Competency-based training to advance clinical proficiencies and reduce disparities in the treatment of tobacco dependence

基于能力的培训，以提高临床熟练程度并减少烟草依赖治疗方面的差异

• 批准号: 9792039
• 负责人: Christine Elizabeth Sheffer
• 金额: $ 16.4万
• 依托单位: ROSWELL PARK CANCER INSTITUTE CORP
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-16 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9792039
• 关键词: Accreditation; Active Learning; Address; Awareness; Behavioral; Cancer Control; Charge; Clinical; Clinical Research; Communities; Competence; Consensus; Development; Discipline; Disease; Educational Curriculum; Educational workshop; Effectiveness; Empathy; Evaluation; Evidence based treatment; Fostering; Funding; Goals; Health Knowledge, Attitudes, Practice; Health Personnel; Health Services Accessibility; Healthcare; High Prevalence; Individual; Intellectual functioning disability; Knowledge; Manuals; Manuscripts; Mental Health; Methods; Military Personnel; Minority Groups; Modeling; Nature; Participant; Phase; Physically Handicapped; Population; Preparation; Prevalence; Process; Professional Organizations; Public Health; Publishing; Research; Research Personnel; Resources; Slide; Smoking; Substance Use Disorder; Testing; Tobacco; Tobacco Dependence; Tobacco use; Tobacco-Related Carcinoma; Trainers Training; Training; Training Activity; Training Programs; Training and Education; Variant; Veterans; Woman; Work; anticancer research; base; biopsychosocial; cancer education; cancer health disparity; curriculum development; disparity reduction; education research; ethnic minority population; experience; improved; innovation; instrument; intersectionality; learning strategy; low socioeconomic status; member; multidisciplinary; prevent; racial minority; research to practice; response; sexual minority; skill acquisition; skills; smoking prevalence; socioeconomics; tobacco abstinence; tobacco control; tobacco user; tool; treatment disparity; treatment planning

Despite remarkable decreases in tobacco use, the benefits of tobacco control efforts are not equitably distributed. Tobacco-related disparities include a higher prevalence of daily smoking, lower rates of quitting, poorer responses to standard evidence-based treatments, less access to evidence-based treatments, variation in health care providers' delivery of tobacco treatment, and an increased burden of tobacco-related cancers and other tobacco-related diseases. Many tobacco users belong to more than one disparate group. Addressing these disparities is a high priority for cancer and tobacco control efforts. Critical barriers to reducing tobacco- related disparities include a tobacco treatment workforce unprepared to understand, assess, and treat tobacco users from disparate groups; knowledge deficits regarding the nature and impact of tobacco-related disparities; known research-to-practice gaps in the clinical proficiencies needed to treat tobacco use among disparate groups more effectively; and a unidimensional or essentialist conceptualization of the determinants that contribute to these inequities. These barriers prevent the development of personalized, relevant comprehensive tobacco treatment plans for these individuals. A unified, multidisciplinary competency-based curriculum developed by tobacco treatment disparities research, practice, and training experts and disseminated nationally would represent significant progress toward addressing these barriers. The goal of this project is to develop an innovative, competency-based Tobacco Use Treatment among Disparate Populations (TUT-DP) Training Module that will advance the proficiencies of the clinical and research workforce to meet the biomedical, behavioral, and clinical needs of groups that experience tobacco-related disparities. Experts in the field from multiple disciplines perceive a need for this resource. Among the innovative aspects of this project is the use of Intersectionality to integrate models of disparities and develop guiding principles for understanding biopsychosocial influences that produce tobacco-related disparities across disparate populations. The specific aims are: Aim One: Using a multidisciplinary team of tobacco research, practice, and training experts and an iterative process, develop a competency-based, highly disseminable TUT-DP Training Module that includes train-the-trainer resources, slides, and problem-based and experiential learning activities supported by high- quality recorded demonstration and trigger videos, a training manual, and learner evaluation instruments. Aim Two: Pilot test and refine the TUT-DP Training Module with trainers and learners from diverse professional backgrounds. Aim Three: Disseminate the TUT-DP Training Module broadly among tobacco treatment training programs and relevant professional organizations. This project is expected to have a sustained and powerful impact on the field by disseminating an innovative and engaging multidisciplinary training experience that advances clinical proficiencies and serves as an essential tool for clinical training in tobacco disparities. We will seek additional funding through the appropriate mechanism to examine the effectiveness of the TUT-DP Training Module in the next phase of this cancer education work.

尽管烟草使用显著减少，但烟草控制工作的效益并不公平