School of Psychology, University of Ottawa, Ottawa, ON.
Montfort Hospital, Ottawa, ON.
Curr Oncol. 2020 Apr;27(2):e163-e170. doi: 10.3747/co.27.5681. Epub 2020 May 1.
Cancer-related fatigue (crf) is the highest unmet need in cancer survivors. The Canadian Association of Psychosocial Oncology (capo) has developed guidelines for screening, assessment, and intervention in crf; however, those guidelines are not consistently applied in practice because of patient, health care provider (hcp), and systemic barriers. Notably, previous studies have identified a lack of knowledge of crf guidelines as an impediment to implementation.
In this pilot study, we tested the preliminary outcomes, acceptability, and feasibility of a training session and a knowledge translation (kt) tool designed to increase knowledge of the capo crf guidelines among hcps and community support providers (csps). A one-time in-person training session was offered to a diverse sample of hcps and csps ( = 18). Outcomes (that is, knowledge of the capo crf guidelines, and intentions and self-efficacy to apply guidelines in practice) were assessed before and after training. Acceptability and feasibility were also assessed after training to guide future testing and implementation of the training.
After training, participants reported increased knowledge of the capo crf guidelines and greater self-efficacy and intent to apply guidelines in practice. Participant satisfaction with the training session and the kt tool was high, and recruitment time, participation, and retention rates indicated that the training was acceptable and feasible.
The provided training is both acceptable to hcps and csps and feasible. It could increase knowledge of the capo crf guidelines and participant intentions and self-efficacy to implement evidence-based recommendations. Future studies should investigate actual changes in practice and how to optimize follow-up assessments. To promote practice uptake, kt strategies should be paired with guideline development.
癌症相关疲劳（crf）是癌症幸存者中未得到满足的最大需求。加拿大心理肿瘤学会（capo）已经制定了针对 crf 的筛查、评估和干预指南；然而，由于患者、医疗保健提供者（hcp）和系统障碍，这些指南并未在实践中得到一致应用。值得注意的是，先前的研究已经确定缺乏对 crf 指南的了解是实施的障碍。
在这项试点研究中，我们测试了一次培训课程和知识转化（kt）工具的初步结果、可接受性和可行性，该工具旨在提高 hcps 和社区支持提供者（csps）对 capo crf 指南的了解。向不同的 hcps 和 csps （n=18）提供了一次面对面的培训课程。在培训前后评估了结果（即 capo crf 指南的知识、在实践中应用指南的意图和自我效能）。培训后还评估了可接受性和可行性，以指导未来对培训的测试和实施。
培训后，参与者报告称对 capo crf 指南的了解有所增加，并且在实践中应用指南的自我效能和意图增强。参与者对培训课程和 kt 工具的满意度很高，招募时间、参与率和保留率表明培训是可以接受和可行的。
提供的培训既为 hcps 又为 csps 所接受，并且是可行的。它可以提高对 capo crf 指南的了解，以及参与者实施基于证据的建议的意图和自我效能。未来的研究应该调查实际的实践变化以及如何优化后续评估。为了促进实践的采纳，知识转化策略应该与指南的制定相结合。
