Life After Cancer: Examining Survivor Transitions From Specialist to Primary Care

癌症后的生活：检查幸存者从专科护理到初级护理的转变

• 批准号: 8700972
• 负责人: SHAWNA V. HUDSON
• 金额: $ 4.91万
• 依托单位: RBHS-ROBERT WOOD JOHNSON MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8700972
• 关键词: Life; After; Cancer; Examining; Survivor

The overall goal of this career development application is to enable Dr. Hudson to become an independent researcher in cancer survivorship and primary care research. The numbers of cancer survivors are rapidly increasing. Breast and prostate cancer survival exceeds 75%. More than half of individuals already diagnosed with cancer are expected to survive for more than 5 years. Primary care providers are seen for one out of three cancer care office visits. Primary care foci of care coordination and continuity are necessary for achieving better survivor care. However, research on primary care providers' impact on survivor outcomes is fairly underdeveloped. Two new studies suggest that survivors who see both oncologists and primary care physicians are more likely to receive recommended follow-up care than patients who see one or the other. However, there is no research that examines how patients think about these options for care, their decision making processes or the impact of these factors on receiving follow-up care. Using a combination of interviewing and survey research methodologies, the proposed studies build on each other to (1) explore early stage breast and prostate cancer survivors' attitudes toward primary care for follow-up cancer screening and (2) develop and validate a survey instrument to be implemented in a study that describes primary care usage and assesses cognitive-affective, patient support and demographic factors that affect how survivors use specialists and primary care physicians for follow-up care. The training plan proposed supports this research by providing necessary advanced mentoring and coursework in health psychology, risk perception, decision making, cancer biology and epidemiology. This will enable the PI to effectively conduct the proposed studies and provide a strong, evidence based foundation for later development of a testable intervention that helps survivors more effectively work with primary care providers around their follow-up cancer care. This program of training and research will be critical to identifying common and important quality of life problems faced by survivors and identifying mechanisms and risk factors underlying these problems. Most importantly, the knowledge gained from these studies is essential for development and testing of theory guided interventions that focus on providing new strategies to more effectively address survivor care in the primary care setting.

这个职业发展申请的总体目标是使哈德森博士成为癌症生存和初级保健研究的独立研究员。癌症幸存者的人数正在迅速增加。乳腺癌和前列腺癌的存活率超过75%。超过一半已经被诊断出患有癌症的人预计能存活5年以上。初级保健提供者是三分之一的癌症护理办公室就诊。初级保健护理重点的协调和连续性对于实现更好的幸存者护理是必要的。然而，关于初级保健提供者对幸存者结果影响的研究相当不发达。两项新的研究表明，同时看肿瘤学家和初级保健医生的幸存者比只看其中一种医生的患者更有可能接受推荐的后续护理。然而，没有研究检查患者如何考虑这些护理选择，他们的决策过程或这些因素对接受后续护理的影响。采用访谈和调查研究相结合的方法，提出的研究建立在彼此的基础上：(1)探索早期乳腺癌和前列腺癌幸存者对后续癌症筛查的初级保健的态度；(2)开发和验证一种调查工具，用于描述初级保健使用和评估认知-情感的研究。患者支持和人口因素影响幸存者如何使用专家和初级保健医生的后续护理。拟议的培训计划通过在健康心理学、风险感知、决策、癌症生物学和流行病学方面提供必要的高级指导和课程来支持这项研究。这将使PI能够有效地开展拟议的研究，并为以后开发可测试的干预措施提供强有力的、基于证据的基础，帮助幸存者更有效地与初级保健提供者就其后续癌症护理进行合作。这一培训和研究项目对于确定幸存者面临的常见和重要的生活质量问题以及确定这些问题背后的机制和风险因素至关重要。最重要的是，从这些研究中获得的知识对于理论指导干预措施的开发和测试至关重要，这些干预措施的重点是提供新的策略，以更有效地解决初级保健环境中的幸存者护理问题。

项目成果

Epidemiology of Cigarette and Smokeless Tobacco Use among South Asian Immigrants in the Northeastern United States.

• DOI: 10.1155/2011/252675
• 发表时间: 2011
• 期刊: Journal of oncology
• 作者: Delnevo CD;Steinberg MB;Hudson SV;Ulpe R;Dipaola RS
• 通讯作者: Dipaola RS

Identifying key questions to advance research and practice in cancer survivorship follow-up care: a report from the ASPO Survivorship Interest Group.

• DOI: 10.1158/1055-9965.epi-18-7-aspo01
• 发表时间: 2009-07-01
• 期刊: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
• 作者: Hudson, Shawna V;Chubak, Jessica;Buist, Diana S M
• 通讯作者: Buist, Diana S M

Cancer Survivors and the Patient-Centered Medical Home.

• DOI: 10.1007/s13142-012-0138-3
• 发表时间: 2012-09
• 期刊: TRANSLATIONAL BEHAVIORAL MEDICINE
• 影响因子: 3.6
• 作者: Hudson, Shawna V.;Miller, Suzanne M.;Hemler, Jennifer;McClinton, Aneesah;Oeffinger, Kevin C.;Tallia, Alfred;Crabtree, Benjamin F.
• 通讯作者: Crabtree, Benjamin F.

The role of health literacy on African American and Hispanic/Latino perspectives on cancer clinical trials.

• DOI: 10.1007/s13187-011-0300-5
• 发表时间: 2012-06
• 期刊: JOURNAL OF CANCER EDUCATION
• 影响因子: 1.6
• 作者: Evans, Kiameesha R.;Lewis, M. Jane;Hudson, Shawna V.
• 通讯作者: Hudson, Shawna V.

Sun protection and exposure behaviors among Hispanic adults in the United States: differences according to acculturation and among Hispanic subgroups.

• DOI: 10.1186/1471-2458-12-985
• 发表时间: 2012-11-15
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Coups EJ;Stapleton JL;Hudson SV;Medina-Forrester A;Natale-Pereira A;Goydos JS
• 通讯作者: Goydos JS