Errors in radiation therapy (RT) are estimated to occur in up to ? 5% of the > ?600,000 patients receiving RT per year in the US; with serious/lethal events occurring ? 1 of 1,000-10,000 patents.
The specific aim of this proposal is to develop and assess the impact of and generalized simulation based training and neurofeedback intervention on radiation therapists (RTTs) mental workload, situation awareness and performance. Mental workload will be assessed via NASA Task Load Index (NASA-TLX). Situation Awareness will be assessed using Situation Awareness Rating Technique (SART) and situation awareness global assessment technique (SAGAT). Performance will be assessed using procedural compliance (including detection of embedded errors) and time-to-complete the task. Subjects, randomized to +/- simulation-based training, and +/- neurofeedback, will have pre- and post-intervention assessments of mental workload, situation awareness, and performance. Using a 2 x 2 balanced randomization design, we will use ANOVA to analyze the results.

Public Health Relevance

Errors in radiation therapy (RT) are estimated to occur in up to ? 5% of the > ?600,000 patients receiving RT per year in the US; with serious/lethal events occurring ? 1 of 1,000-10,000 patients. Approximately 10-30% of all RT errors occur at the actual treatment machine during radiation treatment delivery. The specific aim of this proposal is to develop and assess the impact of generalized simulation based training and neurofeedback intervention on RT therapists (RTTs) mental workload, situation awareness and performance.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Demonstration and Dissemination Projects (R18)
Project #
5R18HS025597-02
Application #
9668986
Study Section
Healthcare Patient Safety and Quality Improvement Research (HSQR)
Program Officer
Rodrick, David
Project Start
2018-04-01
Project End
2021-01-31
Budget Start
2019-02-01
Budget End
2020-01-31
Support Year
2
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of North Carolina Chapel Hill
Department
Radiation-Diagnostic/Oncology
Type
Schools of Medicine
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599