Achieving Excellence in Biopsychosocial Cancer Pain Management through a Comprehensive Quality Education Program
通过全面的优质教育计划实现生物心理社会癌症疼痛管理的卓越
基本信息
- 批准号:10251052
- 负责人:
- 金额:$ 18.59万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-09-01 至 2023-08-31
- 项目状态:已结题
- 来源:
- 关键词:AchievementAddressAdvanced Malignant NeoplasmAdverse effectsAdvocateAttitudeAwardBehavioralBiologicalCancer Pain ManagementCancer PatientCancer SurvivorCaregiver supportChronicCitiesCity of Hope Comprehensive Cancer CenterClinical ResearchCognitiveCognitive TherapyCollaborationsCommunity NetworksDiagnosisDistressEducationEducational CurriculumEducational workshopEffectivenessFacultyFaculty WorkshopFamilyFatigueGoalsHealth ProfessionalInstitutesInstitutionInterdisciplinary EducationKnowledgeLearningLengthLife ExperienceLongevityMalignant NeoplasmsMeasuresMedicalMedicineMethodsMoodsNursesOncologyOpioidPainPain managementPain qualityParticipantPatient CarePatient EducationPatient-Focused OutcomesPatientsPharmacologyPhysiciansPrincipal InvestigatorProblem SolvingProfessional EducationProgram DevelopmentProgram SustainabilityPsychosocial Assessment and CarePublic Health SchoolsQuality of CareQuality of lifeRecording of previous eventsRecoveryRehabilitation therapyResearchResearch PersonnelRiskSleepSleep disturbancesSocial WorkersSymptomsTimeTrainingUnited Statesadvanced diseaseassociated symptombasebiopsychosocialcancer carecancer health disparitycancer paincare outcomescaregiver educationdesigneducation researcheducation resourceseffectiveness evaluationend of lifeevidence baseexperiencefaculty mentorimprovedimproved outcomeopioid therapypain modelpain symptompatient safetyprogramspsychologicpsychosocialrecruitsatisfactionsimulationskillssocialstressorsurvivorshipsymposiumwebinar
项目摘要
Pain management is critical throughout cancer care, from diagnosis through treatment and survivorship, and in
advanced illness and at the end of life. Improving cancer pain management is critical over the next decade,
given (1) more number of cancer survivors with long-term consequences of cancer and its treatment, (2) longer
survival with advanced cancer, with more time with and complexity of pain, and (3) growing evidence that
chronic opioids are often ineffective and have many adverse effects and risks. Cancer pain is often
challenging; it interacts with many issues, including psychological and social concerns and other symptoms,
especially fatigue and sleep disturbances. Severe cancer pain is still frequent in the United States; the quality
of pain management is often suboptimal; key effective nonpharmacologic strategies, such as rehabilitation, and
psychosocial approaches, such as patient education and support, are underused; and disparities in
management persist. A key solution, using a biopsychosocial approach, considers not only biological aspects,
but other related symptoms and interactions with psychological (e.g., distress, mood) and social (e.g., culture,
family, financial stressors) factors. The effectiveness of biopsychosocial approaches is well-established, but
improving use in cancer care requires both interdisciplinary health professional education and quality
improvement approaches. This education program is based on the extensive health professional education
programs at Johns Hopkins Bloomberg School of Public Health and Medicine and supportive oncology
education programs of the City of Hope. The overall goal is to improve US capacity for biopsychosocial cancer
pain management. To accomplish this, we will train 360 cancer care professionals (physicians, nurses, social
workers and others) over the award. In a 15-week program, participants will participate in 8 webinars, an online
simulation program, a 2-day intensive skills-based workshop, and 2 pre-workshop preparatory and 4 post-
workshop implementation faculty-participant conference calls. The aims are to (1) implement a curriculum
for training healthcare professionals in principles of biopsychosocial cancer pain management and
quality improvement, (2) sustain and refine newly acquired pain management and quality improvement
skills through ongoing support and building a networking community, and (3) assess the effectiveness
of the education after the program and sustainability at one year.
An expert team of faculty, advisors and
patient advocates will plan, produce, and evaluate the program, including experts in professional and executive
education, pain management and associated issues and symptoms, skills-based supportive oncology
education and quality of care. The Principal Investigators have combined decades of experience in educating
health professionals in biopsychosocial pain management and program development. We have support from
local and national cancer networks and organizations to recruit a diverse, qualified participant pool and support
implementation into practice, with the goal of improving patient care and outcomes.
疼痛管理在整个癌症护理过程中至关重要,从诊断到治疗和生存,
晚期疾病和生命的尽头。改善癌症疼痛管理在未来十年至关重要,
考虑到(1)更多的癌症幸存者具有癌症及其治疗的长期后果,(2)更长的
晚期癌症的生存率,更多的时间和复杂的疼痛,和(3)越来越多的证据表明,
慢性阿片类药物往往无效,并具有许多不良影响和风险。癌症疼痛通常
具有挑战性;它与许多问题相互作用,包括心理和社会问题以及其他症状,
尤其是疲劳和睡眠障碍。严重的癌症疼痛在美国仍然很常见;质量
疼痛管理往往是次优的;关键有效的非药物策略,如康复,
社会心理方法,如病人教育和支持,没有得到充分利用;
管理坚持。一个关键的解决方案,使用生物心理社会方法,不仅考虑生物方面,
但其他相关症状和与心理的相互作用(例如,苦恼、情绪)和社会(例如,培养,
家庭、财务压力因素。生物心理社会方法的有效性是公认的,但
改善癌症护理的使用需要跨学科的卫生专业教育和质量
改进方法。该教育计划是基于广泛的卫生专业教育
约翰霍普金斯布隆伯格公共卫生与医学学院和支持性肿瘤学
希望之城的教育计划。总体目标是提高美国生物心理社会癌症的能力
疼痛管理为了实现这一目标,我们将培训360名癌症护理专业人员(医生、护士、社会工作者)。
工人和其他人)的奖励。在为期15周的计划中,参与者将参加8个网络研讨会,
模拟程序,为期2天的强化技能讲习班,2个讲习班前的准备和4个讲习班后,
研讨会实施教师参与者电话会议。其目的是(1)实施课程
用于培训医疗保健专业人员的生物心理社会癌症疼痛管理原则,
质量改进,(2)维持和完善新获得的疼痛管理和质量改进
通过持续的支持和建立网络社区来提高技能,以及(3)评估有效性
在一年的时间里,
一个由教师、顾问和
患者倡导者将计划、制定和评估该计划,其中包括专业和行政专家
教育,疼痛管理和相关问题和症状,基于技能的支持性肿瘤学
教育和护理质量。主要研究人员结合了数十年的教育经验,
生物心理社会疼痛管理和项目开发的卫生专业人员。我们得到了来自
地方和国家癌症网络和组织招募一个多样化的合格参与者库,并支持
实施到实践中,以改善患者护理和结果为目标。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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{{ truncateString('SYDNEY MORSS DY', 18)}}的其他基金
PRAGMATIC TRIAL TO IMPROVE COMMUNICATION FOR PRIMARY CARE PATIENTS WITH ADRD
改善 ADRD 初级保健患者沟通的务实试验
- 批准号:
10223590 - 财政年份:2018
- 资助金额:
$ 18.59万 - 项目类别:
Achieving Excellence in Biopsychosocial Cancer Pain Management through a Comprehensive Quality Education Program
通过全面的优质教育计划实现生物心理社会癌症疼痛管理的卓越
- 批准号:
10011775 - 财政年份:2018
- 资助金额:
$ 18.59万 - 项目类别:
PRAGMATIC TRIAL TO IMPROVE COMMUNICATION FOR PRIMARY CARE PATIENTS WITH ADRD
改善 ADRD 初级保健患者沟通的务实试验
- 批准号:
10263386 - 财政年份:2018
- 资助金额:
$ 18.59万 - 项目类别:
Achieving Excellence in Biopsychosocial Cancer Pain Management through a Comprehensive Quality Education Program
通过全面的优质教育计划实现生物心理社会癌症疼痛管理的卓越
- 批准号:
10461096 - 财政年份:2018
- 资助金额:
$ 18.59万 - 项目类别:
PRAGMATIC TRIAL TO IMPROVE COMMUNICATION FOR PRIMARY CARE PATIENTS WITH ADRD
改善 ADRD 初级保健患者沟通的务实试验
- 批准号:
10470274 - 财政年份:2018
- 资助金额:
$ 18.59万 - 项目类别:
SPIRITUAL WELL-BEING AND DEPRESSION IN HEART FAILURE
心力衰竭时的精神健康和抑郁
- 批准号:
7375839 - 财政年份:2005
- 资助金额:
$ 18.59万 - 项目类别:
Artificial Nutrition in Terminally Ill Cancer Patients
癌症末期患者的人工营养
- 批准号:
6667210 - 财政年份:2002
- 资助金额:
$ 18.59万 - 项目类别:
Artificial Nutrition in Terminally Ill Cancer Patients
癌症末期患者的人工营养
- 批准号:
7018450 - 财政年份:2002
- 资助金额:
$ 18.59万 - 项目类别:
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