Meaning-Centered Psychotherapy Training for Cancer Care Providers

 描述（由申请人提供）：该项目的总体目标名为“癌症护理提供者的以意义为中心的心理治疗培训”，是为为晚期癌症患者提供心理肿瘤学和心理社会姑息护理服务的多学科癌症护理临床医生制定以意义为中心的心理治疗（MCP）多模式培训计划。该计划将对来自不同癌症和姑息治疗临床环境的约 240 名精选临床医生进行 MCP 实施培训。 5年以上，20至30岁 MCP 培训 (MCPT) 参与者将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教员（MCP 的开发者）和 MSK 沟通技巧 (Comskil) 培训计划设施接受 8 至 12 次 MCPT 课程的培训。 MCPT 参与者对临床 MCP 技能的掌握以及该计划对患者结果的影响将使用由该方法专家领导的 RE-AIM 方法进行评估。培训将采用多组成部分的教学计划、小组体验式学习以及基于已发布的 MCP 培训手册的课程。训练有素的演员将被用作模拟患者，视频录制将在训练期间提供反馈。 MCP 培训期间和之后将提供基于网络的临床指导应用、案例示例、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互动回复、讨论板的便利和列表服务。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，为晚期癌症患者提供肿瘤心理和社会心理姑息护理服务； 2）通过培训师的评分来评估MCPT参与者的MCP技能获取情况；参与者对计划的满意度；以及参与者对技能的采用、实施和维护； 3) 在每个 MCPT 参与者自己的晚期癌症患者临床实践环境中评估 MCPT 对患者结果的有效性。该 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。在证明 R25 的成功之后，MSK 斯隆提供了机构支持，以创建一个心理治疗培训机构，该机构将继续致力于传播 MSK 斯隆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.