Tobacco Treatment Training for Cancer Care Providers

癌症护理人员烟草治疗培训

• 批准号: 10628637
• 负责人: Jamie S. Ostroff
• 金额: $ 31.66万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10628637
• 关键词: Acceleration; Address; Adoption; Agreement; Attitude; Basic Science; Behavior; Cancer Care Facilities; Cancer Education Grant Program; Cancer Patient; Cancer Survivor; Caring; Cessation of life; Chronic; Clinical; Clinical Practice Guideline; Clinical Research; Communities; Course Content; Dedications; Diagnosis; Discipline; Education; Educational Grants; Educational workshop; Enrollment; Evaluation; Faculty; Feedback; Funding; Goals; Guidelines; Health; Hybrids; Institution; Knowledge; Light; Malignant Neoplasms; Medical; Modeling; Morbidity - disease rate; NCI-Designated Cancer Center; National Comprehensive Cancer Network; Nurses; Oncologist; Oncology; Outcome; Participant; Patients; Persons; Pharmacists; Professional Organizations; Provider; Psychologist; Quality of life; Recurrent disease; Reporting; Research; Resources; Risk; Risk Factors; Second Primary Cancers; Self Efficacy; Site; Smoke; Smoker; Smoking; Social Workers; Surgeon; Surveys; Time; Tobacco; Tobacco Dependence; Tobacco Use Cessation; Tobacco use; Training; Training Programs; Training and Education; Translational Research; Treatment-related toxicity; Update; anticancer research; cancer care; cancer education; cancer therapy; care delivery; care providers; cohort; collaboratory; course development; design; disorder risk; education research; evidence base; implementation barriers; implementation facilitation; improved; innovation; learning strategy; modifiable risk; mortality; multidisciplinary; patient-level barriers; practice setting; premature; programs; provider-level barriers; research to practice; respiratory; skill acquisition; skills; smoking cessation; standard care; system-level barriers; tobacco cessation intervention; training project; treatment planning; treatment response; treatment services; videoconference; virtual

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.

项目摘要/摘要 这一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 在他们的癌症护理环境中进行评估和治疗(TUAT)。持续吸烟与癌症有关-- 特定和全因死亡，二次原发癌症的可能性增加，疾病风险增加 复发、治疗反应差和治疗相关毒性。领先的肿瘤学组织已经 强烈支持烟草使用评估和治疗作为高质量癌症护理的重要衡量标准 和循证的临床指南，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，TUAT的采用成为现实 世界肿瘤学实践设置仍然缓慢且不一致。尽管最近的调查表明， 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 在提供被NCI指定为癌症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确立为标准护理， 而且缺乏实现癌症TUAT创新所需的培训和实施支持 研究和关怀。为了解决这一持续的研究与实践之间的差距，续签这项癌症教育补助金 将支持完善和制定我们目前广受欢迎的TUAT技能发展课程，并 旨在加快肿瘤护理提供者努力实施TUAT的协作培训计划 烟草依赖患者在各自的癌症护理机构接受治疗。我们建议的技能发展 工作将在为期6个月的积极培训期间进行，从为期2天的现场或 虚拟研讨会，之后每月举行六次视频会议(协作实验室)，由计划部门共同主持 在癌症方面拥有丰富的TUAT专业知识。这项拟议的技能发展课程更新将使 美国将再招收15名学员(20名参与者/学员)，使我们能够再培训300名多学科人员 来自不同癌症实践环境的参与者。到目前为止，TTT-O的需求一直很旺盛 来自多个学科和各种癌症护理环境的大量肿瘤学护理提供者。 我们已经超过了最初的招生项目，并成功培训了286名肿瘤护理人员。 学员对课程内容、师资和形式的反馈非常出色。调查结果来自 我们的多管齐下的评估计划表明，TUAT知识在统计上有了显著改善， 态度、自我效能感、技能和行为。最终，这项癌症教育计划将提高 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 并降低癌症患者和幸存者中与烟草有关的发病率和死亡率。