Using the RE-AIM Model to Translate Distress Screening into Cancer Care

描述（由申请人提供）：这个创新的心理社会肿瘤学教育计划的目标是通过痛苦筛查课程教育参与者在各自的癌症护理机构中采用、实施和维护常规的癌症治疗患者痛苦筛查计划。五个组成部分包括一个全面的痛苦筛选方案：使用一个有效的，敏感的措施来识别痛苦的病人；评估病人痛苦的来源；将病人和家属转介到需要的社会心理服务；跟进转介，以协调心理社会服务与生物医学癌症护理服务；并通过质量改进来保证项目的有效性。具体目标是：1)制定痛苦筛查课程，并通过研讨会和电子学习活动，在90个不同的心理癌症护理实践环境中，共180名多学科参与者实施该课程；2)评估参与者对痛苦筛查课程的满意度对参与者实现目标和项目结果的影响；3)评估该癌症教育项目的范围、有效性、采用、实施和维护（利用RE-AIM模型），以实现使用痛苦筛查的新质量护理标准，确保为癌症治疗患者提供适当的心理健康服务。为了通过持续实施和维护参与者筛选计划来保证最广泛的覆盖范围，课程将在24个月内交付。在课程的第一年，它将包括一个入门研讨会和季度视频会议，在第二年，一个高级研讨会和半年一次的视频会议。它将被分发给来自同一癌症护理机构的两个人组成的二人组，他们代表不同的专业实践学科，如牧师、护理、肿瘤学、精神病学、心理学或社会工作。该课程将在资助的第一年教育新的18个孩子；在赠款的第2-5年，每年将教育18名新夫妇和18名返回夫妇。这意味着五年来总共有180名新参与者。这也代表了在五年资助期内（36 x 1年+ 72 x 4年）共有324个讲习班座位和电子学习空间被占用。评估将包括项目的范围和有效性，以及参与者对痛苦筛查项目的采用、实施和维护情况。研究人员将与美国社会心理肿瘤学会合作，在资助期内实施培训计划，并在资助期结束后继续实施。这一教育项目将改善社会心理健康服务的提供，并在参与者的实践环境中显著提高将最先进的社会心理肿瘤护理与生物医学肿瘤护理相结合的最佳实践知识。

DESCRIPTION (provided by applicant): The goal of this innovative psychosocial oncology educational initiative is to educate participants through the Distress Screening Curriculum to adopt, implement, and maintain programs for routine distress screening of patients in treatment for cancer in their respective cancer-care facilities. Five components comprise a comprehensive distress screening program: using a validated, sensitive measure for identifying distressed patients; assessing patients for sources of their distress; referring patients and families to needed psychosocial services; following up on referrals for the coordination of psychosocial services with biomedical cancer care services; and using quality improvement to assure the program's effectiveness. Specific aims are to: 1) develop the Distress Screening Curriculum and implement it through workshops and eLearning activities to a total of 180 multidisciplinary participants in 90 diverse practice settings in psychosocial cancer care; 2) evaluate the impact of and participants' satisfaction with the Distress Screening Curriculum on participants' achievement of their goals and program outcomes; and 3) assess the reach, effectiveness, adoption, implementation, and maintenance (utilizing the RE-AIM model) of this cancer education program on achieving the new quality care standard of using distress screening to ensure the provision of appropriate psychosocial health services for patients in treatment for cancer. To guarantee the widest reach through sustained implementation and maintenance of participants' screening programs, the Curriculum will be delivered over 24 months. In the Curriculum's first year, it will include an introductory workshop and quarterly videoconferences, and in the second year, an advanced workshop and semiannual videoconferences. It will be delivered to cohorts of dyads composed of two individuals from the same cancer-care facility who represent different professional practice disciplines, such as chaplaincy, nursing, oncology, psychiatry, psychology, or social work. The Curriculum will educate new 18 dyads in year 1 of the grant; and in each year of years 2-5 of the grant, it will educate 18 new dyads and 18 returning dyads. This represents a total of 180 new participants over the five years. It also represents a total of 324 workshop seats occupied and eLearning spaces filled over the five-year funding period (36 x 1 year + 72 x 4 years). Assessment will include the program's reach and effectiveness and participants' adoption, implementation, and maintenance of distress screening programs. The investigators will partner with the American Psychosocial Oncology Society to implement the training program during the grant period and to sustain it once the grant period has ended. This educational program will improve the delivery of psychosocial health services and significantly advance knowledge of best practices for integrating state-of-the-science psychosocial oncology care with biomedical oncology care across participants' practice settings.