Improving Cancer-Related Patient Decision Making

改善癌症相关患者的决策

• 批准号: 8132441
• 负责人: MICHAEL P PIGNONE
• 金额: $ 15.15万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-03 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8132441
• 关键词: Academic Detailing; Adoption; African American; Age; Area; Award; Behavioral; Cancer Control; Cancer Survivorship; Centers for Disease Control and Prevention (U.S.); Cessation of life; Church; Clinical; Clinical Research; Cognitive Science; Collaborations; Colon Carcinoma; Communication; Consultations; Decision Aid; Decision Making; Development; Economics; Educational Intervention; Educational process of instructing; Effectiveness; Engineering; Evaluation; Exercise; Faculty; Fellowship; Fertilization; Foundations; Funding; Future; Generic Drugs; Goals; Grant; Growth; Health; Health Planning; Health Services Research; Heart failure; Hospitalization; Human Resources; Incidence; Intention; Interdisciplinary Study; Internal Medicine; Intervention; K-Series Research Career Programs; Knowledge; Laboratories; Maintenance; Malignant Neoplasms; Measures; Medical; Medical Economics; Mentors; Mentorship; Mid-Career Clinical Scientist Award (K24); Modeling; Motivation; NIH Program Announcements; North Carolina; Outcome; Participant; Patients; Pilot Projects; Policies; Population; Prevention; Primary Health Care; Process; Provider; Public Health Schools; Randomized Controlled Trials; Reading; Registries; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Support; Resources; Risk; Screening for cancer; Screening procedure; Self Care; Self Efficacy; Senior Scientist Award; Series; Site; Social support; Techniques; Testing; Time; Training; Universities; Update; Work; base; cancer care; cancer prevention; cancer therapy; career; clinical decision-making; clinical practice; colorectal cancer screening; cost effectiveness; dissemination research; eligible participant; financial incentive; implementation research; improved; innovation; intervention effect; literacy; member; models and simulation; patient oriented; pilot trial; preference; programs; randomized trial; research study; secondary outcome; skills; survivorship; treatment as usual; treatment strategy; trial comparing; uptake; urban area; willingness to pay

Background: High quality clinical decision making is necessary to realize the full benefits of emerging cancer prevention and treatment strategies. Currently, patients and providers are often without the resources or skills to implement high quality decision making processes. Integrating expertise from the fields of cognitive psychology, medical economics, and health services research can improve cancer-related decision making research and practice. Career Goals: In this proposal, I seek to build a strong multidisciplinary research program at UNC in patient-oriented, cancer-related decision making that includes new research, mentorship of junior investigators, and creation of a UNC Center for Decision Making Research, with a goal of improving cancer care across the spectrum of prevention, treatment, and survivorship. These goals will be made possible during the K24 award through a reduction in other clinical and administrative responsibilities. New Research: I propose to devote 10% effort to new clinical research on the use of stated preference techniques to improve decision making in colorectal cancer screening. I will also develop additional expertise in the use of stated preference techniques for eliciting patient values through directed readings with health economists and a sabbatical to work with David Whynes, an expert in contingent valuation. Mentoring: I will devote 40% effort to mentoring junior investigators at UNC, with a focus on junior faculty making the transition from mentored K awards to independent funding. I will continue to serve as faculty in the K30 and Cancer Control Fellowships and I will take on new trainees in the areas of cancer treatment and survivorship. My goal is to work intensively with 4-7 trainees at a time. Building Research Infrastructure: I will develop a UNC Center for Decision Making Research that will include an expanded decision support laboratory with increased space and personnel for formative and experimental research; a small grant program to provide my trainees with funding to perform pilot studies in cancer-related decision making; a speaker series for local and national inter-disciplinary collaboration and cross-fertilization on cancer decision making research; and expansion of our weekly working seminar for trainees and mentors.

背景：高质量的临床决策对于实现新兴癌症预防和治疗策略的全部益处是必要的。目前，患者和提供者通常没有资源或技能来实施高质量的决策过程。整合认知心理学、医学经济学和卫生服务研究领域的专业知识可以改善与癌症相关的决策研究和实践。职业目标：在本提案中，我寻求在北卡罗来纳大学建立一个强大的多学科研究项目，以患者为导向，与癌症相关的决策，包括新研究、初级研究人员的指导，以及建立北卡罗来纳大学决策研究中心，目标是在预防、治疗和生存等方面改善癌症护理。这些目标将在 K24 授予期间通过减少其他临床和行政职责来实现。新研究：我建议投入 10% 的精力进行新的临床研究，利用规定的偏好技术来改善结直肠癌筛查的决策。我还将通过与健康经济学家的定向阅读以及与条件评估专家大卫·怀恩斯（David Whynes）合作的休假时间来发展使用陈述偏好技术来引出患者价值观的额外专业知识。指导：我将投入 40% 的精力来指导北卡罗来纳大学的初级研究人员，重点是初级教师从受指导的 K 奖过渡到独立资助。我将继续担任 K30 和癌症控制奖学金的教职人员，并将接受癌症治疗和生存领域的新学员。我的目标是一次与 4-7 名学员一起密集工作。建设研究基础设施：我将建立一个北卡罗来纳大学决策研究中心，其中包括一个扩大的决策支持实验室，增加了用于形成性和实验性研究的空间和人员；一项小额赠款计划，为我的学员提供资金，以进行癌症相关决策的试点研究；地方和国家跨学科合作和癌症决策研究交叉的演讲系列；并扩大我们为学员和导师举办的每周工作研讨会。