CLINICAL TRIALS EDUCATION FOR COLORADO PROVIDERS

该提案旨在解决R25特殊或持续关注领域，“癌症治疗和预防的临床试验教育计划：短期课程或全面的综合计划。“这个为期四年的项目的最终目标是增加医疗保健提供者对妇女和少数民族癌症护理试验的推荐。 “癌症护理试验”（CCT）包括与癌症筛查、预防、治疗、诊断方法和支持性护理相关的试验。 实现这一目标的主要机制将是通过开发，实施和评估的教育干预的医疗保健提供者，包括材料的文化和地理上的一致性为更大的科罗拉多地区，促进文化能力的医疗保健提供者。 该项目基于美国国家癌症研究所的癌症临床试验教育计划（CCTEP），该计划采用模块化格式，旨在教育提供者和消费者有关癌症护理试验。 该项目的具体目标是：（1）通过修改CCTEP，制定一项针对提供者的文化和地理相关性的教育干预措施;（2）实施修改后的CCTEP课程;（3）评估修改后的CCTEP课程的有效性;以及（4）提高区域医疗保健提供者对CCT的认识和理解。 修改后的课程被称为“7 C”--科罗拉多文化上胜任的临床癌症护理课程。 该课程将在90分钟的教育会议中提出，并在现有的专业会议中实施（例如，作为会前教育研讨会、专业会议内的90分钟特别会议或会后研讨会）。 潜在的会议地点包括科罗拉多医学会、科罗拉多公共卫生协会、肿瘤护理学会的丹佛地铁和派克峰分会、美国预防肿瘤学会（ASPO）、肿瘤社会工作者协会（AOSW）和手术室护士协会（AORN）的选定会议。 评价包括主要和次要分析以及过程和结果评价。结果指标包括：（1）转诊到有条件现金转移支付的合格妇女和少数族裔人数增加;（2）参与和/或转诊到有条件现金转移支付的提供者人数增加。零假设是，修改后的课程不会对妇女和少数民族转介到有条件现金援助的人数产生影响，而备择假设是，一个或多个模块将影响提供者，增加妇女和少数民族转介到有条件现金援助的人数。

This proposal is designed to address the R25 Areas of Special or Continuing Interest, "Clinical trial education programs for cancer treatment and prevention: short courses or comprehensive, integrated programs." The ultimate goal of this four-year project is to increase healthcare provider referrals of women and minorities to cancer care trials. "Cancer Care Trials" (CCT) include trials related to cancer screening, prevention, treatment, diagnostic methods, and supportive care. The primary mechanism to achieve this goal will be through the development, implementation, and evaluation of an educational intervention for healthcare providers that incorporates materials that are culturally and geographically congruent for the greater Colorado region and that promote cultural competence in healthcare providers. The project is based on the National Cancer Institute's Cancer Clinical Trials Education Program (CCTEP), a program in modular format that is designed to educate providers and consumers about cancer care trials. The specific aims of the project are to (1) develop an educational intervention designed to be culturally and geographically relevant for providers through modification of CCTEP, (2) implement the modified CCTEP curriculum, (3) evaluate the effectiveness of the modified CCTEP curriculum, and (4) increase the awareness and understanding of CCT among regional healthcare providers. The modified curriculum is referred to as the "7 C's" -- The Colorado Culturally Competent Clinical Cancer Care Curriculum. The curriculum will be presented in 90-minute educational sessions and implemented within existing professional conferences (e.g., as pre-conference educational workshops, special 90-minute sessions within the professional conference, or post-conference seminars). Potential venues include selected conferences of the Colorado Medical Society, the Colorado Public Health Association, the Metro Denver and Pikes Peak Chapters of the Oncology Nursing Society, the American Society of Preventive Oncology (ASPO), the Association of Oncology Social Workers (AOSW), and the Association of Operating Room Nurses (AORN). Evaluation includes primary and secondary analyses as well as process and outcome evaluation. Outcome measures include (1) an increase in the number of eligible women and minorities who are referred to CCT and (2) an increase in the number of providers who are participating in and/or refer to CCT. The null hypothesis is that the modified curriculum will make no difference in the number of referrals of women and minorities into CCT, while the alternative hypothesis is that one or more of the modules will influence providers to increase referrals of women and minorities into CCT.