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Understanding Attitudes and Roles of Oncology Advanced Practitioners in the Setting of Cancer Clinical Trials: A Pilot Study

机译:理解肿瘤学高瞻期在癌症临床试验环境中的态度和作用:试点研究

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Purpose: Oncology advanced practitioners (APs), including nurse practitioners, physician assistants, clinical nurse specialists, and pharmacists, are skilled health-care providers who contribute significantly to quality cancer care. However, little is known about how APs function within the clinical trials arena. With low rates of clinical trial enrollment among the adult oncology patient population, APs could play an important role in improving clinical trial enrollment. Methods: A descriptive cross-sectional study was conducted based on a 57-item survey of oncology APs’ attitudes, beliefs, and roles in relation to cancer clinical trials. Results: To assess validity and internal consistency of the survey, a pilot data collection was completed on 14 respondents from Hawaii. The survey’s internal consistency across the subscales was moderate to very high, with Cronbach’s alpha ranging between 0.55 and 0.86. The majority of oncology APs were interested in being more involved in the clinical trials process, and many are registered as investigators through the National Cancer Institute (NCI). However, few respondents reported being involved in recruitment, consenting, protocol development, or being actively involved with a research base. Conclusions: This survey was found to be a valid tool to measure APs’ attitudes and roles in regards to clinical trials. This survey is just the beginning of data collection in regards to clinical trials among this group of health-care professionals. Recommendations: To gain further insight into oncology APs and their roles in clinical trials, it is recommended that this survey be implemented on a national level as a first step in moving this issue forward.
机译:目的:肿瘤学高级从业者(APs),包括护士从业者、医师助理、临床护理专家和药剂师,是熟练的医疗保健提供者,对高质量的癌症护理做出了重大贡献。然而,关于APs在临床试验领域中的作用知之甚少。由于成人肿瘤患者的临床试验登记率较低,APs可能在改善临床试验登记方面发挥重要作用。方法:一项描述性横断面研究基于一项57个项目的调查,调查了肿瘤学AP对癌症临床试验的态度、信念和作用。结果:为了评估调查的有效性和内部一致性,对来自夏威夷的14名受访者进行了试点数据收集。该调查在各子量表中的内部一致性为中等至非常高,克朗巴赫的阿尔法介于0.55和0.86之间。大多数肿瘤学AP对更多地参与临床试验过程感兴趣,许多AP通过国家癌症研究所(NCI)注册为研究人员。然而,很少有受访者报告参与招募、同意、协议制定或积极参与研究基地。结论:这项调查被发现是衡量APs对临床试验的态度和作用的有效工具。这项调查仅仅是在这组医疗专业人员中收集临床试验数据的开始。建议:为了进一步了解肿瘤学APs及其在临床试验中的作用,建议在全国范围内开展这项调查,作为推进这一问题的第一步。

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