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Integrative Approaches in Palliative Care: Provider-Driven Online Continuing Education

Award Number: R44CA210723
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/14/2017
PERIOD OF PERFORMANCE END DATE: 07/31/2023

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Integrative Approaches in Palliative Care: Provider-Driven Online Continuing Education - Integrative approaches have been found to reduce suffering and improve quality of life in palliative care (PC) populations, and are increasingly in demand by patients and their families. However, there remains a lack of comprehensive, interprofessional, easily accessible continuing education/continuing medical education (CE/CME) on their evidence-based use in PC contexts. Objective: This FastTrack project will develop and evaluate the first comprehensive online CE/CME program for multidisciplinary PC providers in the evidence- based application of integrative approaches in PC. Feasibility was established in a preliminary study using pro- totype modules with 51 PC providers. Highly significant gains were seen in user knowledge and self-efficacy, along with high ratings of relevance and value. Phase I Aims. 1. Conduct focus groups to obtain provider input on optimal program content and indicators of program impact. 2. Analyze focus group data. 3. Formulate pro- vider-driven guidelines for program content. 4. Develop a new outcome measure to assess practitioner behav- ior change as a surrogate for improved patient outcomes. Phase II Aims. 1. Produce nine program modules that address the evidence-based application of integrative approaches for symptoms frequently seen in PC settings. 2. Conduct peer review of content to determine fidelity with current evidence. 3. Incorporate program design criteria necessary for multidisciplinary CE/CME approval. 4. Build a responsive website to deliver the online interactive program and evaluation. 5. Assess program outcomes in a randomized controlled trial. 6. As- sess perceived content relevance, satisfaction, and recommendations for updating. Hypothesis. At follow-up experimental subjects will have significantly greater improvements than controls in (1) practical confidence and (2) frequency of provider behaviors that promote integrative care. Impact. CE/CME is a major vehicle for up- dating PC professionals about new evidence in the field. However, there is a lack of comprehensive and inter- professional CE/CME content addressing evidence-based integrative care in PC settings. By educating multidisciplinary providers on evidence-based integrative approaches, this program will have a potentially pow- erful impact on patients' quality of life and comfort through improved non-pharmacological symptom manage- ment. Innovation. We will use a provider-driven approach to content and evaluation, a new provider behavior assessment instrument to be developed, dynamic updating and content tracking features that engage learners, and a learner dialog feature that builds a database of commentary for learners and the PIs for future updates. Commercial application: The program will be available to the PC workforce for discipline-specific CE/CME credit at their convenience. Product: An interactive online CE/CME program with an accompanying outcome measure to assess practitioner behavior with or without the program. Public health benefit: Improved quality of life for potentially millions of patients and families receiving PC services.


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: 2024 ( Subtotal = $0 )
2024	2019	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	3	3/7/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2019	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	3	3/15/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2019	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	3	5/10/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2019	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	3	4/30/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $634,710 )
2019	2019	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	3	4/26/2019	NON-COMPETING CONTINUATION	$634,710
														Subtotal = $634,710

Issue Date FY: 2018 ( Subtotal = $836,865 )
2018	2018	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	2	5/30/2018	EXTENSION WITH OR WITHOUT FUNDS	$836,865
														Subtotal = $836,865

Issue Date FY: 2017 ( Subtotal = $224,883 )
2017	2017	COLLINGE AND ASSOCIATES, INC.	3480 KINCAID ST	EUGENE	OR	97405	LANE	USA	Cancer Cause and Prevention Research	000	1	9/14/2017	NEW	$224,883
														Subtotal = $224,883

Grand Total All Awards = $1,696,458

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Integrative Approaches in Palliative Care: Provider-Driven Online Continuing Education

Award Number: R44CA210723

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/14/2017

PERIOD OF PERFORMANCE END DATE: 07/31/2023

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