Training Healthcare Professionals to Implement Biopsychosocial Screening

描述（由申请人提供）：全面的生物心理社会筛查，综合分类，患者/护理人员教育和随访有可能成为整个癌症治疗轨迹中成功的以患者为中心的护理的核心。拟议的R-25E培训研究将解决全面的生物心理社会筛查实施的迫切需求，旨在确定对治疗依从性和生活质量至关重要的障碍和资源。通过前瞻性地识别患者的身体、社会心理、精神、经济和实际问题，筛查优化了患者、家庭和医疗团队之间的沟通。国家综合癌症网络（NCCN）、医学研究所（IOM）以及美国临床肿瘤学会（ASCO）和美国外科医师学会（ACS）癌症委员会（CoC）的新认证标准已经认可了全面的生物心理社会筛查指南。然而，这些全面的生物心理社会筛查指南并没有得到广泛实施。该培训项目将在5年任期内进行9次，培训人数将达到总人数

DESCRIPTION (provided by applicant): Comprehensive biopsychosocial screening, integrated triage, patient/caregiver education, and follow-up has the potential to be central to successful patient-centered care across the cancer treatment trajectory. The proposed R-25E training research will address the pressing need for comprehensive biopsychosocial screening implementation that seeks to identify barriers and resources critical to treatment adherence and quality of life. By prospectively identifying the patient's physical, psychosocial, spiritual, finacial, and practical problems, screening optimizes communication among the patient, family, and healthcare team. Comprehensive biopsychosocial screening guidelines have been endorsed by the National Comprehensive Cancer Network (NCCN), the Institute of Medicine (IOM) and new accreditation standards from the American Society of Clinical Oncology (ASCO) and the American College of Surgeons (ACS) Commission on Cancer (CoC). However, these comprehensive biopsychosocial screening guidelines are not widely implemented. The training program will be offered nine times during the five-year tenure of the award, and will train a total of 360 cancer healthcare professionals (including mental health professionals, physicians, nurses, and administrators) in how to implement comprehensive biopsychosocial screening programs. The faculty is comprised of 14 leaders in the field with hands-on experience in the implementations of comprehensive biopsychosocial screening. The program will include: 10 pre-workshop e-learning webinars (totaling six hours), two pre-workshop faculty-trainee conference calls, a two day skills-based workshop at City of Hope (COH) incorporating faculty-led interactive clinical experiences and supervised participation in the clinical implementation of a comprehensive biopsychosocial screening program at COH, four post-workshop e-learning webinars (totaling three hours), eight post-workshop faculty-trainee conference calls, one post-workshop faculty-institutional implementation conference call (4-6 months post training) and a web-based Discussion Board during the tenure of the award and the year following. The goal of the workshop is for trainees to understand and be able to implement all aspects of comprehensive screening development. Guided by the small-group learning model and by the by Grol et al's Institutional Change Model, faculty will discuss topics that are critical to implementing a comprehensive screening program. Overall Goals: 1. To develop and apply a curriculum to implement high-quality comprehensive screening programs by conducting webinars and training workshops for healthcare and administrative professionals; 2. To support ongoing training and provide networking opportunities for trainees by conducting ten faculty-trainee telephone conference-calls, one post-workshop faculty-institutional implementation conference call (4-6 months post training) and by providing trainees and faculty with access to an online Discussion Board during the tenure of the program and for one year afterwards; and 3. To assess the effectiveness of the training program, evaluations will be conducted at 12 and 18 months following each workshop to determine: trainee knowledge gained, satisfaction, and goal achievement; and trainees' implementation of a screening program at their respective institutions.