Tobacco Treatment Training for Cancer Care Providers

项目总结/摘要 这个建议的癌症教育培训项目旨在培训肿瘤护理提供者实施 烟草使用评估和治疗（TUAT）技能在他们的癌症护理环境。约10-30% 癌症患者在诊断时是当前吸烟者，并且大约70%的当前吸烟者患者 在诊断时吸烟的人在诊断后会继续吸烟。长期吸烟与 癌症特异性和全因死亡率，第二原发癌的可能性增加， 疾病复发、对治疗反应差和治疗相关毒性。鉴于有证据表明 持续吸烟与不良临床结局相关，一些领先的肿瘤学组织已经 强烈赞同TUAT交付作为高质量癌症护理的重要指标。不幸的是，采用 TUAT进入真实的世界的实践设置一直是缓慢和罕见的。而最近的调查 表明肿瘤学提供者同意促进戒烟是重要的，大多数癌症护理 环境尚未将戒烟治疗确立为标准护理，缺乏培训， 实施支持已被确定为TUAT在癌症研究中的实践创新所需， 在乎因此，为了解决这一重大的研究与实践的差距，这一癌症的总体目的 教育补助金的目的是制定、实施和评估短期技术援助和培训技能发展讲习班， 合作培训计划，将为肿瘤临床医生提供培训和技术援助， 烟草依赖患者的TUAT。拟议的技能发展工作将在一个短暂的- 培训期从为期2天的现场研讨会开始，随后是6个月一次的 视频会议由计划教师与癌症相关TUAT专业知识共同主持。拟议 技能发展课程将提供给八个连续的肿瘤护理提供者群体。五个- 一个为期一年的癌症教育项目每年将培训25-50名来自不同癌症实践环境的新参与者 共有200名多学科参与者。具体目标是：（1）发展、传播和寻求 参与者评估烟草治疗培训-肿瘤学（TTT-O）教育计划，包括： 多学科癌症的个人研讨会和基于网络的协作学习活动（协作实验室） 来自不同癌症实践环境的护理提供者参与者; 2）评估TTT-O研讨会的影响 和合作实验室对参与者的TUAT知识，态度，自我效能和技能和3）评估 参加TTT-O研讨会和合作实验室对提供和实施技术指导评估的影响， 参与者的癌症护理设置。这个癌症教育计划的首要目标是培养肿瘤学 护理提供者实施TUAT临床实践指南，以减少烟草相关发病率 癌症患者和幸存者的死亡率。

PROJECT SUMMARY/ABSTRACT This proposed cancer education training project is designed to train oncology care providers to implement tobacco use assessment and treatment (TUAT) skills in their cancer care settings. Approximately 10-30% of cancer patients are current smokers at diagnosis and approximately 70% of patients who are current smokers at the time of diagnosis will continue smoking following their diagnosis. Persistent smoking is associated with cancer-specific and all-cause mortality, increased likelihood for second primary cancer, increased risk for disease recurrence, poor response to treatment and treatment-related toxicity. Given the evidence that persistent smoking is associated with adverse clinical outcomes, several leading oncology organizations have strongly endorsed TUAT delivery as an important metric for high quality cancer care. Unfortunately, adoption of TUAT into real world practice settings has been slow and uncommon. Whereas most recent surveys demonstrate that oncology providers agree that promoting tobacco cessation is important, most cancer care settings have not yet established tobacco cessation treatment as standard care, and lack of training and implementation support have been identified as needed for TUAT practice innovation in cancer research and care. Therefore, to address this significant research-to-practice gap, the overall purpose of this cancer education grant is to develop, implement and evaluate a short-term TUAT skills development workshop and collaborative training initiative that will train and provide technical assistance for oncology clinicians to deliver TUAT for tobacco-dependent patients. The proposed skills development effort will be enacted during a short- term period of training engagement commencing with a 2-day onsite workshop followed by six monthly videoconferences co-facilitated by Program Faculty with relevant TUAT expertise in cancer. The proposed skills development course will be delivered to eight successive cohorts of oncology care providers. The five- year cancer education program will train 25-50 new participants per year from diverse cancer practice settings with a total reach of 200 multidisciplinary participants. Specific aims are to: 1) Develop, disseminate and seek participant evaluation of a Tobacco Treatment Training-Oncology (TTT-O) education program consisting of in- person workshops and web-based, collaborative learning activities (Collaboratory) for multidisciplinary cancer care provider participants from diverse cancer practice settings; 2) Evaluate the impact of the TTT-O Workshop and Collaboratory on participants' TUAT knowledge, attitudes, self-efficacy and skills and 3) Evaluate the impact of participating in the TTT-O Workshop and Collaboratory on delivery and implementation of TUAT in participants' cancer care settings. The overarching goal of this cancer education program is to train oncology care providers to implement clinical practice guidelines for TUAT in order to reduce tobacco-related morbidity and mortality among cancer patients and survivors.