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、实施和维持在各自的癌症护理设施中对癌症治疗中的患者进行常规痛苦筛查的计划。五个组成部分组成了一个全面的困境筛查计划：使用有效的、敏感的措施来识别困境患者；评估患者的痛苦来源；将患者及其家人转介到所需的心理社会服务；跟踪转介，以协调心理社会服务与生物医学癌症护理服务；以及使用质量改进来确保该计划的有效性。具体目标是：1)开发危难筛查课程，并通过研讨会和电子学习活动向90个不同的癌症心理社会护理实践环境中的180名多学科参与者实施；2)评估危难筛查课程对参与者实现其目标和计划结果的影响和参与者的满意度；以及3)评估这一癌症教育计划的覆盖范围、有效性、采用、实施和维护(利用RE-AIM模式)，以达到使用危难筛查的新的高质量护理标准，以确保为癌症治疗中的患者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的筛选计划来确保最广泛的影响，课程将在24个月内交付。在课程的第一年，它将包括入门讲习班和季度视频会议，在第二年，将包括高级研讨会和每半年一次的视频会议。它将被分发给由来自同一癌症护理机构的两个人组成的二元组，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。该课程将在补助金的第一年教育新的18个双子生；在补助金的第2-5年的每一年，它将教育18个新的双子生和18个返回的双子生。这意味着在过去五年中，共有180名新参与者。它还代表在五年资助期(36x1年+72x4年)内总共占用了324个讲习班座位和填满了电子学习空间。评估将包括该计划的影响范围和有效性，以及参与者采用、实施和维持遇险筛查计划的情况。研究人员将与美国心理社会肿瘤学会合作，在赠款期间实施培训计划，并在赠款期限结束后维持培训计划。这一教育计划将改善心理社会健康服务的提供，并显著提高对将最先进的心理社会肿瘤学护理与生物医学肿瘤学护理相结合的最佳做法的知识。

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.