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肿瘤生育力生殖沟通与健康培训师(TORCH)项目的开发与试点

Development and pilot of Trainers in Oncofertility Reproductive Communication and Health (TORCH) program.

作者信息

Jalili Dona, Zabar Sondra, Rose Jessica, Shah Ranjani, Tancer Lauren, Augusto Bianca, Vadaparampil Susan T, Quinn Gwendolyn P

机构信息

NYU Grossman School of Medicine, New York, NY, USA.

NY SIM Center, New York, NY, USA.

出版信息

J Cancer Surviv. 2025 May 24. doi: 10.1007/s11764-025-01828-y.

Abstract

PURPOSE

To evaluate outcomes from the Trainers in Oncofertility Reproductive Communication and Health (TORCH) program, which trains Allied Health Professionals (AHPs) to become leaders in counseling AYA cancer patients on reproductive health.

METHODS

ECHO-TORCH was developed for alumni of the Enriching Communication Skills for Health Professionals in Oncofertility (ECHO) program. It included web-based modules on evidence-based content, adult learning principles, and a simulation exercise for skill practice. Evaluation involved pre/post-tests, skills assessments during simulation via standardized learners (SLs) and faculty observers, and online focus groups.

RESULTS

ECHO-TORCH learners (n = 10) showed improved knowledge, from 76% on pre-test to 86% on post-test (p < 0.01). Both SLs (86%) and faculty observers (90%) showed high likelihood of inviting learners back for future presentations. In online focus groups, participants described the modules as clear, relevant, and highly satisfying. Learners appreciated the opportunity for practice and structured review of the ECHO content.

CONCLUSIONS

The ECHO-TORCH program improved AHPs' knowledge and skills in teaching reproductive health content to AYA cancer patients. The train-the-trainer model empowers AHPs to disseminate knowledge within their institutions, ultimately improving care quality and empowering AYA patients to make informed decisions about reproductive health.

IMPLICATIONS FOR CANCER SURVIVORS

Continued development of professionals in reproductive healthcare will significantly enhance cancer survivors' quality of life by supporting informed decision-making regarding their reproductive health.

摘要

目的

评估肿瘤生育力生殖沟通与健康培训师(TORCH)项目的成果,该项目旨在培训专职医疗人员(AHPs)成为为青少年和青年(AYA)癌症患者提供生殖健康咨询的领导者。

方法

为肿瘤生育力健康专业人员强化沟通技能(ECHO)项目的校友开发了ECHO-TORCH。它包括基于网络的关于循证内容、成人学习原则的模块,以及用于技能练习的模拟练习。评估包括前测/后测、通过标准化学习者(SLs)和教员观察员在模拟过程中的技能评估,以及在线焦点小组。

结果

ECHO-TORCH学习者(n = 10)的知识水平有所提高,前测正确率为76%,后测正确率为86%(p < 0.01)。SLs(86%)和教员观察员(90%)都表示很有可能邀请学习者参加未来的展示。在在线焦点小组中,参与者将这些模块描述为清晰、相关且非常令人满意。学习者赞赏有机会进行练习和对ECHO内容进行结构化复习。

结论

ECHO-TORCH项目提高了AHPs向AYA癌症患者传授生殖健康内容的知识和技能。培训培训师模式使AHPs能够在其机构内传播知识,最终提高护理质量,并使AYA患者能够就生殖健康做出明智的决定。

对癌症幸存者的意义

生殖健康护理专业人员的持续发展将通过支持癌症幸存者就其生殖健康做出明智的决策,显著提高他们的生活质量。

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