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

培训癌症护理提供者在治疗性暴力成年幸存者时实施敏感实践指南：混合学习方法

• 批准号: 10591470
• 负责人: Julie B. Schnur
• 金额: $ 21.84万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10591470
• 关键词: Adoption; Adult; Ally; American College of Obstetricians and Gynecologists; Authorization documentation; Awareness; Cancer Patient; Caring; Clinical; Clinical Competence; Communication; Competence; Country; Course Content; Discipline; Discipline of Nursing; Disclosure; Dissociation; Distress; E-learning; Education; Educational process of instructing; Educational workshop; Ensure; Evaluation; Faculty; Feeling; Future; Gender; Goals; Guidelines; Health; Health Personnel; Healthcare; Healthcare promotion; Individual; Knowledge; Learning; Link; Malignant Neoplasms; Medical; Methods; Mission; Modeling; Patient Self-Report; Patients; Performance; Physical therapy; Play; Practice Guidelines; Prevalence; Procedures; Professional Organizations; Program Development; Program Evaluation; Provider; Psychology; Radiation Oncology; Radiation therapy; Reaction; Recording of previous events; Reporting; Research; Role; Safety; Sampling; Screening for cancer; Self Efficacy; Surveys; Survivors; Techniques; Time; Touch sensation; Training; Training Activity; Training Programs; United States; United States Department of Veterans Affairs; Woman; Work; anxious; authority; cancer care; cancer therapy; care providers; cohort; effectiveness evaluation; empowerment; evidence base; experience; healing; health care quality; improved; indexing; individualized medicine; lectures; men; multidisciplinary; mutual learning; online resource; preference; programs; psychosocial; recruit; research clinical testing; response; satisfaction; sexual violence; skill acquisition; skills; statistics; symposium; transfer learning

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.

项目总结