Megan Voll1, Diane L Fairclough2,3, Elaine H Morrato2,4, Demetria M McNeal2,5, Leanne Embry6, Wendy Pelletier7, Robert B Noll1, Olle Jane Z Sahler8. 1. University of Pittsburgh, School of Medicine, Department of Pediatrics, Pittsburgh, Pennsylvania. 2. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, Colorado. 3. Colorado School of Public Health, University of Colorado Anschutz Medical Campus Aurora, Aurora, Colorado. 4. Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois. 5. Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado. 6. Department of Pediatrics, University of Texas Health Science Center, San Antonio, Texas. 7. Pediatric Hematology/Oncology/Transplant Program, Alberta Children's Hospital, Calgary, Alberta, Canada. 8. University of Rochester School of Medicine and Dentistry, Golisano Children's Hospital, Division of Pediatric Hematology/Oncology, Rochester, New York.
Abstract
BACKGROUND: 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. PROCEDURE: 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. RESULTS: 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. CONCLUSIONS: 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.
BACKGROUND: 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. PROCEDURE: 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. RESULTS: 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. CONCLUSIONS: 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.
Authors: Lori Wiener; Anne E Kazak; Robert B Noll; Andrea Farkas Patenaude; Mary Jo Kupst Journal: Pediatr Blood Cancer Date: 2015-09-23 Impact factor: 3.167
Authors: Anne E Kazak; Wei-Ting Hwang; Fang Fang Chen; Martha A Askins; Olivia Carlson; Francisco Argueta-Ortiz; Lamia P Barakat Journal: J Pediatr Psychol Date: 2018-08-01
Authors: Michele A Scialla; Kimberly S Canter; Fang Fang Chen; E Anders Kolb; Eric Sandler; Lori Wiener; Anne E Kazak Journal: Pediatr Blood Cancer Date: 2017-05-19 Impact factor: 3.167
Authors: Olle Jane Z Sahler; Michael J Dolgin; Sean Phipps; Diane L Fairclough; Martha A Askins; Ernest R Katz; Robert B Noll; Robert W Butler Journal: J Clin Oncol Date: 2013-01-28 Impact factor: 44.544