Training Cancer Care Providers to Implement Sensitive Practice Guidelines When Treating Adult Survivors of Sexual Violence: A Blended Learning Approach

项目摘要 理由：性暴力统计数据令人震惊：三分之一的女性和六分之一的男性经历过性暴力。 一生中的暴力对于SV幸存者来说，癌症护理可能会引发和再创伤， 癌症治疗方面与原始SV之间的相似性（例如，被要求脱衣服躺着别动 被权威人士触摸）。这种触发和再创伤可能与不依从有关 到癌症筛查和治疗。然而，尽管SV的流行和它可能产生的负面影响， 患者的癌症治疗经验，与SV幸存者一起工作的培训不是标准的组成部分， 癌症护理提供者的教育。目标：拟议的R25 E的目标是培养一个多学科的 一组癌症护理提供者在敏感的实践技能与幸存者的SV工作。拟议 敏感实践培训（SPT）计划将教导提供者帮助他们的SV幸存者患者感到安全 并在癌症筛查和治疗期间尽可能地增强能力。该计划将是第一个， 全国范围内的敏感实践培训计划。SPT计划的培训形式是混合的 学习，结合电子学习和为期两天的现场研讨会。教师代表多个学科 包括心理学、放射肿瘤学、放射治疗和物理治疗。具体目标是：1） 评估受训者对我们的SPT培训计划的增加、保留和满意度; 2）评估 SPT计划对受训者敏感的实践知识，技能和自我效能的有效性， 这些技能在实践中;和，3）评估的影响，SPT计划对学员的现实世界的做法，使用 混合方法。SPT内容以Schachter的“安全伞”原则为指导（尊重， 融洽，花时间，分享信息，分享控制，尊重边界，相互学习， 理解非线性治疗，展示对性暴力的理解）。年评价计划 SPT计划由米勒的临床能力金字塔指导，并将重点放在四个层次上， 评价：知识、能力、业绩和行动。评价将与每次培训挂钩 模块，并将管理之前，期间和3个月后，计划参与。方法：将 癌症护理提供者的多学科小组（N=200;包括医疗、护理、专职医疗和 将通过专业组织招募来自全国各地的心理社会服务提供者， 两会长期目标：通过在敏感实践中培训大量癌症护理提供者 技术，拟议的R25 E是提高癌症护理工作人员能力的关键第一步 以满足接受癌症护理的SV幸存者的需求，这是一个很大程度上被忽视的群体。连接 NCI的使命：该项目与NCI强调的提高医疗质量和优化 临床医生和患者之间的沟通。

PROJECT SUMMARY Rationale: Sexual violence (SV) statistics are staggering: 1 in 3 women and 1 in 6 men has experienced sexual violence in their lifetime. For SV survivors, cancer care can be triggering and retraumatizing due to perceived similarities between aspects of cancer treatment and the original SV (e.g., being asked to undress, lie still, being touched by authority figures). This triggering and retraumatization can be associated with non-adherence to cancer screening and treatment. Yet despite the prevalence of SV and the negative effects it can have on patients' cancer treatment experiences, training in working with SV survivors is not a standard component of cancer care providers' education. Objectives: The goal of the proposed R25E is to train a multidisciplinary group of cancer care providers in sensitive practice skills for working with survivors of SV. The proposed Sensitive Practice Training (SPT) Program will teach providers to help their SV survivor patients to feel as safe and empowered as possible during cancer screening and treatment. The program would be the first, nationwide, sensitive practice training program of its kind. The training format for the SPT program is blended learning, combining E-Learning and a two-day live workshop. The faculty represents multiple disciplines including psychology, radiation oncology, radiation therapy, and physical therapy. The Specific Aims are to: 1) evaluate trainee accrual to, retention in, and satisfaction with our SPT training program; 2) evaluate the effectiveness of the SPT program on trainees' sensitive practice knowledge, skills, and self-efficacy for using these skills in practice; and, 3) evaluate the impact of the SPT program on trainees' real-world practice using a mixed-methods approach. The SPT content is guided by Schachter's “Umbrella of Safety” principles (respect, rapport, taking time, sharing information, sharing control, respecting boundaries, mutual learning, understanding non-linear healing, demonstrating an understanding of sexual violence). The evaluation plan for the SPT program is guided by Miller's pyramid of clinical competencies, and will focus on four levels of evaluation: knowledge, competence, performance, and action. Evaluations will be linked to each training module, and will be administered prior to, during, and 3 months after program participation. Methods: A multidisciplinary group of cancer care providers (N=200; including medical, nursing, allied health, and psychosocial providers) from across the country will be recruited via professional organizations and conferences. Long-term goals: By training a large cohort of cancer care providers in sensitive practice techniques, the proposed R25E is a critical first step toward enhancing the ability of the cancer care workforce to meet the needs of SV survivors undergoing cancer care, a large and largely overlooked group. Connection to NCI mission: This project is consistent with NCI's emphasis on promoting health care quality and optimizing communication between clinicians and patients.