Tobacco Treatment Training for Cancer Care Providers

项目摘要/摘要 这项拟议的癌症教育培训项目旨在培训肿瘤护理提供者实施 在他们的癌症护理环境中使用烟草使用评估和治疗(TUAT)技能。约10%-30% 癌症患者在确诊时是当前吸烟者，约70%的患者当前吸烟者 在确诊时，他们将在确诊后继续吸烟。持续吸烟与 癌症特异性和全因死亡率，增加第二原发癌的可能性，增加 疾病复发，治疗反应差和治疗相关的毒性。鉴于有证据表明 持续吸烟与不良的临床结果有关，几个领先的肿瘤学组织已经 强烈支持TUAT作为高质量癌症护理的重要指标。不幸的是，采用 TUAT进入现实世界实践环境的速度很慢，也很少见。鉴于最近的调查 证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，且缺乏培训和 已确定实施支持是TUAT癌症研究和实践创新所需的 关心。因此，为了解决这一重大的研究与实践差距，这种癌症的总体目的是 教育补助金是开发、实施和评估短期TUAT技能发展讲习班和 协作培训计划，将为肿瘤临床医生提供培训和技术援助 用于烟草依赖患者的TUAT。拟议的技能发展努力将在短期内实施- 为期一周的培训，从为期两天的现场研讨会开始，然后每月六次 电视会议由项目学院与相关的TUAT癌症专业人员共同主持。建议数 技能发展课程将向连续八个肿瘤学护理提供者队列提供。五个人- 每年癌症教育计划将从不同的癌症实践环境中培训25-50名新参与者 总共有200名多学科的参与者。具体目标是：1)开发、传播和寻求 烟草治疗培训-肿瘤学(TTT-O)教育计划的参与者评估，该计划由In-O和TTT-O组成。 针对多学科癌症的人员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人员参与者；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、自我效能感和技能进行评估和3)评估 参加TTT-O研讨会和合作实验室对TUAT交付和实施的影响 参与者的癌症护理设置。这个癌症教育项目的首要目标是培训肿瘤学。 护理提供者实施TUAT临床实践指南，以减少与烟草相关的发病率 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.