University of Pittsburgh, School of Medicine, Department of Pediatrics, Pittsburgh, Pennsylvania.
Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Pediatr Blood Cancer. 2022 Oct;69(10):e29904. doi: 10.1002/pbc.29904. Epub 2022 Aug 4.
Four multisite randomized clinical trials of > 1400 caregivers of children newly diagnosed with cancer showed that the Bright IDEAS (BI) paradigm of problem-solving skills training is an acceptable and efficacious approach to alleviating the high levels of distress they experience. To facilitate providing evidence-based caregiver support as recommended in the pediatric oncology standards of care, the project described here was designed to disseminate BI to 200 psychosocial professionals.
We partnered with the Children's Oncology Group (COG), Association of Pediatric Oncology Social Workers (APOSW), Association of Pediatric Hematology/Oncology Nurses (APHON), and special interest group in pediatric hematology/oncology of the Society for Pediatric Psychology (SPP). Membership surveys revealed substantial enthusiasm for training in BI. We structured training to include review of the evidence base for BI, role plays, and strategies for implementation at individual sites. Four conference calls designed to enhance implementation were held one, two, three, and five months after training.
Ten 1.5-day workshops were held in conjunction with annual meetings of COG, APOSW, APHON, and SPP. A total of 209 psychosocial clinicians from 134 sites were trained. Evaluations were highly favorable. Trainees had provided BI to 545 individuals as of the last conference call.
Initial dissemination goals were met. BI is now available at numerous pediatric oncology centers, but it has not become part of routine care. Future work focused on implementation might consider top-down approaches that include direct communication with pediatric oncologists and hospital leaders about the benefits of incorporating this evidence-based intervention systemically.
四项针对 1400 多名新近被诊断出患有癌症的儿童照顾者的多地点随机临床试验表明，解决问题技能培训的 Bright IDEAS（BI）范式是一种缓解他们经历的高压力水平的可接受且有效的方法。为了促进按照儿科肿瘤护理标准提供基于证据的照顾者支持，这里描述的项目旨在将 BI 传播给 200 名心理社会专业人员。
我们与儿童肿瘤学组（COG）、儿科肿瘤社会工作者协会（APOSW）、儿科血液学/肿瘤护士协会（APHON）以及儿科血液学/肿瘤学的特殊利益集团合作儿科心理学学会（SPP）。会员调查显示，他们对 BI 培训有很大的热情。我们的培训结构包括审查 BI 的证据基础、角色扮演以及在各个地点实施的策略。在培训后的一个月、两个月、三个月和五个月，举行了四次旨在增强实施效果的电话会议。
在 COG、APOSW、APHON 和 SPP 的年会上举行了十次为期 1.5 天的研讨会。共有来自 134 个地点的 209 名心理社会临床医生接受了培训。评估结果非常好。截至最后一次电话会议，受训者已经向 545 人提供了 BI。
最初的传播目标已经实现。BI 现在已经在许多儿科肿瘤中心提供，但它尚未成为常规护理的一部分。未来的实施工作可能需要考虑自上而下的方法，包括与儿科肿瘤学家和医院领导直接沟通，了解系统地纳入这种基于证据的干预措施的好处。
