PREVENTIVE ONCOLOGY ACADEMIC AWARD

预防肿瘤学学术奖

• 批准号: 6513290
• 负责人: DAVID A KATZ
• 金额: $ 2.64万
• 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 2002-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6513290
• 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：(应聘者描述)受过培训的普通内科医生 在临床流行病学方面，David A.Katz，M.D.，M.Sc。是一位出色的 实现预防肿瘤学学术奖目标的候选人 (POAA)。他的专业重点是评估实践指南和 临床实践政策；尤其是，他对以下方面有坚定的承诺 烟草控制和癌症预防方面的研究。改进证据 实践指南和设计实施这些指南的新方法的基础是 尤其与POAA有关，因为准则具有很大的潜力 提高肿瘤预防临床护理整体服务水平。 沿着这些思路，这项提案的研究目标是完成一项 连续门诊吸烟者参与的对照干预试验 向十家初级保健诊所介绍。这项研究旨在 确定利用非医生人员实施的有效性 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，吸纳临床医生(医疗人员 助理和实习护士)将接受培训，以便系统地 识别吸烟状况，提供短暂的戒烟咨询，以及 安排后续行动。主要终点将是1)吸烟比例 接受推荐指南干预的患者，以及2) 自我报告和生化确认的戒断率。教育性的 这项提议的目标是：1)加强Katz博士在以下领域的培训 与预防肿瘤学有关，包括有效性试验的设计， 生物统计学和临床戒烟，以及2)揭露 Katz博士对癌症预防和烟草的国家干预研究 控制力。 卡茨博士将百分之百地致力于实现 POAA。他提出的研究将提供急需的证据 国家戒烟指南在临床上的有效性 实践，以及对利用 改善预防性护理的指导方针。卡茨博士将实现 POAA为已经精通的个人提供机会 流行病学向完全独立的调查员过渡 癌症病因学、预防和控制方面的教师。