E-Counseling in psychosocial cancer care: A competency-based E-Learning approach

描述（由申请人提供）：高达89%的癌症患者有未满足的心理社会需求。电子咨询，定义为使用互联网提供心理社会干预，为有需要的患者提供以临床有效、成本效益高和方便的方式接受癌症心理社会护理的能力。电子咨询克服了阻碍更传统的面对面咨询方法的障碍，并增加了提供者的覆盖面。不幸的是，很少有心理癌症护理提供者接受过电子咨询技能的培训。我们最近对癌症心理治疗提供者的需求评估（N=104）表明，目前只有4%的提供者对癌症患者和幸存者进行电子咨询，12%的人认为他们在如何进行电子咨询方面接受了足够的培训，93%的人表示他们对电子咨询在线培训感兴趣。为了弥补专业培训方面的这一差距并回应提供者的兴趣，该提案的目标是：1)为心理社会癌症护理提供者开发和实施电子咨询在线培训计划（癌症电子咨询课程：ECCC）；2)评估ECCC对癌症电子咨询学员胜任力的影响；3)评估ECCC对临床实践行为的影响；4)识别预测电子咨询采用的学员特征。该项目以两种理论方法为指导。ECCC的培训部分由基础能力方法指导。培训将重点培养以下技能：基于经验的癌症电子咨询实践，癌症电子咨询的法律遵从性，癌症电子咨询的道德行为，癌症电子咨询的治疗关系发展，以及癌症电子咨询的文化敏感性。ECCC的教师都是电子咨询基础能力方面的专家。ECCC的评估部分以Kirkpatrick评估模型为指导，并将侧重于三个层面的评估：反应（满意度），学习（能力基准的实现）和转移（将电子咨询纳入临床实践）。将通过专业列表从全国各地招募有执照的心理癌症护理提供者（N=820；包括心理学家、护士、社会工作者和精神科医生）。招生将陆续开始。一旦被录取，他们将参加ECCC，这是一个由五个模块组成的多媒体电子学习项目。学员将作为每个模块的一部分进行评估，并在ECCC完成后的3个月和6个月进行评估。总之，尽管电子咨询对心理社会癌症治疗有着巨大的希望，但很少有心理社会癌症治疗提供者接受过提供这种治疗的培训。从本质上讲，人们对电子咨询的需求很高，但电子咨询提供者的供应有限。因此，本R25E旨在培训心理癌症护理提供者如何提供高质量、有能力的电子咨询，这些咨询是基于经验的、符合法律的、合乎道德的、有同理心的和具有文化敏感性的。

DESCRIPTION (provided by applicant): Up to 89% of cancer patients have unmet psychosocial needs. E-Counseling, defined as the use of the Internet to deliver psychosocial interventions, offers patients in need the ability to receive psychosocial cancer care in a clinically efficacious, cost-effective, and convenient manner. E-Counseling overcomes barriers which stand in the way of more traditional face-to-face counseling methods, and increases provider reach. Unfortunately, few psychosocial cancer care providers are trained in E-Counseling skills. Our recent needs assessment of psychosocial cancer care providers (N=104) indicated that only 4% of providers currently practice E-Counseling with cancer patients and survivors, 12% felt they had sufficient training in how to conduct E-Counseling, and 93% stated they would be interested in E-Counseling online training. To remedy this gap in professional training and respond to provider interest, the aims of the proposal are to: 1) Develop and implement an online training program in E-Counseling for psychosocial cancer care providers (E-Counseling for Cancer Course: ECCC); 2) Evaluate the effects of ECCC on trainee competency in E-Counseling for cancer; 3) Evaluate the effects of ECCC on clinical practice behavior; and, 4) Identify trainee characteristics which predict adoption of E-Counseling. The project is guided by two theoretical approaches. The training component of ECCC is guided by a Foundational Competency Approach. In particular, training will focus on developing the following skills: Empirically-based practice of E-Counseling for cancer, Legal compliance in E-Counseling for cancer, Ethical conduct in E-Counseling for cancer, Therapeutic relationship development in E-Counseling for cancer, and Culturally sensitive E-Counseling for cancer. ECCC faculty members are experts in each of the E-Counseling foundational competencies. The evaluation component of ECCC is guided by the Kirkpatrick Evaluation Model, and will focus on three levels of evaluation: Reactions (satisfaction), Learning (achievement of competency benchmarks), and Transfer (adoption of E-Counseling into clinical practice). Licensed psychosocial cancer care providers (N=820; including psychologists, nurses, social workers, and psychiatrists) from across the country will be recruited via professional listservs. Admissions will be rolling. Once accepted, they will participate in ECCC, a five module, multimedia, E-Learning program. Trainees will be evaluated as part of each module and at three and six months following ECCC completion. In summary, despite E-Counseling's tremendous promise for psychosocial cancer care, few psychosocial cancer care providers are trained to deliver it. Essentially, there is high demand for E-Counseling, but limited supply of E-Counseling providers. Therefore, this R25E is designed to train psychosocial cancer care providers in how to provide high quality, competent E-Counseling that is empirically based, legally compliant, ethically sound, empathic, and culturally sensitive.