Improving Cancer-Related Patient Decision Making

改善癌症相关患者的决策

基本信息

批准号：
8317981
负责人：
MICHAEL P PIGNONE
金额：
$ 15.19万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-03 至 2014-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): 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.

描述（由申请人提供）：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好处是必要的。目前，患者和提供者通常没有实施高质量决策过程的资源或技能。从认知心理学，医学经济学和卫生服务研究领域中融合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：在此提案中，我试图在UNC中建立一个强大的多学科研究计划，以与患者有关，与患者有关，与癌症相关的决策在内，包括新的研究，初级研究人员的指导以及建立UNC决策中心的决策中心，目的是改善跨预防，治疗，治疗和生存范围的癌症护理。通过减少其他临床和行政责任，将在K24奖励期间实现这些目标。新研究：我建议将10％的努力用于使用既定偏好技术来改善结直肠癌筛查决策的新临床研究。我还将通过与卫生经济学家的定向阅读以及与特遣队估值专家戴维·怀恩斯（David Whynes）合作的定向阅读来提高既定偏好技术来吸引患者价值的额外专业知识。指导：我将花40％的努力来指导UNC的初级调查员，重点是初级教师，从指导K奖到独立资金过渡。我将继续担任K30和癌症控制奖学金的教师，并将在癌症治疗和生存领域接任新学员。我的目标是一次与4-7名学员进行密切合作。建筑研究基础设施：我将开发一个UNC决策中心，其中包括扩大的决策支持实验室，其空间和人员增加了形成和实验研究；一项小型赠款计划，向我的学员提供资金，以进行与癌症相关决策的试点研究；癌症决策研究的地方和国家跨学科合作和交叉利用的演讲者系列；并扩展我们为学员和导师的每周工作研讨会。

项目成果

期刊论文数量（24）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A comparison of US and Australian men's values and preferences for PSA screening.

DOI：
10.1186/1472-6963-13-388
发表时间：
2013-10-05
期刊：
BMC health services research
影响因子：
2.8
作者：
Howard K;Brenner AT;Lewis C;Sheridan S;Crutchfield T;Hawley S;Nielsen ME;Pignone MP
通讯作者：
Pignone MP

Improving the quality of decision-making processes for prostate cancer screening: progress and challenges.

提高前列腺癌筛查决策过程的质量：进展与挑战。