Research Dissemination through the ASCO Virtual Learning Collaborative Pilot: Int

描述(由申请人提供)：为了满足晚期癌症患者的复杂护理需求，需要姑息治疗。姑息治疗强调医学上适当的目标设定，与患者和家人的开放沟通，以及细致的症状评估和控制。AHRQ和其他机构的研究表明，姑息护理干预在改善患者生活质量、减轻症状、提高满意度和减轻照顾者压力方面是成功的。尽管有强有力的证据基础，但研究表明，提供次优姑息治疗的情况依然存在；晚期癌症患者有多种未得到解决和控制的症状，以及未得到满足的心理社会需求。美国临床肿瘤学会(ASCO)质量肿瘤学实践倡议(QOPI)的结果表明，门诊肿瘤学设置需要改进。作为肿瘤学领域领先的医学专业协会，ASCO在向执业肿瘤学家传播基于证据的姑息治疗工具和资源方面具有独特的地位。ASCO建议与美国临终关怀和姑息医学学会(AAHPM)合作，开发一种创新的战略来传播姑息治疗研究。基于技术的传播模型融合了协作质量改进模型的原则。ASCO和AAHPM与杜克大学的研究团队一起，将应用研究、教育、质量改进、肿瘤学和姑息治疗方面的专业知识整合到这一努力中。这一努力的长期目标是创建一个可持续、可扩展的基础设施，以促进将姑息治疗研究传播到多个提供者群体，并在其他临床领域传播以患者为中心的结果研究结果。这项建议的具体目标是：目标1：开发ASCO虚拟学习合作(VLC)，以传播循证解决方案，以支持肿瘤学的初级姑息治疗。VLC将包括一套协调的、定制的虚拟学习模块、社交网络/媒体、资源共享和网络研讨会功能，这些功能改编自现有的ASCO技术解决方案，以及一个循证资源工具箱。目标2：试点测试、改进和启动ASCO虚拟学习协作。来自肿瘤学实践的团队将利用VLC来通知和支持使用计划-做-研究-行动周期的变化的当地测试。团队将通过VLC分享最佳实践和资源，受益于专家和同行的指导。我们将利用RE-AIM框架来评估试点，包括VLC对与初级姑息治疗相关的质量衡量绩效的影响；以及VLC平台的采用和实施情况，使用使用数据、调查、访谈和焦点小组。姑息治疗工具箱将被肿瘤学家和其他学科广泛使用。在试点的支持下，VLC将启动，供ASCO成员使用。

DESCRIPTION (provided by applicant): To address the complex care needs of patients with advanced cancer, palliative care is needed. Palliative care emphasizes medically appropriate goal setting, open communication with patients and families, and meticulous symptom assessment and control. Research from AHRQ and others indicates that palliative care interventions are successful in improving patient quality of life, reducing symptoms, improving satisfaction, and reducing caregiver stress. Despite a strong evidence base, research shows that suboptimal delivery of palliative care persists; patients with advanced cancer have multiple unaddressed and uncontrolled symptoms, and unmet psychosocial needs. Results from the American Society of Clinical Oncology (ASCO) Quality Oncology Practice Initiative (QOPI) demonstrate the need for improvement in the outpatient oncology setting. As the leading medical specialty society in oncology, ASCO is uniquely positioned to disseminate evidence-based palliative care tools and resources to practicing oncologists. ASCO proposes development of an innovative strategy to disseminate palliative care research, in collaboration with the American Academy of Hospice and Palliative Medicine (AAHPM). The technology-based dissemination model integrates principles from collaborative quality improvement models. ASCO and AAHPM, along with the research team from Duke University, bring to this effort combined expertise in applied research, education, quality improvement, oncology, and palliative care. The long-term goal of this effort is to create a sustainable, scalable infrastrucure that will facilitate dissemination of palliative care research to multiple provider groups, and dissemination of patient-centered outcomes research results in other clinical areas. The specific aims of this proposal are: Aim 1: Develop the ASCO Virtual Learning Collaborative (VLC) to disseminate evidence-based solutions to support primary palliative care in oncology. The VLC will include a coordinated, customized suite of virtual learning modules, social networking/media, resource sharing, and webinar functionality adapted from existing ASCO technology solutions, and a toolbox of evidence-based resources. Aim 2: Pilot test, refine, and launch the ASCO Virtual Learning Collaborative. Teams from oncology practices will utilize the VLC to inform and support local tests of change using Plan-Do-Study-Act cycles. Teams will share best practices and resources through the VLC, benefiting from expert and peer guidance. We will utilize the RE-AIM framework to evaluate the pilot, including the impact of the VLC on quality measure performance related to primary palliative care; and the adoption and implementation of the VLC platform using usage data, surveys, interviews and focus groups. The palliative care toolbox will be widely available for use by oncologists and other disciplines. f supported by the pilot, the VLC will be launched for ASCO membership use.