CBT Training For Clinicians Providing Supportive Care For Cancer Survivors

为癌症幸存者提供支持性护理的临床医生进行 CBT 培训

• 批准号: 8544404
• 负责人: Paul Benjamin Greene
• 金额: $ 27.21万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8544404
• 关键词: Address; Aftercare; Anxiety; Behavioral; Belief; California; Cancer Patient; Cancer Survivor; Caring; Cities; Cognition; Cognitive Therapy; Collaborations; Consultations; Counseling; Discipline of Nursing; Distress; Educational Curriculum; Educational process of instructing; Educational workshop; Effectiveness; Evaluation; Feedback; Feeling; Future; Goals; Health; Health Professional; Health Psychology; Institute of Medicine (U.S.); Institution; Intention; Intervention; Knowledge; Learning; Licensing; Malignant Neoplasms; Mental Depression; Methods; Moods; Motivation; New York; Nurses; Paper; Patients; Physiological; Population; Professional Education; Program Evaluation; Psychologist; Psychosocial Influences; Quality of life; Reaction; Reporting; Research Personnel; Role playing therapy; Services; Social Work; Social Workers; Structure; Supportive care; Survivors; Symptoms; Techniques; Telephone; Testing; Training; Training Programs; active method; base; behavior test; cancer care; cancer education; clinically significant; design; emotional distress; experience; follow-up; improved; journal article; medical schools; meetings; member; programs; psychological distress; psychosocial; response; satisfaction; skills; skills training; standardize measure; symposium; uptake

DESCRIPTION (provided by applicant): For between one-third and one-half of all cancer survivors, disturbances in mood and cognition do not end with the conclusion of treatment. Recognizing this problem, the Institute of Medicine (IOM) has emphasized in its 2007 report, "Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs," the importance of addressing psychosocial issues, such as distress, to providing good cancer care. The NCI has recognized that there is a severe lack of trained professionals to address these needs. The proposed training program seeks to reduce these quality of life problems by training health professionals providing supportive care to cancer survivors to implement of Cognitive-Behavioral Therapy (CBT). Empirically-validated CBT interventions have been found to yield significant benefits for cancer patients and survivors, including reduction of psychological distress. Although 71% of health care professionals we polled recognized the usefulness of CBT, only 5% reported mastery of CBT skills. And over 80% expressed high motivation in learning how to implement CBT techniques targeted for cancer survivors. Trainees will be competitively selected licensed/credentialed professionals, including: psychologists, social workers, and CL nurses. The proposed R-25E will test a structured CBT training curriculum that includes didactic discussion, role playing and feedback. The curriculum will be presented across 3-day workshops with 40 trainees at each workshop (for a total of 320 trainees across a total of 8 workshops). CBT workbooks and copies of relevant journal articles and review chapters will be provided. After completing the workshop, trainees will participate in six monthly follow-up group phone conferences to review CBT techniques and to discuss their progress. Program evaluation will address: knowledge and skills acquired, survivor benefit, trainee and institutional up-take, and trainee satisfaction. Overarching goal: to train healthcare professionals to implement CBT for cancer survivors in order to improve their quality of life. Specific aims: 1: To test the effectiveness of healthcare professional CBT training workshops using paper-and-pencil evaluations of trainee knowledge of CBT techniques, administered pre- and post-workshops; 2: To assess CBT skills gained based on trainer ratings of trainee skill during mock CBT sessions carried out during workshops; 3: To evaluate the effectiveness of training based on trainer assessment of skill demonstrated during presentation of a case presented after the sixth (and final) follow-up phone conference call; 4: To determine the effectiveness of training in terms of benefit for end-users, the survivors treated by trainees, as determined by survivors' ratings of distress on standardized measures completed before and after the CBT intervention; 5: To evaluate trainee uptake of CBT through an assessment of their continued implementation of CBT with survivors after completion of all training; 6: To determine institutional uptake of the CBT training as indicated by the institution's intention to send other staff members to future CBT training workshops; 7: To assess trainee satisfaction with the CBT professional education program. Relevance: Even after treatment is over, many cancer survivors continue to suffer from emotional distress. The proposed professional cancer education program strives to provide these survivors the best possible care by training the clinicians responsible for their supportive services to implement Cognitive-Behavioral Therapy.

描述（由申请人提供）： 对于三分之一到一半的癌症幸存者来说，情绪和认知障碍并没有随着治疗的结束而结束。认识到这一问题，医学研究所（IOM）在其2007年的报告中强调，“癌症护理对整个病人：满足心理社会健康需求”，解决心理社会问题的重要性，如痛苦，提供良好的癌症护理。国家癌症研究所承认，严重缺乏训练有素的专业人员来满足这些需求。拟议的培训计划旨在通过培训为癌症幸存者提供支持性护理的卫生专业人员实施认知行为疗法（CBT）来减少这些生活质量问题。经验验证的CBT干预措施已被发现为癌症患者和幸存者带来显着的好处，包括减少心理困扰。尽管我们调查的71%的医疗保健专业人员认识到CBT的有用性，但只有5%的人报告掌握了CBT技能。超过80%的受访者表示，他们非常愿意学习如何实施针对癌症幸存者的CBT技术。受训人员将是经过竞争挑选的有执照/有证书的专业人员，包括：心理学家，社会工作者和CL护士。拟议的R-25 E将测试一个结构化的CBT培训课程，包括教学讨论，角色扮演和反馈。该课程将在为期3天的讲习班上介绍，每个讲习班有40名受训人员（共8个讲习班，共320名受训人员）。将提供CBT练习册和相关期刊文章和综述章节的副本。完成研讨会后，学员将参加六个月的后续小组电话会议，以审查CBT技术，并讨论他们的进展。方案评估将涉及：获得的知识和技能、遗属福利、受训者和机构的接受情况以及受训者的满意度。 总体目标：培训医疗保健专业人员为癌症幸存者实施CBT，以提高他们的生活质量。具体目标：一曰：为了测试医疗保健专业人员CBT培训研讨会的有效性，在研讨会前和研讨会后对受训者的CBT技术知识进行纸笔评估; 2：根据培训师在研讨会期间进行的模拟CBT会议期间对受训者技能的评级评估所获得的CBT技能; 3：根据培训师对第六次会议后病例陈述期间所展示技能的评估，评估培训的有效性。（和最后一次）后续电话会议; 4：确定培训对最终用户、受训人员治疗的幸存者的益处的有效性，如幸存者对CBT干预前后完成的标准化测量的痛苦评级所确定的; 5：通过评估受训者在完成所有培训后对幸存者继续实施CBT的情况，评估受训者接受CBT的情况; 6：根据机构派遣其他工作人员参加未来CBT培训讲习班的意图，确定机构接受CBT培训的情况; 7：评估学员对CBT专业教育计划的满意度。 相关性：即使在治疗结束后，许多癌症幸存者仍继续遭受情绪困扰。拟议的专业癌症教育计划致力于为这些幸存者提供最好的护理，培训临床医生负责他们的支持服务，以实施认知行为疗法。