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Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aid

Award Number: K08CA248972
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 07/01/2020
PERIOD OF PERFORMANCE END DATE: 06/30/2025

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Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aid - Summary This Mentored Clinical Scientist Research Career Development Award (K08) by the National Cancer Institute is designed to provide the principal investigator Dr. Naykky Singh Ospina with the support to become an independent investigator in the field of patient centered thyroid cancer care. There is an epidemic of thyroid cancer diagnosis that directly harms patients and overwhelms the medical system. Indiscriminate biopsy of thyroid nodules without engagement of patients in the decision making process leads to over diagnosis of more than 50% of the 50,000 patients that are diagnosed with thyroid cancer annually in the United States. Conversation aids can support shared decision making in clinical practice and allow patients and clinicians to collaborate and find the medical decision that fits the needs of individual patients. As such, a conversation aid to support the decision making regarding the need for thyroid biopsy and thyroid cancer diagnosis, is a novel proposal that can lead to a more careful approach to thyroid cancer diagnosis. The proposed research seeks to: AIM1. Update a conversation aid prototype that was developed to support shared decision making in the diagnosis of thyroid cancer and AIM2. Conduct a pilot clinical trial to evaluate the feasibility of conducting a larger study evaluating the efficacy of this conversation aid in supporting shared decision making, decreasing the number of unnecessary thyroid biopsies and leading to improved patient centered thyroid cancer diagnosis. To achieve AIM1, we will conduct semi-structured interviews of patients and clinicians who have used the conversation aid in the decision-making process and evaluate recordings of these clinical visits, to obtain through qualitative research methods an in-depth understanding of their experience using the conversation aid and feedback to update the conversation aid prototype. In AIM2, this updated conversation aid will be used in a pilot randomized trial, where patients presenting for evaluation of thyroid nodules will be randomized to receive counseling about thyroid biopsy and thyroid cancer diagnosis, to receive care using conversation aid (intervention group) or not using the conversation aid (control group). The results of this study will inform the feasibility and design of a larger study, to evaluate the efficacy of supporting shared decision making on the rate of unnecessary thyroid biopsies and thyroid cancer diagnosis. The long-term goal of this research is to support shared decision-making and patient centered thyroid cancer diagnosis. Dr. Singh Ospina, will receive formal course work in qualitative research, communication and implementation science, and clinical trials design. In addition, she has an exceptional and committed multidisciplinary mentoring team that includes internationally recognized experts in the fields of interest. This team will support her career development and mentored research experience. The long term goals are for Dr. Singh Ospina to become an independent investigator in the field of patient centered thyroid cancer care and evaluating a conversation aid that can help decrease the over diagnosis of thyroid cancer, and it’s harms.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2024	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	5	11/24/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $208,812 )
2024	2024	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	5	6/13/2024	NON-COMPETING CONTINUATION	$208,812
														Subtotal = $208,812

Issue Date FY: 2023 ( Subtotal = $219,644 )
2023	2023	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	4	7/28/2023	NON-COMPETING CONTINUATION	$219,644
														Subtotal = $219,644

Issue Date FY: 2022 ( Subtotal = $222,127 )
2022	2022	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	3	7/8/2022	NON-COMPETING CONTINUATION	$222,127
														Subtotal = $222,127

Issue Date FY: 2021 ( Subtotal = $222,831 )
2021	2021	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	2	6/24/2021	NON-COMPETING CONTINUATION	$222,831
														Subtotal = $222,831

Issue Date FY: 2020 ( Subtotal = $223,393 )
2020	2020	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Cancer Research Manpower	000	1	5/4/2020	NEW	$223,393
														Subtotal = $223,393

Grand Total All Awards = $1,096,807

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Adequate selection of patients for thyroid biopsy: evaluation of a shared decision making conversation aid

Award Number: K08CA248972

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 07/01/2020

PERIOD OF PERFORMANCE END DATE: 06/30/2025

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