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以医生为重点的癌症临床试验沟通培训干预措施的开发与试点测试。

Development and pilot test of a physician-focused cancer clinical trials communication training intervention.

作者信息

Eggly Susan, Manning Mark, Senft Nicole, Moore Tanina Foster, Albrecht Terrance L, Penner Louis A, Heath Elisabeth, Carducci Michael A, Lansey Dina G, Hamel Lauren M

机构信息

Department of Oncology, Wayne State University/Karmanos Cancer Institute, Detroit, MI, United States of America.

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD, United States of America.

出版信息

PEC Innov. 2021 Dec 16;1:100012. doi: 10.1016/j.pecinn.2021.100012. eCollection 2022 Dec.

Abstract

OBJECTIVE

We describe the development and pilot test of a physician-focused, web-based training module designed to improve physician communication related to clinical trials in a diverse cancer patient population.

METHODS

Researchers and stakeholders developed the training module, which included a video explaining patient-centered communication strategies for discussing trials, and re-enactments of actual clinical interactions. For the pilot test, the module was provided to physician participants in the Partnering Around Cancer Clinical Trials (PACCT) trial at two major urban cancer centers. Questionnaires assessed change in beliefs, behavioral attitudes, knowledge and comfort; and perceptions of the module.

RESULTS

Nineteen physicians participated in the pilot test. Most were experienced in discussing trials. Assessments of change were mixed regarding beliefs; they showed marginal improvement in attitudes, and significant improvement in knowledge, but no change in comfort. Feedback on the module was favorable.

CONCLUSIONS

This stakeholder-developed physician communication training module was acceptable and effective, albeit in this small and highly-experienced physician sample. Future research should determine its effectiveness on communication in clinical settings.

INNOVATION

This is the first physician training module to focus on communicating about clinical trials in a diverse patient population. It offers a web-based format and re-enactments of naturally-occurring clinical interactions.Trial Registration Number: NCT02906241.

摘要

目的

我们描述了一个以医生为重点、基于网络的培训模块的开发和试点测试,该模块旨在改善在不同癌症患者群体中与临床试验相关的医生沟通。

方法

研究人员和利益相关者开发了该培训模块,其中包括一个视频,解释了用于讨论试验的以患者为中心的沟通策略,以及实际临床互动的重演。在试点测试中,该模块被提供给两个主要城市癌症中心参与“围绕癌症临床试验合作”(PACCT)试验的医生参与者。问卷评估了信念、行为态度、知识和舒适度的变化;以及对该模块的看法。

结果

19名医生参与了试点测试。大多数人在讨论试验方面有经验。关于信念的变化评估好坏参半;态度有小幅改善,知识有显著改善,但舒适度没有变化。对该模块的反馈是积极的。

结论

这个由利益相关者开发的医生沟通培训模块是可以接受且有效的,尽管这是在一个规模小且经验丰富的医生样本中。未来的研究应该确定其在临床环境中对沟通的有效性。

创新点

这是第一个专注于在不同患者群体中就临床试验进行沟通的医生培训模块。它提供了基于网络的形式和自然发生的临床互动的重演。试验注册号:NCT02906241。

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