Meaning-Centered Psychotherapy Training for Cancer Care Providers

 描述(由申请者提供)：该项目的总体目标是为癌症护理人员提供以意义为中心的心理治疗培训，为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的多学科癌症护理临床医生开发以意义为中心的心理治疗(MCP)的多模式培训计划。该计划将培训来自不同癌症和姑息治疗临床环境的大约240名选定的临床医生，了解MCP的交付情况。超过5年，20到30年 MCP培训(MCPT)的参与者将接受8至12个MCPT课程的培训，使用纪念斯隆·凯特琳癌症中心(MSK)精神病学和行为科学系心理治疗实验室学院(MCP的开发商)和MSK的沟通技能(Comskil)培训计划设施。MCPT参与者获得的临床MCP技能以及该计划对患者结局的影响将使用RE-AIM方法进行评估，该方法由该方法的专家领导。培训将使用教学论、小组体验式学习和基于已出版的MCP培训手册的课程。训练有素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，将提供临床指导、案例示例、相关阅读资料的张贴、描述管理挑战性MCP病例的策略的网络研讨会以及社交媒体平台的网络应用程序。研究人员还将提供对帖子的互动回复、促进讨论板和列表服务器。这项建议的长期目标是通过培训一大批临床医生，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)通过培训师的评分评估MCPT参与者的MCP技能获得；参与者对计划的满意度；以及参与者对技能的采用、实施和保持；以及3)评估MCPT参与者自己的MCPT参与者与晚期癌症患者的临床实践环境中MCPT对患者预后的有效性。这一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R25‘S的成功展示之后，密歇根州立大学存在机构支持，以创建一家心理治疗培训机构，该机构将继续致力于传播在密歇根州州立大学开发的有效干预措施。

 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.