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APOS Pre- and Post-Conference
Workshops
Thursday, 28 February 2008
Sunday, 2 March 2008 |
Conference Home |
Please click the links below for a full description
of the workshop.
Thursday, 28 February 2008
NEW! Workshop: Complex
Communication Challenges in Oncology
Workshop One: Building and
Developing a Psychosocial Oncology Service
Workshop Two: Persistence Pays Off: Funding Opportunities
for
Psychosocial Oncology Research
Workshop Three: Couple-Focused Interventions for
Sexual Rehabilitation
Workshop Four: Interventions to Promote Spirituality-Based
Coping for Cancer Patients: Culturally Competent Approaches for a Multi-Religious
Society
Workshop Five: Cancer Navigator: How to Build a
Successful Program
Workshop Six: Treatment Fidelity
in Psycho Behavioral Cancer Interventions
Workshop Seven: Parenting with Cancer: Guiding Families
through the Illness Continuum
Workshop Eight:
Behavioral Randomized Clinical Trials:
Recruitment, Design, Analytic Methods and Cultural
Adaptations
Sunday, 2 March 2008
Workshop Nine: Guide to Online Communication
with Clients in a Clinical Context
Workshop Ten: Cognitive Behavioral
Treatment for Medical Phobias in Cancer Care
Workshop Eleven: Promoting Male
and Female Partnerships to Face Cancer: Gender-based Family Caregiver
Interventions
Workshop Twelve:
Senior Peer Counseling to Enhance Psychosocial Services
for Cancer Survivors: Volunteer Training and Program
Implementation
Workshop Descriptions
NEW! Workshop: Complex
Communication Challenges in Oncology - Presented by Lidia
Schapira, Massachusetts General Hospital, Joseph Weiner MD,
PhD, Long
Island Jewish Medical Center, Meghan Cole MA, Actress
Target Audience: Medical, surgical, radiation, and gynecologic oncologists;
psychosocial clinicians working with adults with cancer
The goals of this workshop are to (a) strengthen the patient-clinician
relationship by deepening clinicians’ understanding of patients’ experiences
of illness and coping mechanisms and (b) refine diagnostic and communication
skills. Participants will learn to support patients and their families
during the entire disease trajectory and expand their repertoire of communication
skills in order to improve diagnostic acumen, assist patients and families
and improve clinical effectiveness. The session will include interactive
demonstration exercises with an actor to explore various scenarios and
strategies to handle difficult relationships.
Workshop One: Building
and Developing a Psychosocial Oncology Service - Presented by Matthew
Loscalzo MSW, City of Hope, Barry
Bultz PhD, Tom Baker Cancer Centre
Target audience: Psychologists, Social Workers, Psychiatrists,
Nurses, Administrators, Program Leaders
Despite high prevalence rates of emotional distress in cancer patients, funding
for psychosocial programs is limited. One of the greatest barriers to growth
and creation of programs is the lack of a cohesive roadmap to program development.
The typical business plan model (demonstrating cost-benefit) does not work
in a cancer center or medical system. The focus of this workshop is to learn
how to align and organize the best arguments, tailored to particular settings.
This workshop will critically review a number of established programs in Canada
and the United States by examining organizational structure, mission and goals.
In this highly interactive workshop, specific strategies will be discussed
and evaluated to help develop service models applicable in participants' programs.
Workshop Two: Persistence
Pays Off: Funding Opportunities for
Psychosocial Oncology Research
- Presented by Diana Jeffery PhD, National Cancer Institute, Lee
Mann PhD, JD, National Institutes of Health Center for Scientific Review, Ronit
Elk PhD, American Cancer Society, Brandy Gazo, Lance Armstrong
Foundation
Target audience: Investigators interested in
pursuing research funding in the area of psychosocial oncology, and who
have limited experience with the grant application and review process;
Senior investigators who are interested in teaching their own students
or colleagues about funding from NIH, ACS, and LAF may find this session
particularly useful
This training is designed to stimulate interest and proficiency in submitting
grant applications to the National Cancer Institute, the Lance Armstrong
Foundation, and the American Cancer Society. At the completion of the
workshop, participants should have an understanding of the major components
of grant applications, and familiarity with the funding goals and the
review processes at these federal and private funding organizations.
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Workshop Three: Couple-Focused
Interventions for Sexual Rehabilitation - Presented by Deborah McLeod
PhD RN, Nova Scotia Cancer Centre, John
Robinson PhD CPsych, Tom Baker Cancer Centre, Ross Gray PhD
CPsych, Toronto Sunnybrook Regional Cancer Centre
Target audience: Psychosocial oncology providers,
Oncology providers
This workshop focuses on learning about common sexual health problems
experienced by couples dealing with cancer. Drawing on the workshop
leaders’ current research and clinical practice experience, participants
will have an opportunity to develop skills in assessing and intervening
with some common sexual problems. We will present an evolving model
of sexual rehabilitation that considers sexual function within a larger
framework of couple intimacy. Participants will explore problem-focused
intimacy/sexual assessment and some approaches to guide problem resolution.
Participants will also learn about a variety of aides and sex toys
that can be useful to couples. Specific exercises for enhancing couple
communication and intimacy will also be provided. The workshop will
be interactive and involve case studies and role play with scripts
to address common problems such as loss of intimacy, low desire, painful
intercourse, arousal and orgasmic difficulties and erectile concerns.
Participants will also be invited to share clinical case stories and
challenges that they face in their own practice for discussion. Handouts
and references will be provided.
Workshop Four: Interventions
to Promote Spirituality-Based Coping for Cancer Patients: Culturally
Competent Approaches for a Multi-Religious
Society - Presented by Jonathan White PhD LGSW, Diana Gomez de Molina
MS, MDiv, Patricia Prince MEd, LICSW, National Institutes of Health
Target audience: Social workers, chaplains, nurses,
physicians, counselors and other professionals working with oncology
populations in medical settings; private practitioners with an interest
in spirituality and serious illness
This workshop is designed to enhance the capacity of health professionals
in settings where oncology patients receive care to reinforce effective
spirituality-based coping, minimize spiritual distress and promote
the patient's spiritual and existential work of finding meaning in
the circumstances of their illness. One focus of this workshop will
be interventional strategies for meeting the psycho-spiritual needs
of patients and families who are adherents of minority religions, particularly
in situations where the patients' faith is not represented in the religious
backgrounds of chaplains on the hospital and hospice staff. Specific
techniques and larger strategies for chaplains, social workers, and
other professionals to ensure culturally competent standards of oncology
care and reinforce spiritual strengths congruent with the patient's
belief system will be taught.
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Workshop
Five: Cancer Navigator: How to Build a Successful
Program - Presented by Diane Thompson MD, Andrea Wilburn, The Queen's
Medical Center, Kathryn Braun
DrPH CHES, University of Hawaii at Manoa
Target audience: Cancer health care professionals
The use of patient navigators is being promoted at the community and
national level. Encouraging early data exists regarding the usefulness
of cancer navigators to facilitate the treatment course of oncology
patients. Navigator responsibilities include scheduling and referral
for tests, treatment, clinical trials and palliative care, physician
consults, supplemental education, support, financial services, transportation,
community resources and hospice programs.
This multidisciplinary workshop will enable participants to describe the role
of a patent cancer navigator, develop a basic plan for the implementation of
a navigator program and design a cost effective business model.
Workshop Six: Treatment
Fidelity in Psycho Behavioral Cancer Interventions - Presented by Bill
Given PhD and Barbara Given PhD RN, Michigan State University,
Rosanne Radziewicz APRN BC and Elizabeth O'Toole MD, MetroHealth
Medical Center, Julia
Hannum Rose PhD, Case Western Reserve University
Target audience: Those interested in research designs
and testing the delivery, receipt, and enactment of novel telephone
psycho-behavioral interventions
This workshop will address treatment fidelity. Fidelity
of interventions delivered by clinicians or researchers must be established
in order to document impact and outcome. In this workshop we introduce
fidelity, address how it can be incorporated to measure internal validity
and reliability, and discuss the importance of fidelity to research
integrity, theory development and clinical practice. Five “standards
of performance” to ensure fidelity of clinical trials will be
highlighted and examples from research and practice reviewed. Criticisms
against and limitations imposed by emphasis of fidelity on behavioral
research and clinical practice will be explored, as well as the steps
to developing, testing and monitoring treatment fidelity.
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Workshop Seven: Parenting
with Cancer: Guiding Families through the Illness Continuum - Presented
by Cynthia Moore PhD, Karen Fasciano
PsyD, Anna Muriel MD, MPH, Massachusetts General Hospital
Target audience: Psychosocial clinicians who work
with adults with cancer and their families
This workshop will help clinicians support and guide patients who
are struggling to manage the needs of their children during the parent's
illness. Participants will gain knowledge of child development as it
relates to a child’s understanding of parental cancer, as well
as practical parenting tips for children of different ages. Using experience
gained in a hospital-based parenting program, the facilitators will
provide a clinical approach to parent guidance that emphasizes parent-child
communication, maintaining children’s routines, and preserving
family time in the context of parental cancer. The material will be
structured around helping families navigate the illness trajectory
from diagnosis, through various forms of treatment, recurrence, transition
to palliative care and the end of life. This includes how to talk with
children of different ages about the new diagnosis, how to explain
and prepare children for the effects and side effects of treatment,
how children understand terminal illness and death, as well as managing
genetic issues, issues of privacy, and expression of emotions about
the illness.
Workshop Eight: Behavioral
Randomized Clinical Trials: Recruitment, Design, Analytic Methods and
Cultural Adaptations
- Presented
by Kathleen Ell PhD, Lawrence Palinkas PhD,
Bin Xie MD PhD, University of Southern California
Target audience: Those interested in learning and/or
able to contribute to group learning in this area of research
Randomized behavioral clinical trials with low-income minority populations
with cancer are relatively sparse. Reasons for this may include difficulty
in recruiting minorities to clinical trials, practical barriers to
participation in behavioral interventions, and the challenges inherent
in developing feasible and sustainable intervention/service models
within public sector and community-based care systems. In light of
consistent evidence that disadvantaged populations experience disparities
in access to cancer treatment, and that cancer survivors encounter
barriers to follow-up care, there is a critical need to increase the
number of researchers, as well as clinical trials in this important
area of research. This workshop will introduce key elements in randomized
clinical trial recruitment, design, execution and analysis, drawn from
three NCI-funded trials. Supporting bibliography and illustrative handouts
from the trials will be distributed to participants.
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Workshop Nine: Guide to Online
Communication with Clients in a Clinical Context - Presented by Richard
Hara
PhD, LCSW, Sara Wicks LMSW,
Rachel Odo LCSW, CancerCare
Target audience: Psychosocial oncology
professionals who use email or other online modes as
a primary or adjunct means of counseling patients or
family members, and/or communicating clinical information
Internet technology provides
the clinician with the
logical extension of telephone and videoconferencing,
which have long been used for creating, managing
and sustaining the counseling
relationship. E-mail is not
intended to be a conduit for counseling, but has
become ubiquitous, feeding expectations that the clinician
can/will communicate using this medium. However,
clinicians cannot use e-mail casually; the
impact of responding
to a patient’s e-mail
must be anticipated and understood. The clinician
may not intend their communication to be integrated
as a counseling intervention, but patients and families
can interpret written responses as powerful messages,
both in terms of what is written and what is not.
And beyond just e-mail, online communication as a
whole
brings with it implications of its own for setting
and maintaining a therapeutic frame with patients
and their families.
In this workshop, experiential exercises enabling
participants to understand, develop and/or re-develop
their written therapeutic voice will be used, interspersed
with didactic lecture and illustrative casework examples.
Workshop Ten: Cognitive Behavioral
Treatment for Medical Phobias in Cancer Care - Presented by Joseph Greer
PhD, Elyse R Park PhD, Massachusetts
General Hospital
Target audience: Mental health professionals including
psychiatrists, psychologists and clinical social workers
Cancer is associated with increased rates of phobias, which may manifest
as excessive worry and avoidance of screening, imaging procedures, and
medical anticancer treatments. Not only do these
phobias result in significant distress for patients, but they may also
interfere with the delivery of effective cancer care. While
the symptoms of these psychological difficulties may be present prior
to the diagnosis of a major medical illness, such as cancer, they often
become more clinically relevant in the context of oncology treatment.
This workshop will review scholarly literature
pertaining to the assessment and behavioral treatment of medical phobias
related to cancer care. Using case examples, the presenters will teach
skills for clinical conceptualization, including how to prioritize and
balance the varied medical and psychological needs of patients. In addition,
clinical skill development will include a review of cognitive-behavioral
interventions for specific phobias, including exposure therapy techniques.
Finally, participants will have an opportunity to discuss
the applications of this treatment in various oncology settings.
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Workshop Eleven: Promoting Male
and Female Partnerships to Face Cancer: Gender-based Family Caregiver
Interventions - Presented by Youngmee Kim
PhD, American Cancer Society, Karen Clark, Matthew Loscalzo
MSW, City of Hope, Barbara Given PhD RN, Michigan
State University
Target audience: Psychologists, Physicians, Social
Workers, Nurses,
Psychosocial Oncologists, Caregivers, Family Therapists
Literature will be reviewed to inform the participants about the current
knowledge and challenges in developing gender-based programs. Two
interventions will be presented, one targeting underserved male caregivers
who assist female relatives with
cancer using a male-tailored problem-solving training model. The other
targets both male cancer
patients and their female caregivers, providing psychoeducational
interventions to caregivers to become effectively involved in symptom
management of
the patient. Participants will learn
the effective factors in reducing patient symptom severity and how to
deliver the practical symptom management strategies. Presentations
will provide conceptual models, practical components for a successful
program, and effective strategies to manage common problems and concerns
in intervention delivery.
Workshop Twelve: Senior Peer
Counseling to Enhance Psychosocial Services for Cancer Survivors: Volunteer
Training and Program Implementation
- Presented by Rebecca Crane-Okada PhD RN AOCN, Sheila K Segal MFT, Evelyn
Freeman PhD, Center for Healthy Aging
Target audience: Health care professionals, advocates
and volunteers interested in learning a new model for delivery of psychosocial
support to cancer survivors, as well as techniques for improving psychosocial
support communications
The traditional approach to supporting
people through their cancer diagnosis and treatment most commonly includes
instrumental support given through verbal and written information by
professionals about treatment, prevention and management of side effects,
and medical monitoring. The provision of expressive support, as in supportive
counseling by professionals or cancer survivors, can vary widely across
settings, and is often subsumed within the context of information giving
or general care. However, many cancer survivors will experience distress
and would benefit from some form of supportive counseling focused on
distress management. This interactive workshop will introduce
senior peer counseling as a new model for volunteer support of cancer
survivors through
supportive counseling by professionally trained volunteers under close
supervision of mental health and oncology professionals. Participants will
have the opportunity to learn about the core training of peer counselors,
supplemental cancer-specific training for a pilot
project, and have a critical discussion about possible application in
their own settings, including integration with the oncology health care
team. Particular attention will be given to a discussion of basic principles
of effective training, recruitment, retention, the purpose, structure,
and value of ongoing supervision of volunteers, and challenges of program
evaluation. Time will be given throughout the workshop to allow participants
to observe and practice peer counseling through role plays and interaction
with a volunteer peer counselor and cancer survivor, who will talk about
this experience from their individual and shared experiences. Attention
will also be given to exploring issues of delivery in rural or community
settings where an infrastructure of interdisciplinary health care team
support may not be readily available.
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