Meaning-Centered Psychotherapy Training Program for Cancer Care Clinicians

癌症护理临床医生以意义为中心的心理治疗培训计划

• 批准号: 10687062
• 负责人: William Breitbart
• 金额: $ 31.14万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10687062
• 关键词: Active Learning; Address; Adoption; Advanced Malignant Neoplasm; Attention; Award; Cancer Education Grant Program; Cancer Patient; Cessation of life; Clinical; Communication; Communities; Counseling; Data; Data Collection; Discipline; Dissemination and Implementation; Distress; Ensure; Evaluation; Event; Evidence based intervention; Faculty; Feeling hopeless; Funding; Goals; Institution; International; Intervention; Learning; Maintenance; Manuals; Medical; Memorial Sloan-Kettering Cancer Center; Mental Depression; Methodology; Modeling; National Cancer Institute; Oncology; Palliative Care; Participant; Patients; Personal Satisfaction; Play; Psychological reinforcement; Psychosocial Assessment and Care; Psychotherapy; Qualifying; Quality of life; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Reporting; Research; Research Institute; Role; Spirituality; Testing; Time; Training; Training Programs; Translations; United States National Institutes of Health; Waiting Lists; cancer care; cancer therapy; care providers; care systems; clinical practice; coping; education research; effective intervention; end of life care; evidence base; follow-up; implementation facilitation; improved; innovation; interest; intervention program; multidisciplinary; multimodality; novel; physical symptom; programs; psychologic; psychosocial; satisfaction; skill acquisition; skills; success; webinar

Project Summary/Abstract The overall objective of this project, entitled “Meaning-Centered Psychotherapy Training for Cancer Care Providers” (MCPT), is to continue facilitate the implementation and dissemination of Meaning-Centered Psychotherapy (MCP), a Research-Tested Intervention Program (RTIP) through a multi-modal training program for cancer care clinicians. There is extensive evidence demonstrating a need for interventions targeting depression, hopelessness, loss of meaning and spiritual and existential distress in patients coping with the challenges of advanced cancer. To address this need, Breitbart and colleagues developed MCP as an innovative and novel intervention to enhance meaning and reduce despair in advanced cancer patients living in the face of death. Since our National Institute of Health (NIH) R25 grant was funded, we have successfully developed MCPT and trained 297 clinicians from a wide variety of clinical institutions and settings. As proposed, we utilized the RE-AIM framework, comprised of five distinct factors: 1) Reach, 2) Efficacy, 3) Adoption, 4) Implementation, and 5) Maintenance, to evaluate the impact of the MCPT program on the translation of MCP into clinical practice. Preliminary results indicate that trainees are extremely satisfied with the MCPT program, have become proficient in the delivery of MCP, have successfully implemented MCP in their own clinical settings, and are maintaining or improving their MCP skills post-training. We are applying for a 5-year renewal of this R25 grant to capitalize on overwhelming interest expressed by cancer care clinicians in our innovative, immersive training and to further disseminate MCP to advanced cancer patients in need of evidence-based psychosocial care. We will offer this training to an additional 336 clinicians during years 6-10 and enhance the follow-up components of the training to further improve MCP skill maintenance, adoption, and implementation in clinical practice. This will also enable us to continue to collect data on the implementation of MCP with patients in the “real world” across diverse clinical settings. The long-term goal of this project is to disseminate MCP to a wide variety of cancer and palliative care treatment settings through the training of a large, diverse cadre of clinicians. Thus, the specific aims of this study are to: Aim 1: Provide and further develop a training program in MCP for cancer care clinicians from multiple disciplines who provide psycho-oncology and psychosocial palliative care services for cancer patients; Aim 2: Evaluate trainees’ MCP skill acquisition through facilitators’ ratings of MCPT participants and participants’ satisfaction with the program and adoption, implementation, and maintenance of skills; and Aim 3: Evaluate the impact of enhanced follow-up training and engagement in MCP community activities on MCP implementation and skill maintenance.

项目概要/摘要 该项目的总体目标题为“以意义为中心的癌症护理心理治疗培训” 提供者”（MCPT），旨在继续促进以意义为中心的实施和传播 心理治疗 (MCP)，一项通过多模式培训计划进行研究测试的干预计划 (RTIP) 对于癌症护理临床医生。有大量证据表明需要针对 患者应对抑郁、绝望、失去意义以及精神和存在的痛苦 晚期癌症的挑战。为了满足这一需求，Breitbart 及其同事开发了 MCP 作为一种创新 以及新的干预措施，以增强晚期癌症患者的意义并减少他们的绝望 死亡。自从我们获得美国国立卫生研究院 (NIH) R25 拨款资助以来，我们已经成功开发了 MCPT 培训了来自各种临床机构和环境的 297 名临床医生。根据建议，我们利用了 RE-AIM 框架，由五个不同因素组成：1) 覆盖范围，2) 功效，3) 采用，4) 实施，以及 5）维护，评估MCPT项目对MCP转化为临床实践的影响。 初步结果表明，学员对 MCPT 课程非常满意，已经熟练掌握 在 MCP 的实施中，已在自己的临床环境中成功实施了 MCP，并且正在维持 或在培训后提高他们的 MCP 技能。我们正在申请将这笔 R25 赠款续展 5 年，以利用 癌症护理临床医生对我们的创新、沉浸式培训表现出极大的兴趣，并进一步 将 MCP 传播给需要循证心理社会护理的晚期癌症患者。我们将提供这个 在第 6-10 年期间对另外 336 名临床医生进行了培训，并加强了培训的后续内容 进一步提高 MCP 技能在临床实践中的维护、采用和实施。这也将使 我们将继续收集关于“现实世界”中患者实施 MCP 的数据 临床环境。该项目的长期目标是将 MCP 传播到多种癌症和姑息治疗中 通过培训大量多样化的临床医生骨干来改善护理治疗环境。因此，本次活动的具体目标 研究的目的是： 目标 1：为来自以下国家的癌症护理临床医生提供并进一步开发 MCP 培训计划： 为癌症患者提供肿瘤心理和社会心理姑息治疗服务的多个学科； 目标 2：通过辅导员对 MCPT 参与者和参与者的评分来评估学员的 MCP 技能获取情况 对计划以及技能的采用、实施和维护的满意度；目标 3：评估 加强后续培训和参与 MCP 社区活动对 MCP 实施的影响 和技能维护。

项目成果

Implementation of a Meaning-Centered Psychotherapy training (MCPT) program for oncology clinicians: a qualitative analysis of facilitators and barriers.

为肿瘤临床医生实施以意义为中心的心理治疗培训（MCPT）计划：对促进因素和障碍的定性分析。

• DOI: 10.1093/tbm/ibz138
• 发表时间: 2021
• 期刊: Translational behavioral medicine
• 影响因子: 3.6
• 作者: Polacek,LauraC;Reisch,Sally;Saracino,RebeccaM;Pessin,Hayley;Breitbart,William
• 通讯作者: Breitbart,William

Meaning-Centered Psychotherapy and Cancer: Finding Meaning in the Face of Suffering.

以意义为中心的心理治疗与癌症：在痛苦面前寻找意义。

• 发表时间: 2020
• 期刊: The Psychiatric times
• 作者: Lichtenthal,WendyG;Roberts,KaileyE;Pessin,Hayley;Applebaum,Allison;Breitbart,William
• 通讯作者: Breitbart,William

Adapting meaning-centered psychotherapy for World Trade Center responders - CORRIGENDUM.

• DOI: 10.1017/s147895152000067x
• 发表时间: 2020-12
• 期刊: PALLIATIVE & SUPPORTIVE CARE
• 影响因子: 2.2
• 作者: Masterson-Duva, Melissa;Haugen, Peter;Werth, Aditi;Foster, Alyce;Chassman, Emily;Roberts, Kailey;DePierro, Jonathan;Morales-Miller, Massielle;Lowe, Sandra;Pessin, Hayley;Lichtenthal, Wendy;Breitbart, William
• 通讯作者: Breitbart, William

Adapting meaning-centered psychotherapy for World Trade Center responders.

• DOI: 10.1017/s1478951520000061
• 发表时间: 2020-12
• 期刊: Palliative & supportive care
• 影响因子: 2.2
• 作者: Masterson-Duva M;Haugen P;Werth A;Foster A;Chassman E;Roberts K;DePierro J;Morales-Miller M;Lowe S;Pessin H;Lichtenthal W;Breitbart W
• 通讯作者: Breitbart W