评估一种混合式学习培训概念，以培训肿瘤内科医生就补充和整合医学向患者提供建议（KOKON-KTO）：一项前瞻性、多中心、整群随机试验的研究方案。
Evaluation of a blended-learning training concept to train oncology physicians to advise their patients about complementary and integrative medicine (KOKON-KTO): study protocol for a prospective, multi-center, cluster-randomized trial.
作者信息
Helmer Stefanie M, Rogge Alizé A, Fischer Felix, Pach Daniel, Horneber Markus, Roll Stephanie, Witt Claudia M
机构信息
Institute for Social Medicine, Epidemiology, and Health Economics, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
出版信息
Trials. 2019 Jan 29;20(1):90. doi: 10.1186/s13063-019-3193-y.
BACKGROUND
Many cancer patients are interested in complementary and integrative medicine during and after regular cancer treatment. Given the high number of users it is important that physicians and patients engage in a dialog about useful complementary and integrative medicine therapies during cancer treatment. In a prospective, multi-center, cluster-randomized evaluation study we will develop, implement and evaluate a training program for oncology physicians advising their patients on complementary and integrative medicine. The main objective of the study is to evaluate whether training physicians in a blended-learning approach (e-learning + skills-training workshop) in providing advice to their cancer patients on complementary and integrative medicine, in addition to handing out an information leaflet about reputable websites, has different effects on the outcomes of patients, physicians, and their interaction level, compared to only giving out the information leaflet.
METHODS/DESIGN: Forty-eight oncology physicians will be included into a cluster-randomized trial to either participate or not in the blended-learning training. Physicians will then advise 10 cancer patients each, resulting in 480 patients participating in the trial. The blended learning consists of nine units of up to 45 min of e-learning and 18 units of up to 45 min of on-site skills-training workshop focusing. Outcomes will be measured on the physician, patient, and physician-patient-interaction level.
DISCUSSION
A blended-learning program for oncology physicians to advise their cancer patients in a systematic way and a reasonable time frame on complementary and integrative medicine will be evaluated in depth in a large cluster-randomized trial.
TRIAL REGISTRATION
German Clinical Trials Register, ID: DRKS00012704 . Registered on 28 August 2017.
背景
许多癌症患者在常规癌症治疗期间及之后对补充和整合医学感兴趣。鉴于使用者数量众多，医生和患者就癌症治疗期间有用的补充和整合医学疗法展开对话非常重要。在一项前瞻性、多中心、整群随机评估研究中，我们将开发、实施并评估一项针对肿瘤内科医生的培训项目，该项目旨在为其患者提供补充和整合医学方面的建议。该研究的主要目的是评估，与仅发放一份关于知名网站的信息传单相比，采用混合式学习方法（电子学习+技能培训工作坊）对肿瘤内科医生进行培训，使其在为癌症患者提供补充和整合医学建议时，除发放信息传单外，是否会对患者、医生及其互动水平的结果产生不同影响。
方法/设计：48名肿瘤内科医生将被纳入一项整群随机试验，以决定是否参与混合式学习培训。然后，每位医生将为10名癌症患者提供建议，从而有480名患者参与该试验。混合式学习包括九个时长可达45分钟的电子学习单元和18个时长可达45分钟的现场技能培训工作坊单元。将在医生、患者以及医患互动层面测量结果。
讨论
一项针对肿瘤内科医生的混合式学习项目将在一项大型整群随机试验中得到深入评估，该项目旨在以系统的方式并在合理的时间框架内为癌症患者提供补充和整合医学方面的建议。
试验注册
德国临床试验注册中心，编号：DRKS00012704。于2017年8月28日注册。
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