Evaluating the Impact of an Integrative Oncology Training Program for Physicians, Nurses, and Medical Educators on Knowledge, Attitudes, and Implementation of Learned Clinical Skills
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 130
- 试验地点
- 2
- 主要终点
- Integrative oncology competency assessment
研究概览
简要总结
The goal of this study is to learn about the short- and long-term effects of two medical education approaches to teaching integrative oncology (IO) in a multi-disciplinary group of healthcare providers attending a national IO training. The main question it aims to answer is: Does active medical education approach focusing on IO-related skills is associated with better training outcomes compared to clerkship-based observation of IO clinics? Participants (trainees) will answer online survey questions about their knowledge, attitudes, and clinical proficiencies along the training process.
详细描述
The study is conducted within a multi-centered, prospective, controlled and randomized format, using a mixed quantitative and qualitative methodology. Participants eligible for study inclusion are healthcare providers (HCPs, nurses, physicians, para-medical, or complementary medicine practitioners), age ≥ 18 years enrolling in a structured IO training program. Trainees are randomly allocated to either the Enhanced IO Training arm (Group A) or Standard IO Training arm of the study (Group B). Participants in both study arms undergo 110-hour online section of the IO training course, followed by 170-hour practical training.
Those in the Enhanced IO Training arm undergo practical training, based on the five-item competency curriculum adapted from the list of knowledge, skills, and ability-related competencies recommended by the Society for Integrative Oncology. The five-item competency-based curriculum include the following two clinical implementation competencies:
- Anxiety relief using a mind-body modality (e.g., breathing, relaxation, guided imagery)
- Improving pain with touch modalities (e.g., acupressure, acupuncture, reflexology), including use of acupressure points with established effectiveness in the reduction of cancer pain Participants in the Standard IO training group (Group B) will observe from the side during the IO practitioner-patient interaction.
The practical section of the training program will include two mentoring days, the first scheduled at the beginning of the 110-hour theory-based IO training, the second at the conclusion of this training. Participants in both study groups will be exposed during the two mentoring days to between 3-5 clinical IO therapeutic interactions with patients admitted to the oncology center.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthcare providers (nurses, physicians, para-medical, or complementary medicine practitioners) who have applied to and been accepted for the integrative oncology training program
排除标准
- •Healthcare providers who were not received a letter of support from the medical administrator stating commitment to allocate at least 5 hours weekly post-training to enable the trainee practicing integrative oncology care in the medical center.
结局指标
主要结局
Integrative oncology competency assessment
时间窗: At each of the two assessment points, competencies will be assessed at the beginning of the training and 6 hours later.
Integrative oncology clinical competencies will be assessed while scoring five-item competency list provided (knowledge, skill, ability, and two clinical implementation-related competencies), using a visual analogue scale ranging between 1 (very low) and 5 (very high). Competencies will be assessed at two assessment points: 1. At the beginning of the training; 2. Following 9 months, following conclusion of the training.
次要结局
- Qualitative assessment of trainees narratives(18 months)
研究者
Eran Ben-Arye
Director, Integrative Oncology Program, Lin Medical Center
Technion, Israel Institute of Technology