Supplement: Effects of Comorbidity Management and Complex Care Coordination on Cancer Caregivers

补充：合并症管理和复杂护理协调对癌症护理人员的影响

基本信息

批准号：
10818788
负责人：
Hoda J Badr
金额：
$ 12.74万
依托单位：
BAYLOR COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-06-01 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10818788
关键词：
Affect Aftercare Behavioral Behavioral Sciences Cancer Control Cancer Control Research Cancer Patient Cancer Survivor Cancer Survivorship Caregiver Burden Caregiver support Caregivers Caring Chronic Chronic Disease Communication Barriers Communities Companions Complex Data Distress Eligibility Determination Enrollment Face Family Financial Hardship Future Geography Goals Health Health Promotion Health system Healthcare Healthcare Systems Home Health Aides Intervention Interview Knowledge Malignant Neoplasms Medical Medicine Mentorship Methodology Methods Mexican Americans Modeling Oncologist Oncology Outcome Parents Pathway interactions Patient Care Patient Participation Patients Population Postdoctoral Fellow Primary Care Quality of life Randomized Randomized, Controlled Trials Research Research Methodology Research Personnel Residual state Resources Risk Scientist Self Management Statistical Data Interpretation Support Groups Support System Surveys Survivors System Time Training Uncertainty Visit Work cancer care cancer diagnosis cancer risk cancer therapy care coordination care delivery care outcomes career career development caregiver interventions caregiving caregiving research college comorbidity enhanced care experience follow-up health care availability health care service health disparity health equity health literacy improved improved outcome informal caregiver medically underserved multiple chronic conditions novel post-doctoral training preference primary care provider recruit respite care safety net skill acquisition skills survivorship training opportunity

项目摘要

PROJECT SUMMARY. The overarching goal of this Diversity Supplement is to prepare and launch Dr. Maria Lizette Rangel into an academic career as an independent scientist. Dr. Rangel is a behavioral scientist and post-doctoral research associate with a strong commitment to working with medically underserved cancer patients, families, and communities. Through this Diversity Supplement, she will gain crucial training in cancer control research focusing on cancer caregiving, challenges of comorbidity management during/after cancer- directed treatment, and advanced statistical analysis. With an eye toward developing interventions to support caregivers in managing patient comorbidities across the cancer control continuum, specific aims of this supplemental research are to: 1) Examine whether patient participation in the parent OPTIMISE (Oncology- Primary Care Partnership to Improve Comprehensive Survivorship Care) enhanced care pathway for comorbidity management results in improved outcomes for caregivers in terms of lower levels of caregiver burden, distress, and financial hardship relative to usual medical care (UMC); 2) Describe the challenges that caregivers face in managing patient comorbidities during cancer-directed treatment; and, 3) Describe the challenges that caregivers experience as the patient transitions from cancer-directed treatment to post-treatment survivorship. Dr. Rangel will achieve these aims by recruiting the caregivers of patients who are eligible and enrolled in the parent OPTIMISE trial and conducting a mixed-methods companion study using caregiver interview and survey data. To supplement the research plan, career development goals include 1) gaining a foundational understanding of cancer control health equity research, 2) develop theoretical and conceptual knowledge in cancer caregiving research, 3) continue developing the methodological and analytical qualitative, quantitative, and mixed methods skills required to conduct rigorous mixed methods research, and 4) acquire professional development skills to support a career as an independent investigator. Along with the valuable training and career development opportunities afforded through this supplement, the findings supported by Dr. Rangel’s research will provide crucial data on the unmet needs of cancer caregivers and enable her to develop a competitive K99/R00 proposal to develop an intervention for caregivers of cancer patients with comorbidities and launch her career as an independent investigator.

项目摘要。这种多样性补充的总体目标是准备和推出玛丽亚博士 Lizette Rangel从事独立科学家的学术生涯。 Rangel博士是一位行为科学家，博士后研究助理，致力于与医学贫乏的癌症一起工作病人，家庭和社区。通过这种多样性补充，她将获得癌症的关键培训控制研究重点是癌症护理，癌症期间/之后合并症管理的挑战 - 定向治疗和高级统计分析。着眼于制定干预措施以支持护理人员管理整个癌症控制连续体的患者合并症，具体目的补充研究是：1）检查患者是否参与父母的优化（肿瘤学 - 初级保健伙伴关系以改善全面的生存护理）增强合并症的护理途径在较低水平的护理人员伯恩（Burnen），困扰，相对于通常的医疗服务（UMC）的财务困难； 2）描述护理人员在在癌症定向治疗期间管理患者合并症； 3）描述挑战护理人员的经验是患者从癌症指导的治疗转变为治疗后的幸存者。 Rangel博士将通过招募符合条件并参与其中的患者的护理人员来实现这些目标父母优化试验并使用护理人员访谈和调查进行混合方法伴侣研究数据。为了补充研究计划，职业发展目标包括1）获得基础了解癌症控制健康公平研究，2）发展理论和概念知识癌症护理研究，3）继续开发方法论和分析性定性，定量，进行严格混合方法研究所需的混合方法技能，4）获得专业开发技能以支持独立调查员的职业。以及宝贵的培训和通过这种补充提供的职业发展机会，Rangel博士的支持结果研究将提供有关癌症护理人员未满足需求的关键数据，并使她能够发展具有竞争性的K99/R00建议，以为合并症和合并症患者的护理人员开发干预措施启动她作为独立调查员的职业。