Training Cancer Care Providers to Implement Sensitive Practice Guidelines When Treating Adult Survivors of Sexual Violence: A Blended Learning Approach

项目总结 理由：性暴力(SV)的统计数据令人震惊：三分之一的女性和六分之一的男性经历过性行为 他们一生中的暴力行为。对于SV幸存者来说，癌症护理可能会触发并重新造成创伤，因为 癌症治疗的各个方面与原始SV之间的相似之处(例如，被要求脱衣服，躺着不动， 被权威人士感动)。这种触发和再创伤可能与不遵守有关 癌症筛查和治疗。然而，尽管SV的流行及其可能对 患者的癌症治疗经验，与SV幸存者一起工作的培训不是标准组成部分 癌症护理提供者的教育。目标：建议的R25E的目标是培养一个多学科的 一组癌症护理提供者在与SV幸存者工作的敏感实践技能。建议数 敏感实践培训(SPT)计划将教提供者帮助他们的SV幸存者患者感到安全 并在癌症筛查和治疗期间尽可能增强能力。该项目将是第一个， 在全国范围内，此类敏感的实践培训计划。SPT方案的培训形式是混合的 学习，结合电子学习和为期两天的现场研讨会。该学院代表多个学科。 包括心理学、放射肿瘤学、放射疗法和物理疗法。具体目标是：1) 评估学员对我们SPT培训计划的收益、留存和满意度；2)评估 SPT项目对学员敏感实践知识、技能和使用自我效能感的影响 实践中的这些技能；以及，3)评估小组委员会方案对受训人员实际实践的影响 混合方法的方法。SPT的内容遵循沙赫特的“安全伞”原则(尊重， 融洽，花时间，分享信息，分享控制权，尊重边界，相互学习， 了解非线性治疗，展示对性暴力的理解)。年的评估计划 SPT计划以米勒的临床能力金字塔为指导，将重点放在以下四个层面 评估：知识、能力、表现和行动。评估将与每个培训相关联 模块，并将在参与计划之前、期间和之后3个月进行管理。方法：A 癌症护理提供者的多学科小组(N=200；包括医疗、护理、联合保健和 心理社会提供者)将通过专业组织和 会议。长期目标：通过对一大批癌症护理人员进行敏感实践培训 技术，建议的R25E是提高癌症护理人员能力的关键的第一步 为了满足接受癌症护理的SV幸存者的需求，这是一个很大但基本上被忽视的群体。连接 致NCI使命：该项目与NCI对促进医疗质量和优化的重视是一致的 临床医生与患者之间的沟通。

PROJECT SUMMARY Rationale: Sexual violence (SV) statistics are staggering: 1 in 3 women and 1 in 6 men has experienced sexual violence in their lifetime. For SV survivors, cancer care can be triggering and retraumatizing due to perceived similarities between aspects of cancer treatment and the original SV (e.g., being asked to undress, lie still, being touched by authority figures). This triggering and retraumatization can be associated with non-adherence to cancer screening and treatment. Yet despite the prevalence of SV and the negative effects it can have on patients' cancer treatment experiences, training in working with SV survivors is not a standard component of cancer care providers' education. Objectives: The goal of the proposed R25E is to train a multidisciplinary group of cancer care providers in sensitive practice skills for working with survivors of SV. The proposed Sensitive Practice Training (SPT) Program will teach providers to help their SV survivor patients to feel as safe and empowered as possible during cancer screening and treatment. The program would be the first, nationwide, sensitive practice training program of its kind. The training format for the SPT program is blended learning, combining E-Learning and a two-day live workshop. The faculty represents multiple disciplines including psychology, radiation oncology, radiation therapy, and physical therapy. The Specific Aims are to: 1) evaluate trainee accrual to, retention in, and satisfaction with our SPT training program; 2) evaluate the effectiveness of the SPT program on trainees' sensitive practice knowledge, skills, and self-efficacy for using these skills in practice; and, 3) evaluate the impact of the SPT program on trainees' real-world practice using a mixed-methods approach. The SPT content is guided by Schachter's “Umbrella of Safety” principles (respect, rapport, taking time, sharing information, sharing control, respecting boundaries, mutual learning, understanding non-linear healing, demonstrating an understanding of sexual violence). The evaluation plan for the SPT program is guided by Miller's pyramid of clinical competencies, and will focus on four levels of evaluation: knowledge, competence, performance, and action. Evaluations will be linked to each training module, and will be administered prior to, during, and 3 months after program participation. Methods: A multidisciplinary group of cancer care providers (N=200; including medical, nursing, allied health, and psychosocial providers) from across the country will be recruited via professional organizations and conferences. Long-term goals: By training a large cohort of cancer care providers in sensitive practice techniques, the proposed R25E is a critical first step toward enhancing the ability of the cancer care workforce to meet the needs of SV survivors undergoing cancer care, a large and largely overlooked group. Connection to NCI mission: This project is consistent with NCI's emphasis on promoting health care quality and optimizing communication between clinicians and patients.