accrualnet™: a unique resource for clinical trial professionals nci office of cancer centers...
TRANSCRIPT
AccrualNet™: A Unique Resource for Clinical Trial
Professionals
NCI Office of Cancer Centers Learning Series
March 21, 2013
Speakers
Linda Parreco, RN, MSPublic Health Advisor
Office of Partnerships and Dissemination Initiatives
NCI, Office of Communications and Education
Ellen Richmond, RN, MSNurse Consultant and Program Director
GI and Other Cancers Research Group
NCI, Division of Cancer Prevention
Annette Galassi, RN, MA, OCNPublic Health Advisor
Office of Partnerships and Dissemination Initiatives
NCI, Office of Communications and Education
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
Our Common Goal
• Move science and medicine forward• Improve public health• Complete trials in a timely fashion
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
Durivage, Bridges. J Clin Oncol 27: 15s, 2009
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
Accrual is Everyone’s Challenge
Durivage, Bridges. J Clin Oncol 27: 15s, 2009Kitterman, Cheng, Dilts, Orwoll. Acad Med. 86(11), 2011
Cancer Center AdministratorNeed 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
Accrual is Everyone’s Challenge
Penberthy, Dahman, Petkov, DeShazo. J Oncol Pract 8:6, 2012
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?
Accrual is Everyone’s Challenge
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
Accrualnet.cancer.gov
AccrualNet
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
https://accrualnet.cancer.gov
The Protocol Accrual Lifecycle
The Protocol Accrual Lifecycle
The Protocol Accrual Lifecycle
LITERATURE & TOOLS
Literature & Tools
1. Consider national and local stakeholder enthusiasm for the trial
2. Evaluate the trial for recruitment feasibility
3. Choose study sites carefully
4. Prepare trial-specific materials
Development Stage Strategies/Checklist/Best Practices
Most relevant information
Link to the abstract / PDF
Title and citation
Share with colleagues
AccrualNet Resource Pages
Highlights
Why this item might be usefulDetails
Find Most Relevant Information
Find Useful Tools
Get The Facts On Insurance Issues
Related Practical Tools
• 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…”
Comments Please
• 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
Implementing AccrualNet:
Literature & Tools
5 minutes: find info
YOU can use!
Sample articles
EDUCATION & TRAINING
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
Protocol Accrual Lifecycle
Education & Training
Staff Education
Sample Resource Page
Patient Education
Implementing AccrualNet:
EDUCATION• Orientation for new staff • New researchers • Professional development• Facilitate use of evidence-based
interventions related to accrual• Patient education
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
Already have great tools?
SHARE them with the AccrualNet community!
Contribute your materials
COMMUNITIES & CONVERSATIONS
The AccrualNet Community
Virtual Community of Practice
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!
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
Your Top 5 Areas of Interest
• Recruitment• Community outreach• Communication strategies• Training and education• Site management
Ask a question
Share your experience
Quickly find topics of interest
What’s Happening in the Community?Conversations
What’s Happening in the Community?Monthly Guest Expert
Join or start a Community• Protocol• Population• Sub-specialty• Career phase• Organization
Start Your Own Community on AccrualNet!
Now What?
• AccrualNet puts valuable information at your fingertips
• AccrualNet helps you train staff• AccrualNet is a Community of Practice
You’ve Learned 3 Things
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!”
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
• UTSA
• Oregon Health Sciences
• Fred Hutch
• Mayo
• Case Western
Put the ‘Share Button’ on your site!
We’re here to help you
Linda Parreco
Ellen Richmond
Annette Galassi
Cathy Muha
Sona Thakkar
Harry Kwon
Cassie Norman
Katherine Jenkins
Madeline LaPorta
https://accrualnet.cancer.govHave you looked on accrualnet?
