Training that sticks: sustaining knowledge and communication excellence in geriatric oncology through a...

The number of older adults with cancer, those who require complex needs and care, continues to increase. With limited learning opportunities, the healthcare workforce is unprepared to meet this growing need. This study examined the long-term impact of Geriatric Oncology: Cognition and Communication (Geri Onc CC), a multidisciplinary program developed and implemented to address this gap in care.

Multidisciplinary healthcare providers (HCPs) were recruited from across the United States and internationally to participate virtually or in person at a comprehensive cancer center in the Northeast United States. The program included education about geriatric syndromes, unique and complex issues related to older adults with cancer, and tailored communication strategies. Knowledge, attitudes, and self-efficacy were assessed pre- and post-training and at 6- and 12-month follow-ups. Skill utilization and implementation practices were evaluated at 6- and 12-month follow-ups only.

282 HCPs participated. Initial gains in knowledge and self-efficacy were maintained at both 6 and 12 months post-training (p values <.01). More than 70% indicated using all skill categories "somewhat more" or "much more" at both follow-up periods. Most HCPs implemented changes in their clinical practice, teaching, and/or research based on what they learned.

Geri Onc CC has demonstrated a sustained, positive impact in many areas, including knowledge and self-efficacy. It also led to greater usage of the skills learned and changes in clinical care, teaching, and research. The program addresses a critical gap in education and training of the workforce caring for older adults with cancer.