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、综合分诊、患者/护理者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培训研究将解决实施全面生物-心理-社会筛查的迫切需要，该筛查旨在查明对坚持治疗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、心理社会、精神、财务和实际问题，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)批准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未得到广泛实施。该培训计划将在该奖项的五年任期内提供九次，总共将培训 360名癌症保健专业人员(包括精神卫生专业人员、医生、护士和管理人员)如何实施全面的生物心理社会筛查计划。该学院由该领域的14位领导者组成，他们在实施全面的生物心理社会筛查方面具有实践经验。该计划将包括：10个研讨会前的电子学习网络研讨会(共6个小时)，2个研讨会前的教师-实习生电话会议，在希望之城(COH)举行的为期两天的基于技能的研讨会，其中包括教师领导的互动临床经验和在监督下参与COH全面生物心理社会筛查计划的临床实施，4个研讨会后的电子学习网络研讨会(共3个小时)，8个研讨会后的教师-实习生电话会议，1个研讨会后的教师-机构实施电话会议(4-6个月后培训)，以及在奖项任期和次年期间的一个基于网络的讨论委员会。讲习班的目标是让学员了解并能够实施全面筛查发展的各个方面。在小组学习模式和Grol等人的制度变革模型的指导下，教师将讨论对实施全面筛选计划至关重要的主题。总体目标：1.通过为保健和行政管理专业人员举办网络研讨会和培训讲习班，制定和应用一项课程，以实施高质量的全面筛查方案；2.支持正在进行的培训，并为学员提供联网机会，方法是举行10次教员-学员电话会议，1次研讨会后教员-院校执行电话会议(培训后4-6个月)，并在方案期限内和之后一年为学员和教职员工提供访问在线讨论板的机会；为了评估培训计划的有效性，将在每次研讨会后的12个月和18个月进行评估，以确定受训人员获得的知识、满意度和目标实现情况；以及受训人员在各自机构实施筛选计划的情况。

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.