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，成本效益和方便的方式接受心理社会癌症护理的能力。电子咨询克服了传统的面对面咨询方法的障碍，并增加了提供者的范围。不幸的是，很少有心理社会癌症护理提供者接受过电子咨询技能的培训。我们最近对心理社会癌症护理提供者（N=104）的需求评估表明，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。为了弥补专业培训的这一差距，并回应提供者的兴趣，该提案的目的是：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（ECCC课程）：2）评估ECCC课程对癌症电子咨询学员能力的影响; 3）评估ECCC课程对临床实践行为的影响;（4）确定预测网络咨询采用的受训者特征。该项目以两种理论方法为指导。柬埔寨法院特别法庭的培训部分以基本能力方法为指导。特别是，培训将侧重于发展以下技能：基于经验的癌症电子咨询实践，癌症电子咨询中的法律的合规性，癌症电子咨询中的道德行为，癌症电子咨询中的治疗关系发展，以及文化敏感的癌症电子咨询。ECCC教师是每个电子咨询基本能力的专家。ECCC的评估部分以柯克帕特里克评估模型为指导，并将侧重于三个级别的评估：反应（满意度），学习（能力基准的实现）和转移（将电子咨询应用于临床实践）。来自全国各地的持牌心理社会癌症护理提供者（N=820;包括心理学家，护士，社会工作者和精神科医生）将通过专业的listservs招募。招生会开始了。一旦被接受，他们将参加ECCC，一个五模块，多媒体，电子学习计划。受训人员将作为每个单元的一部分，在幼儿保育课程结束后三个月和六个月接受评估。总之，尽管电子咨询对癌症社会心理护理有着巨大的前景，但很少有癌症社会心理护理提供者接受过培训。本质上，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，这个R25 E旨在培训心理社会癌症护理提供者如何提供高质量，合格的电子咨询，这是基于经验，合法合规，道德健全，同情和文化敏感。

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.