAA in providing an opportunity for individuals already proficient in epidemiology to make the transition to a fully independent investigator and teacher in cancer etiology, prevention, and control.

描述：（申请人的描述）作为一个普通内科医生与培训 在临床流行病学中，大卫A. Katz，医学博士，M.S.是一个优秀的 候选人实现预防肿瘤学学术奖的目标 （POAA）。 他的专业重点是评估实践指南， 临床实践政策;特别是，他有一个坚定的承诺， 烟草控制和癌症预防研究。 完善证据 实践指南的基础和设计新的方法来实施它们是 特别是与POAA相关，因为指南具有很大的潜力， 改善癌症预防临床护理的整体提供。 沿着这些思路，本提案的研究目标是完成一个 对照干预试验，涉及连续门诊吸烟者 向十个初级保健诊所进行介绍。 这项研究旨在 确定利用非医生工作人员实施的有效性 卫生保健政策和研究机构（AHCPR）戒烟 临床实践指南。 在这项试验中，摄入临床医生（医疗 助理和实习护士）将接受培训， 识别吸烟状况，提供简短的戒烟咨询，以及 安排后续行动 主要终点为1）吸烟比例 接受推荐的指南干预的患者，以及2） 自我报告和生化证实的戒烟率。 教育 该提案的目标是：1）加强Katz博士在以下领域的培训 与预防性肿瘤学相关，包括有效性试验的设计， 生物统计学和临床实践中的戒烟，以及2）暴露 博士卡茨在癌症预防和烟草的国家干预研究 控制 博士卡茨将投入100%的努力，以实现目标， POAA。 他提出的研究将提供急需的证据， 国家戒烟指南在临床中的有效性 实践，以及对利用 改善预防保健的指导方针。 卡茨医生将实现 POAA为那些已经精通 向完全独立的研究者过渡， 癌症病因学、预防和控制方面的教师。