Tobacco Treatment Training for Cancer Care Providers

项目总结/摘要 这个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）在他们的癌症护理环境。持续吸烟与癌症有关- 特异性和全因死亡率，第二原发性癌症的可能性增加，疾病风险增加 复发、对治疗反应差和治疗相关毒性。领先的肿瘤学组织 强烈赞同烟草使用评估和治疗是高质量癌症护理的重要指标 有循证的临床指南用于评估和治疗烟草使用和依赖 在癌症患者中。不幸的是，实施的障碍很多，并且将TUAT采用到真实的中， 世界肿瘤学实践环境仍然缓慢且不一致。尽管最近的调查显示， 肿瘤学提供者同意建议戒烟是癌症治疗计划的一个重要方面 在提供作为NCI-Designated Cancer的烟草治疗服务方面取得了一些进展 中心，大多数癌症护理机构尚未将戒烟治疗作为标准护理， 并且缺乏实现癌症TUAT创新所需的培训和实施支持 研究和护理。为了解决这一持续的研究与实践之间的差距， 将支持完善和颁布我们目前广受好评的TUAT技能发展课程， 合作培训计划旨在加速肿瘤护理提供者实施TUAT的努力， 在各自的癌症护理机构接受治疗的烟草依赖患者。我们建议的技能发展 将在为期6个月的主动培训期间实施，从为期2天的现场培训或 虚拟研讨会，然后是六个月的视频会议（合作实验室），由项目教师共同主持 在癌症方面拥有广泛的TUAT专业知识。这一技能发展课程的拟议更新将使 我们将招募15个额外的队列（20名参与者/队列），使我们能够额外培训300名多学科 来自不同癌症实践环境的参与者。到目前为止，TTT-O的需求强劲， 来自多个学科和各种癌症护理环境的大量肿瘤护理提供者。 我们已经超过了最初的招生项目，并成功培训了286名肿瘤护理提供者。 参与者对课程内容、教师和形式的反馈非常出色。的结果 我们的多管齐下的评估计划证明了TUAT知识的统计学显著改善， 态度、自我效能、技能和行为。最终，这个癌症教育项目将提高 肿瘤护理提供者实施烟草使用评估和治疗的临床实践指南 减少癌症患者和幸存者中与烟草有关的发病率和死亡率。

Project Summary/Abstract This cancer education training project is designed to train oncology care providers to implement tobacco use assessment and treatment (TUAT) in their cancer care settings. 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. Leading oncology organizations have strongly endorsed tobacco use assessment and treatment as an important metric for high quality cancer care and evidence-based, clinical guidelines exist for assessment and treatment of tobacco use and dependence among cancer patients. Unfortunately, barriers for implementation are many, and adoption of TUAT into real world oncology practice settings remains slow and inconsistent. Although recent surveys demonstrate that oncology providers agree that advising tobacco cessation is an important aspect of cancer treatment planning and that some progress has been made at offering tobacco treatment services as NCI-Designated Cancer Centers, most cancer care settings have not yet established tobacco cessation treatment as standard care, and there exists a lack of training and implementation support needed to achieve TUAT innovation in cancer research and care. To address this continued research-to-practice gap, renewal of this cancer education grant will support refinement and enactment of our current well-received TUAT skills development course and collaborative training program intended to accelerate oncology care providers’ efforts to implement TUAT for tobacco-dependent patients treated in their respective cancer care facilities. Our proposed skills development effort will be enacted during a 6-month period of active training engagement beginning with a 2-day onsite or virtual Workshop followed by six monthly videoconferences (Collaboratory) co-facilitated by Program Faculty with extensive TUAT expertise in cancer. This proposed renewal of this skills development course will enable us to enroll 15 additional cohorts (20 participants/cohort) enabling us to train an additional 300 multidisciplinary participants from diverse cancer practice settings. To date, there has been the strong demand for TTT-O from a large number of oncology care providers from multiple disciplines and a wide variety of cancer care settings. We have exceeded our initial enrollment projects and successfully trained 286 oncology care providers. Participant feedback regarding course content, faculty and format have been outstanding. The findings from our multi-pronged evaluation plan demonstrate statistically significant improvements in TUAT knowledge, attitudes, self-efficacy, skills, and behavior. Ultimately, this cancer education program will improve the capacity of oncology care providers to implement clinical practice guidelines for tobacco use assessment and treatment and reduce tobacco-related morbidity and mortality among cancer patients and survivors.