Using the RE-AIM Model to Translate Distress Screening into Cancer Care

描述（由申请人提供）：这一创新的心理社会肿瘤学教育计划的目标是通过痛苦筛查课程教育参与者采用，实施和维护在各自的癌症护理设施中治疗癌症的患者的常规痛苦筛查计划。五个组成部分包括一个全面的痛苦筛查计划：使用一个有效的，敏感的措施来识别痛苦的病人;评估病人的痛苦来源;将病人和家庭转介到所需的心理社会服务;跟进心理社会服务与生物医学癌症护理服务的协调;并使用质量改进，以确保该计划的有效性。具体目标是：1）制定痛苦筛查课程，并通过研讨会和电子学习活动实施，共有180名多学科参与者在90个不同的实践环境中进行心理社会癌症护理; 2）评估痛苦筛查课程对参与者实现其目标和计划成果的影响和参与者对痛苦筛查课程的满意度;及3）评估此癌症教育计划的范围、成效、采用、实施及维持情况（利用RE-AIM模式），以达致使用痛苦筛选的新优质护理标准，确保为接受治疗的癌症病人提供适当的心理社会健康服务。为了通过持续实施和维持参与者筛选方案来确保最广泛的覆盖面，课程将在24个月内交付。在课程的第一年，它将包括一个介绍性讲习班和季度视频会议，并在第二年，一个先进的讲习班和半年视频会议。它将被交付给由来自同一癌症护理机构的两个人组成的成对队列，他们代表不同的专业实践学科，如牧师，护理，肿瘤学，精神病学，心理学或社会工作。该课程将在赠款的第一年教育新的18对学生;在赠款的第二至第五年的每一年，它将教育18对新的学生和18对返回的学生。这意味着五年来共有180名新参与者。它还代表了在五年资助期内（36 x 1年+ 72 x 4年）总共占用的324个研讨会座位和电子学习空间。评估将包括该计划的范围和有效性，以及参与者对遇险筛查计划的采用、实施和维护。研究人员将与美国心理社会肿瘤学会合作，在资助期内实施培训计划，并在资助期结束后继续实施。该教育计划将改善心理社会健康服务的提供，并显着推进最佳实践的知识，将科学的心理社会肿瘤学护理与参与者实践环境中的生物医学肿瘤学护理相结合。

DESCRIPTION (provided by applicant): The goal of this innovative psychosocial oncology educational initiative is to educate participants through the Distress Screening Curriculum to adopt, implement, and maintain programs for routine distress screening of patients in treatment for cancer in their respective cancer-care facilities. Five components comprise a comprehensive distress screening program: using a validated, sensitive measure for identifying distressed patients; assessing patients for sources of their distress; referring patients and families to needed psychosocial services; following up on referrals for the coordination of psychosocial services with biomedical cancer care services; and using quality improvement to assure the program's effectiveness. Specific aims are to: 1) develop the Distress Screening Curriculum and implement it through workshops and eLearning activities to a total of 180 multidisciplinary participants in 90 diverse practice settings in psychosocial cancer care; 2) evaluate the impact of and participants' satisfaction with the Distress Screening Curriculum on participants' achievement of their goals and program outcomes; and 3) assess the reach, effectiveness, adoption, implementation, and maintenance (utilizing the RE-AIM model) of this cancer education program on achieving the new quality care standard of using distress screening to ensure the provision of appropriate psychosocial health services for patients in treatment for cancer. To guarantee the widest reach through sustained implementation and maintenance of participants' screening programs, the Curriculum will be delivered over 24 months. In the Curriculum's first year, it will include an introductory workshop and quarterly videoconferences, and in the second year, an advanced workshop and semiannual videoconferences. It will be delivered to cohorts of dyads composed of two individuals from the same cancer-care facility who represent different professional practice disciplines, such as chaplaincy, nursing, oncology, psychiatry, psychology, or social work. The Curriculum will educate new 18 dyads in year 1 of the grant; and in each year of years 2-5 of the grant, it will educate 18 new dyads and 18 returning dyads. This represents a total of 180 new participants over the five years. It also represents a total of 324 workshop seats occupied and eLearning spaces filled over the five-year funding period (36 x 1 year + 72 x 4 years). Assessment will include the program's reach and effectiveness and participants' adoption, implementation, and maintenance of distress screening programs. The investigators will partner with the American Psychosocial Oncology Society to implement the training program during the grant period and to sustain it once the grant period has ended. This educational program will improve the delivery of psychosocial health services and significantly advance knowledge of best practices for integrating state-of-the-science psychosocial oncology care with biomedical oncology care across participants' practice settings.