Training clinical providers in evidence-based hypnosis for cancer pain management

对临床提供者进行癌症疼痛管理循证催眠培训

基本信息

项目摘要

Rationale: In 2019, over 1.7 million Americans will be diagnosed with cancer. Among the innumerable rigors associated with the diagnosis, perhaps the greatest source of suffering is pain. Pain can be associated with the cancer itself, as well as with cancer treatments including. It is estimated that 39% of patients experience pain following curative treatment, 55% during anticancer treatment, 40%of survivors experience pain,and 66% of patients in advanced, metastatic, or terminal disease phases report pain. Unfortunately, approximately third are one- of patients with cancer-related pain are undertreated for that pain, and that the odds of undertreatment twice as high for minorities Major cancer organizations have published pain management guidelines which. recognize (e.g., hypnosis. The inclusion of hypnosis in these guidelines is based on a evidence supporting the clinical efficacy of hypnosis for acute and chronic pain management. Meta-analysis has the importance of integrating mind-body approaches ASCO, NCCN), among long history of empirical which is indicated that on average 77%-95% of patients benefit from hypnotic pain management relative to control participants. However, hypnosis training is not a standard component of either standard cancer provider education or pain management training. As a result, this clinically efficacious intervention is rarely used by providers to help patients in need. Objective: The goal of the proposed R25E is to train cancer care providers in hypnosis to manage cancer pain. The Specific Aims are to: 1) Refine and implement a Hypnosis for Cancer Pain (HCaP) training program; 2) Evaluate the effectiveness of the HCaP training on providers' knowledge, skills, attitudes, and self-efficacy for using hypnosis to manage cancer pain; and, 3) Evaluate the impact of the HCaP training program on trainees' real-world practice, using a mixed-methods approach. The HCaP training content is guided by sociocognitive theory. Training will focus on the following domains: 1) Understanding Cancer Pain; 2) Understanding Hypnosis; 3) Using Hypnosis for Cancer Pain Management; 4) Using Hypnosis for Managing Symptoms, Thoughts, and Behaviors Associated with Pain; and, 5) Hypnosis Metacompetencies (e.g., therapeutic alliance, empathy, cultural sensitivity). The evaluation plan for HCaP is guided by Miller's pyramid of clinical competencies, and will focus on three levels of evaluation: Knowledge and Practical Understanding, Skills, and Clinical Practice. Methods: Cancer care providers (N=400; including medical, allied, and psychosocial providers) from across the country will be recruited via professional organizations, listservs, and conferences. Trainees will participate in a blended training program including multimedia E-Learning and a 2-day live workshop, with evaluations linked to each modality. Trainees will also be evaluated at 3 months following the workshop. Long-term goals: The proposed R25E is a critical first step toward improving quality of care and quality of life for cancer patients in pain. Connection to NCI mission: This project is consistent with the Healthy People 2020 goal of improving quality of life of cancer patients and survivors.
2019年,超过170万美国人将被诊断患有癌症。在无数的严酷中 与诊断相关的最大痛苦来源可能是疼痛。疼痛可能与 癌症本身,以及癌症治疗,包括。据估计,39%的患者经历疼痛, 在治愈性治疗后,55%的患者在抗癌治疗期间,40%的幸存者经历疼痛,66%的幸存者经历疼痛。 处于晚期、转移性或终末期疾病阶段的患者报告疼痛。不幸的是,大约 三 是 一个 的癌症相关疼痛患者对这种疼痛治疗不足, 少数民族的两倍高主要的癌症组织已经出版了疼痛管理指南, 识别(例如, 催眠在这些指南中包括催眠是基于证据 支持催眠对急性和慢性疼痛管理的临床疗效。荟萃分析 整合身心方法的重要性ASCO,NCCN),其中 历史悠久的经验主义 这是 平均77%-95%的患者从催眠疼痛管理中获益, 参与者然而,催眠训练不是标准的癌症提供者的标准组成部分, 教育或疼痛管理培训。因此,这种临床有效的干预措施很少被使用 帮助有需要的病人。目的:拟议的R25 E的目标是培训癌症护理提供者 来控制癌症疼痛具体目标是:1)完善和实施癌症催眠 疼痛(HCaP)培训计划; 2)评估HCaP培训对提供者知识的有效性, 技能,态度和自我效能使用催眠来管理癌症疼痛;和,3)评估的影响, HCaP培训计划采用混合方法,以学员的实际实践为基础。HCaP培训 内容以社会认知理论为指导。培训将侧重于以下领域:1)理解 癌症疼痛; 2)了解催眠; 3)使用催眠治疗癌症疼痛; 4)使用催眠 用于管理与疼痛相关的症状、想法和行为;以及,5)催眠元认知 (e.g.,治疗联盟、同理心、文化敏感性)。HCaP的评估计划由米勒的 金字塔的临床能力,并将重点放在三个层次的评估:知识和实践 理解,技能和临床实践。方法:癌症护理提供者(N=400;包括医疗,联合, 和心理社会服务提供者)将通过专业组织,邮件列表, 和会议。学员将参加混合培训计划,包括多媒体电子学习和 2-一天的现场讲习班,评价与每一种模式相联系。受训人员也将在3个月时进行评估 在研讨会之后。长期目标:拟议中的R25 E是改善环境质量的关键第一步。 癌症疼痛患者的护理和生活质量。与NCI使命的联系:该项目符合 健康人2020的目标是提高癌症患者和幸存者的生活质量。

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)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Guy H Montgomery其他文献

Effects of trauma history on cancer-related screening, diagnosis, and treatment
创伤史对癌症相关筛查、诊断和治疗的影响
  • DOI:
    10.1016/s1470-2045(23)00438-2
  • 发表时间:
    2023-11-01
  • 期刊:
  • 影响因子:
    35.900
  • 作者:
    Deborah C Marshall;Lauren M Carney;Kristin Hsieh;Daniel R Dickstein;Margaret Downes;Advaita Chaudhari;Shauna McVorran;Guy H Montgomery;Julie B Schnur
  • 通讯作者:
    Julie B Schnur

Guy H Montgomery的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Guy H Montgomery', 18)}}的其他基金

Enhancing the public health benefits of mammography screening by informing women of both breast cancer and breast arterial calcification results: A randomized trial to promote cardiovascular health
通过告知女性乳腺癌和乳腺动脉钙化结果,增强乳房 X 光检查的公共健康益处:一项促进心血管健康的随机试验
  • 批准号:
    10380781
  • 财政年份:
    2022
  • 资助金额:
    $ 32.34万
  • 项目类别:
Enhancing the public health benefits of mammography screening by informing women of both breast cancer and breast arterial calcification results: A randomized trial to promote cardiovascular health
通过告知女性乳腺癌和乳腺动脉钙化结果,增强乳房 X 光检查的公共健康益处:一项促进心血管健康的随机试验
  • 批准号:
    10634705
  • 财政年份:
    2022
  • 资助金额:
    $ 32.34万
  • 项目类别:
Enhancing the public health benefits of mammography screening by informing women of both breast cancer and breast arterial calcification results: A randomized trial to promote cardiovascular health
通过告知女性乳腺癌和乳腺动脉钙化结果,增强乳房 X 光检查的公共健康益处:一项促进心血管健康的随机试验
  • 批准号:
    10211939
  • 财政年份:
    2021
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training Program in Cancer Prevention and Control for Priority Populations
重点人群癌症预防和控制培训项目
  • 批准号:
    10628864
  • 财政年份:
    2018
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training Program in Cancer Prevention and Control for Priority Populations
重点人群癌症预防和控制培训项目
  • 批准号:
    9789853
  • 财政年份:
    2018
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training Program in Cancer Prevention and Control for Priority Populations
重点人群癌症预防和控制培训项目
  • 批准号:
    10238055
  • 财政年份:
    2018
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training Program in Cancer Prevention and Control for Priority Populations
重点人群癌症预防和控制培训项目
  • 批准号:
    10469343
  • 财政年份:
    2018
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training providers in CBT plus Hypnosis - an evidence-based fatigue intervention
CBT 加催眠培训提供者 - 一种基于证据的疲劳干预措施
  • 批准号:
    8997819
  • 财政年份:
    2015
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training providers in CBT plus Hypnosis - an evidence-based fatigue intervention
CBT 加催眠培训提供者 - 一种基于证据的疲劳干预措施
  • 批准号:
    9148261
  • 财政年份:
    2015
  • 资助金额:
    $ 32.34万
  • 项目类别:
Training providers in CBT plus Hypnosis - an evidence-based fatigue intervention
CBT 加催眠培训提供者 - 一种基于证据的疲劳干预措施
  • 批准号:
    9769650
  • 财政年份:
    2015
  • 资助金额:
    $ 32.34万
  • 项目类别:

相似海外基金

Selective actin remodeling of sensory neurons for acute pain management
感觉神经元的选择性肌动蛋白重塑用于急性疼痛管理
  • 批准号:
    10603436
  • 财政年份:
    2023
  • 资助金额:
    $ 32.34万
  • 项目类别:
Transforming Post-Fracture Acute Pain Management in Older Men and Women through Mobile Health Application
通过移动健康应用程序改变老年男性和女性的骨折后急性疼痛管理
  • 批准号:
    411858
  • 财政年份:
    2019
  • 资助金额:
    $ 32.34万
  • 项目类别:
    Miscellaneous Programs
Comparing Acute Pain Management Protocols for Patients with Sickle Cell Disease
镰状细胞病患者急性疼痛管理方案的比较
  • 批准号:
    8768023
  • 财政年份:
    2014
  • 资助金额:
    $ 32.34万
  • 项目类别:
Efficacy of Acute Pain Management on Chronic Pain Following Lower Extremity Trauma
急性疼痛管理对下肢创伤后慢性疼痛的疗效
  • 批准号:
    8718488
  • 财政年份:
    2014
  • 资助金额:
    $ 32.34万
  • 项目类别:
Virtual Reality and Acute Pain Management for Children
虚拟现实和儿童急性疼痛管理
  • 批准号:
    6957892
  • 财政年份:
    2005
  • 资助金额:
    $ 32.34万
  • 项目类别:
Virtual Reality and Acute Pain Management for Children
虚拟现实和儿童急性疼痛管理
  • 批准号:
    7272767
  • 财政年份:
    2005
  • 资助金额:
    $ 32.34万
  • 项目类别:
Virtual Reality and Acute Pain Management for Children
虚拟现实和儿童急性疼痛管理
  • 批准号:
    7114475
  • 财政年份:
    2005
  • 资助金额:
    $ 32.34万
  • 项目类别:
A Novel RF TENS Device for Acute Pain Management
用于急性疼痛管理的新型 RF TENS 设备
  • 批准号:
    6585887
  • 财政年份:
    2002
  • 资助金额:
    $ 32.34万
  • 项目类别:
A SPANISH OUTCOME MEASURE OF ACUTE PAIN MANAGEMENT
西班牙急性疼痛管理的结果衡量标准
  • 批准号:
    2615658
  • 财政年份:
    1998
  • 资助金额:
    $ 32.34万
  • 项目类别:
ACUTE PAIN MANAGEMENT TO IMPROVE PATIENT OUTCOMES
急性疼痛管理可改善患者预后
  • 批准号:
    2257918
  • 财政年份:
    1994
  • 资助金额:
    $ 32.34万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了