Oncology Nurse IMPACT:Improving Communication with Patients about Clinical Trial

描述(由申请人提供)：临床试验是开发改进的癌症预防和治疗策略所必需的。不幸的是，只有不到10%的癌症患者参与了癌症研究。参与率低的原因有很多，包括后勤因素，以及患者的知识和态度，以及家庭成员、社区、机构和卫生保健提供者的影响。肿瘤科护士与患者共享治疗关系，据估计，与患者接触的次数是医生同行的两倍。鉴于肿瘤科护士在支持患者护理和治疗决策方面的密切参与，我们建议开发、实施和评估一个理论驱动的、交互式的、基于网络的、量身定做的教育计划，以提高肿瘤科护士在患者临床试验决策中的参与度。总体目标是增加肿瘤学护士与患者在常规临床环境下进行临床试验的一般性讨论。在计划行为理论的指导下，这个基于网络的教育项目将系统地评估和解决护士在讨论与知识、态度、感知的规范信念和感知的行为控制有关的临床试验方面的障碍。这三个具体目标是：目标1)开发和试点测试肿瘤学护士影响，这是一个提供在线视频的互动教育计划，以解决个别护士在与患者讨论临床试验作为一种治疗选择方面的障碍；目标2)在国家层面实施肿瘤护士影响并进行正式计划评估。我们将通过电子邮件在全国范围内招募具有代表性的1030名肿瘤护理学会成员参加教育计划。项目评估将评估护士教育、项目内容和可接受性(遵循教育评估标准联合委员会的原则)。这项评估将包括对教育文本的影响与控制条件的随机比较；以及目的3)评估教育计划的中介和主持人对与患者讨论临床试验的意图的影响。我们假设，通过克服护士与患者讨论有关临床试验的一般信息的障碍，癌症患者最终将增加对临床试验的参与。

DESCRIPTION (provided by applicant): Clinical trials are necessary to develop improved cancer prevention and treatment strategies. Unfortunately, less than ten percent of cancer patients take part in cancer research studies. There are many reasons for this low participation rate, including logistical factors, as well as the knowledge and attitudes of patients, and the influence of family members, communities, institutions, and health care providers. Oncology nurses share a therapeutic relationship with their patients, and are estimated to have twice as much contact with patients as their physician counterparts. Given the close involvement of oncology nurses in supporting patient decision making about care and treatment, we propose to develop, implement, and evaluate a theory- driven, interactive, web-based, tailored educational program to improve oncology nurse engagement in patient decision making about clinical trials. The overall goal is to increase oncology nurse general discussions with patients about clinical trials in routine clinical settings. Guided by the Theory of Planned Behavior, this web-based educational program will systematically assess and address nurses' barriers to discussing clinical trials related to knowledge, attitudes, perceived normative beliefs, and perceived behavioral control. The three specific aims are: Aim 1) to develop and pilot test Oncology Nurse IMPACT, an interactive educational program that delivers online videos to address individual nurses' barriers to discussing clinical trials as a treatment option with patients; Aim 2) to implement Oncology Nurse IMPACT on a national level and conduct a formal program evaluation. We will recruit a representative nationwide sample of 1,030 Oncology Nursing Society members by email to participate in the educational program. The program evaluation will assess nurse education, and program content and acceptability (guided by principles of the Joint Committee on Standards for Educational Evaluation). This evaluation will include a randomized comparison of IMPACT vs. a control condition of educational text; and Aim 3) to evaluate the mediators and moderators of education program effect on intentions to discuss clinical trials with patients. We hypothesize that by overcoming nurses' barriers to discussing general information about clinical trials with patients, cancer patient participation in clinical tials will ultimately increase.