Training providers in CBT plus Hypnosis - an evidence-based fatigue intervention

CBT 加催眠培训提供者 - 一种基于证据的疲劳干预措施

• 批准号: 9769650
• 负责人: Guy H Montgomery
• 金额: $ 23.58万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-23 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9769650
• 关键词: Address; Adjuvant Radiotherapy; Age; American; American Society of Clinical Oncology; Behavioral; Biological; Breast Cancer Patient; Cancer Education Grant Program; Cancer Patient; Cancer Survivor; Caring; Characteristics; Clinical; Clinical Competence; Cognitive; Cognitive Therapy; Competence; Control Groups; Country; Data; Diagnosis; Disease-Free Survival; E-learning; Education; Educational workshop; Effectiveness; Empathy; Ensure; Evaluation; Expectancy; Faculty; Fatigue; Feedback; Film; Future; Goals; Guidelines; Healthcare; Healthy People 2020; Hypnosis; Intervention; Knowledge; Learning; Life Expectancy; Link; Literature; Malignant Neoplasms; Medical; Methods; Mission; Modality; Modeling; Multimedia; National Comprehensive Cancer Network; Nurses; Outcome; Participant; Patients; Play; Professional Organizations; Program Evaluation; Provider; Psychiatrist; Psychologist; Psychosocial Assessment and Care; Public Health; Publishing; Quality of Care; Quality of life; Radiation therapy; Randomized Controlled Trials; Reporting; Role; Site; Social Workers; Standardization; Supportive care; Symptoms; System; Testing; Therapeutic; Therapeutic Intervention; Time; Training; Training Programs; Translations; Woman; adverse outcome; advocacy organizations; base; cancer care; cancer radiation therapy; care providers; clinical practice; cohort; evidence base; experience; fight against; improved; lectures; malignant breast neoplasm; online resource; prevent; programs; psychosocial; public health relevance; recruit; research study; research to practice; response; satisfaction; side effect; skills; success; survivorship; symposium; theories; uptake; weapons

 DESCRIPTION (provided by applicant): In 2014, over 230,000 American women were diagnosed with breast cancer (BCa), and nearly half will undergo adjuvant radiotherapy (RT). Although BCa RT increases disease-free survival and life expectancy, it is not without side-effects, primarily fatigue. Fatigue is the most prevalent symptom during BCa RT and it continues for months afterwards, having pervasive and detrimental effects on numerous aspects of patients' functioning and quality of life. Fatigue management, specifically cognitive-behavioral approaches, is recommended by the National Comprehensive Cancer Network and the American Society of Clinical Oncology. To address the important clinical and public health implications of BCa RT-related fatigue, our group developed and tested a brief Cognitive-Behavioral Therapy (CBT) intervention incorporating Hypnosis (CBTH) in two randomized controlled trials. Results revealed that CBTH managed RT-related fatigue in BCa patients during RT and for up to six months afterwards. Objectives: The goal of the proposed R25E is to train psychosocial cancer care providers in CBTH, giving them a new weapon in their fight against BCa RT-related fatigue. The Specific Aims are to: 1) Develop and implement a blended training program to teach psychosocial cancer care providers how to deliver CBTH to manage RT-related fatigue in BCa patients; 2) Evaluate the effectiveness of a CBTH training program on psychosocial cancer care providers' CBTH knowledge, skills, and "real world" clinical practice; and, 3) Identify trainee characteristics which predict CBTH knowledge, skills, and "real world" practice. The CBTH training content is guided by Roth & Philing's CBT competency model. Training will focus on the following competency domains: 1) CBTH theory and guiding principles; 2) Practical CBTH competencies (e.g., how to conduct CBT and Hypnosis); 3) Clinical and biological aspects of RT-related fatigue; 4) CBTH for fatigue in BCa RT patients; and, 5) Metacompetencies (e.g., therapeutic alliance, expectancies, empathy, cultural factors). The evaluation plan for the CBTH training program is guided by Miller's pyramid of clinical competencies, and will focus on three levels of evaluation: Knowledge and Practical Understanding, Skills, and Clinical Practice. Methods: Licensed psychosocial cancer care providers (N=400; including nurses, social workers, psychologists, and psychiatrists) from across the country will be recruited via professional organizations, listservs, and conferences. Trainees will participate in a blended training program including multimedia E-Learning and a 3-day live workshop, with evaluations linked to each modality. Trainees will also be evaluated at 3 and 6 months following the workshop. The training program will be disseminated through advocacy and professional organizations. Long-term goals: The proposed R25E is a critical first step toward improving quality of care and quality of life for BCa patients undergoing RT by producing a large cohort of psychosocial cancer care providers who are CBTH competent. Connection to NCI mission: This project is consistent with the Healthy People 2020 goal of improving quality of life of cancer patients and survivors.

 描述（申请人提供）：2014年，超过23万名美国女性被诊断患有乳腺癌（BCa），近一半将接受辅助放疗（RT）。虽然BCa RT增加了无病生存率和预期寿命，但它并非没有副作用，主要是疲劳。疲劳是BCa RT期间最普遍的症状，并且在之后持续数月，对患者的功能和生活质量的许多方面具有普遍和有害的影响。疲劳管理，特别是认知行为方法，是由国家综合癌症网络和美国临床肿瘤学会推荐的。为了解决BCa RT相关疲劳的重要临床和公共卫生影响，我们的研究小组在两项随机对照试验中开发并测试了一种结合催眠（CBTH）的简短认知行为疗法（CBT）干预。结果显示，CBTH在RT期间和之后长达六个月的时间内管理BCa患者的RT相关疲劳。目的：拟议的R25 E的目标是在CBTH中培训心理社会癌症护理提供者，为他们提供对抗BCa RT相关疲劳的新武器。具体目标是：1）开发并实施混合培训计划，以教导心理社会癌症护理提供者如何提供CBTH以管理BCa患者中的RT相关疲劳; 2）评估CBTH培训计划对心理社会癌症护理提供者的CBTH知识、技能和“真实的世界”临床实践的有效性;以及3）识别预测CBTH知识、技能和“真实的世界”实践的受训者特征。CBTH培训内容以Roth & Philing的CBT能力模型为指导。培训将侧重于以下能力领域：1）CBTH理论和指导原则; 2）实用CBTH能力（例如，如何进行CBT和催眠）; 3）RT相关疲劳的临床和生物学方面; 4）BCa RT患者疲劳的CBTH;和，5）后心功能障碍（例如，治疗联盟、期望、共情、文化因素）。CBTH培训计划的评估计划以米勒的临床能力金字塔为指导，并将重点放在三个评估级别：知识和实践理解，技能和临床实践。研究方法：将通过专业组织、邮件列表和会议招募来自全国各地的持牌心理社会癌症护理提供者（N=400;包括护士、社会工作者、心理学家和精神科医生）。学员将参加混合培训计划，包括多媒体电子学习和为期3天的现场研讨会，并对每种模式进行评估。还将在讲习班后3个月和6个月对受训人员进行评估。将通过宣传和专业组织传播培训方案。长期目标：拟议的R25 E是通过培养大量CBTH胜任的心理社会癌症护理提供者来提高接受RT的BCa患者的护理质量和生活质量的关键第一步。与NCI使命的联系：该项目与2020年健康人的目标一致，即提高癌症患者和幸存者的生活质量。

项目成果

The effect of an online lecture on psychosocial cancer care providers' attitudes about hypnosis.

在线讲座对社会心理癌症护理提供者对催眠态度的影响。

• DOI: 10.1037/cns0000191
• 发表时间: 2019
• 期刊: Psychology of consciousness (Washington, D.C.)
• 作者: Montgomery,GuyH;Force,James;Dillon,MatthewJ;David,Daniel;Schnur,JulieB
• 通讯作者: Schnur,JulieB

Common paraverbal errors during hypnosis intervention training.

• DOI: 10.1080/00029157.2020.1822275
• 发表时间: 2021-01
• 期刊: The American journal of clinical hypnosis
• 作者: Montgomery GH;Green JP;Erblich J;Force J;Schnur JB
• 通讯作者: Schnur JB