Meaning-Centered Psychotherapy Training for Cancer Care Providers

 描述（由申请人提供）：该项目的总体目标，题为“意义为中心的心理治疗培训癌症护理提供者”，是开发一个多模式的培训计划，意义为中心的心理治疗（MCP）的多学科癌症护理临床医生谁提供心理肿瘤学和心理社会姑息治疗服务的晚期癌症患者。该计划将培训约240名来自不同癌症和姑息治疗临床环境的临床医生提供MCP。5年以上，20至30岁 MCP培训（MCPT）参与者将接受8至12次MCPT课程的培训，使用纪念斯隆凯特琳癌症中心（MSK）精神病学与行为科学心理治疗实验室系（MCP的开发者）和MSK的沟通技能（Comskil）培训计划设施。MCPT参与者获得临床MCP技能以及该计划对患者结局的影响将使用由该方法专家领导的RE-AIM方法进行评估。培训将使用多组件的教学计划，小组体验式学习，并根据出版的MCP培训手册的课程。经过培训的演员将被用作模拟患者，视频记录将允许在培训期间提供反馈。在整个MCP培训期间和之后，将提供基于网络的临床指南、病例示例、相关阅读材料的发布、描述管理具有挑战性的MCP病例的策略的网络研讨会以及社交媒体平台。研究人员还将提供对帖子的交互式回复、讨论板的便利和一个列表服务器。该提案的长期目标是通过培训大量临床医生，在更多的癌症和姑息治疗环境中扩大MCP的可用性。具体目标是：1）为来自多个学科的选定癌症护理临床医生制定和建立MCP培训计划，这些临床医生为晚期癌症患者提供心理肿瘤学和心理社会姑息治疗服务; 2）通过培训师的评级评估MCPT参与者的MCP技能获得;参与者对该计划的满意度;以及参与者对技能的采用，实施和维护;以及3）在每个MCPT参与者自己的晚期癌症患者的临床实践环境中评估MCPT对患者结局的有效性。这项MCPT计划将提高临床医生治疗晚期癌症患者的能力，并提高患者的生活质量。在这一R25的成功展示之后，卫生和社会事务部提供了机构支持，以创建一个心理治疗培训机构，继续履行该机构的承诺，传播卫生和社会事务部制定的有效干预措施。

 DESCRIPTION (provided by applicant): The overall objective of this project, entitled "Meaning-Centered Psychotherapy Training for Cancer Care Providers," is to develop a multi-modal training program in Meaning-Centered Psychotherapy (MCP) for multidisciplinary cancer care clinicians who provide psycho-oncology and psychosocial palliative care services for advanced cancer patients. This program will train approximately 240 selected clinicians from diverse cancer and palliative care clinical settings in the delivery of MCP. Over 5 years, 20 to 30 MCP Training (MCPT) participants will be trained in 8 to 12 MCPT sessions, using Memorial Sloan Kettering Cancer Center (MSK) Department of Psychiatry & Behavioral Sciences Psychotherapy Laboratory Faculty (the developers of MCP) and the facilities of MSK's Communication Skills (Comskil) Training Program Facilities. The acquisition of clinical MCP skills by MCPT participants, as well as the impact of the program on patient outcomes, will be evaluated using RE-AIM methodology led by an expert in this approach. Training will use a multi-component program of didactics, group experiential learning, and a curriculum based on published MCP training manuals. Trained actors will be used as simulated patients, and video recordings will allow feedback during training. A web-based application of clinical guidance, case examples, postings of relevant readings, webinars that describe strategies for managing challenging MCP cases, and social media platforms will be provided throughout and after the MCP training. Interactive responses to postings, facilitation of discussion boards, and a listserv will also be made available by the research faculty. The long-term goal of this proposal is to expand the availability of MCP in significantly more cancer and palliative care treatment settings by training a large cadre of clinicians. Specific aims are: 1) develop and establish a MCP Training Program for selected cancer care clinicians from multiple disciplines who provide psycho-oncology and psychosocial palliative care services for advanced cancer patients; 2) evaluate MCPT participants' MCP skill acquisition through trainers' ratings; participants' satisfaction with the program; and participants' adoption, implementation, and maintenance of skills; and 3) assess the effectiveness of MCPT on patient outcomes in each MCPT participant's own clinical practice setting with advanced cancer patients. This MCPT program will increase clinicians' ability to treat advanced cancer patients and enhance patients' quality of life. Institutional support at MSK exists, after the demonstration of this R25's success, to create a psychotherapy training institute that would continue the institution's commitment to disseminate effective interventions developed at MSK.