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AccrualNet™: A Unique Resource for Clinical Trial Professionals

AccrualNet™: A Unique Resource for Clinical Trial Professionals. NCI Office of Cancer Centers Learning Series March 21, 2013. Speakers. Linda Parreco, RN, MS Public Health Advisor Office of Partnerships and Dissemination Initiatives NCI, Office of Communications and Education

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AccrualNet™: A Unique Resource for Clinical Trial Professionals

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  1. AccrualNet™: A Unique Resource for Clinical Trial Professionals NCI Office of Cancer Centers Learning Series March 21, 2013

  2. Speakers Linda Parreco, RN, MS Public Health Advisor Office of Partnerships and Dissemination Initiatives NCI, Office of Communications and Education Ellen Richmond, RN, MS Nurse Consultant and Program Director GI and Other Cancers Research Group NCI, Division of Cancer Prevention Annette Galassi, RN, MA, OCN Public Health Advisor Office of Partnerships and Dissemination Initiatives NCI, Office of Communications and Education

  3. Objectives • Describe how clinical trial accrual affects you • Find one opportunity to implement AccrualNet into your practice • Explain how AccrualNet’s Community of Practice supports your work

  4. Our Common Goal • Move science and medicine forward • Improve public health • Complete trials in a timely fashion

  5. Accrual to Clinical Trials • Magnitude and impact of insufficient accrual • Persistent, but well-documented challenges • There are solutions • Growing body of evidence • Focused attention • Everyone plays a role

  6. Accrual is Everyone’s Challenge Cancer Center Director • Need to demonstrate a successful scientific program BUT….. 14 cancer centers; 2005-2007 54.2% of 2685 studies did not accrue ANY patients Durivage, Bridges. J Clin Oncol 27: 15s, 2009

  7. Accrual is Everyone’s Challenge Cancer Center Administrator Need to demonstrate effective use of scarce resources BUT….. • 3773 hours/year devoted to studies that accrue no patients • $1M: FY2009 economic impact of low-enrolling studies • Durivage, Bridges. J Clin Oncol 27: 15s, 2009 • Kitterman, Cheng, Dilts, Orwoll. Acad Med. 86(11), 2011

  8. Accrual is Everyone’s Challenge Principle Investigator • Produce an approved protocol that works in the real world of clinics and patients CTO Manager • Incomplete studies squander screening costs • How do you ensure recruitment knowledge/skill, acknowledge success, support career development? • Penberthy, Dahman, Petkov, DeShazo. J Oncol Pract 8:6, 2012

  9. Accrual is Everyone’s Challenge Study Coordinator/Research Nurse/CRA • Recruitment strategies • Evidence-based vs Tradition • What about new strategies like social media? • Opportunities to attend conferences, training are decreasing • Working in silos

  10. AccrualNet Accrualnet.cancer.gov

  11. What is AccrualNet? A “one-stop shop” to help clinical trial professionals: • Discover effective accrual strategies • Locate useful tools and sample materials • Find staff and patient education resources • Connect with colleagues

  12. https://accrualnet.cancer.gov

  13. The Protocol Accrual Lifecycle

  14. The Protocol Accrual Lifecycle The Protocol Accrual Lifecycle

  15. Literature & tools

  16. Literature & Tools

  17. Development Stage Strategies/Checklist/Best Practices • Consider national and local stakeholder enthusiasm for the trial • Evaluate the trial for recruitment feasibility • Choose study sites carefully • Prepare trial-specific materials

  18. AccrualNet Resource Pages Share with colleagues Title and citation Link to the abstract / PDF Most relevant information

  19. Find Most Relevant Information Highlights Details Why this item might be useful

  20. Find Useful Tools

  21. Get The Facts On Insurance Issues

  22. Related Practical Tools

  23. Comments Please • You can comment on the content “I thought this was a great article. We tried one of the ideas and here’s how it worked…”

  24. Implementing AccrualNet: Literature & Tools • Easily searchable • Promising practices • Basic principles and checklists • Uniquely abstracted • Links to the evidence • Published papers • Tools of the trade • Screening logs • Flyer templates • Media guides

  25. Sample articles 5 minutes: find info YOU can use!

  26. Education & training

  27. Education and Training • We heard that you: • Experience significant staff turnover • Spend a lot of time on training • Feel like you may be re-inventing the wheel • Need readily available, credible information and tools

  28. Protocol Accrual Lifecycle

  29. Education & Training

  30. Staff Education

  31. Sample Resource Page

  32. Patient Education

  33. Implementing AccrualNet: EDUCATION • Orientation for new staff • New researchers • Professional development • Facilitate use of evidence-based interventions related to accrual • Patient education

  34. Announcing…Journal Club • Quarterly webinar • Tor review findings of recently published articles and discuss application to practice • Brief presentation followed by discussion • Target launch end of April • E-mail invite to AN members

  35. Contribute your materials Already have great tools? SHARE them with the AccrualNet community!

  36. Communities & conversations

  37. The AccrualNet Community

  38. Virtual Community of Practice

  39. Benefits for You • Overcomes geographic barriers • No financial investment • Reduces staff isolation • Engagement stimulates enthusiasm, focus on overcoming the hurdles • Human motivators: recognition and acknowledgment!

  40. Who’s in our Community • Location • 30% academic • 48% community • Roles • 31% managers • 66% CRA, SC, RN • Experience • 41% >10 years • 25% < 5 yrs 386 members

  41. Your Top 5 Areas of Interest • Recruitment • Community outreach • Communication strategies • Training and education • Site management

  42. What’s Happening in the Community?Conversations Ask a question Share your experience Quickly find topics of interest

  43. What’s Happening in the Community?Monthly Guest Expert

  44. Start Your Own Community on AccrualNet! • Join or start a Community • Protocol • Population • Sub-specialty • Career phase • Organization

  45. You’ve Learned 3 Things • AccrualNet puts valuable information at your fingertips • AccrualNet helps you train staff • AccrualNet is a Community of Practice • Now What?

  46. Lead the Way • SAY the message “AccrualNet is a valuable resource” • GIVE an example “This article must have been written for us!” • MAKE the expectation “We will use it to plan accrual” • CLAIM success “Here’s what we did—and it worked!”

  47. AccrualNet ToolKit • One page flyer to post in clinic • Drop-in article for your newsletter • Presentation slides with speaker notes • Social media posts for your Facebook page

  48. Put the ‘Share Button’ on your site! • UTSA • Oregon Health Sciences • Fred Hutch • Mayo • Case Western

  49. We’re here to help you Linda Parreco Ellen Richmond Annette Galassi Cathy Muha Sona Thakkar Harry Kwon Cassie Norman Katherine Jenkins Madeline LaPorta

  50. Have you looked on accrualnet? https://accrualnet.cancer.gov

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