Virtual Environment Training in the Proper Use of Prescription Pain Medications

正确使用处方止痛药的虚拟环境培训

• 批准号: 8455295
• 负责人: Mary P Metcalf
• 金额: $ 28.88万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-15 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8455295
• 关键词: Address; Admission activity; Americas; Analgesics; Attention; Attitude; Automobiles; Behavior; Behavior Therapy; Cause of Death; Cessation of life; Clinic; Clinical; Clinical Skills; Communication; Communities; Competence; Continuing Education; Contracts; Data; Development; Diagnosis; Discipline of Nursing; Drug Controls; Education; Effectiveness; Environment; Epidemic; Etiology; Evaluation; Family; Feedback; Goals; Health; Health Insurance Portability and Accountability Act; Health Personnel; Health Professional; Hospitals; Housing; Instruction; Intervention; Interview; Length; Location; Longitudinal Studies; Medical Education; Medicine; Methodology; National Institute of Drug Abuse; Nurses; Online Systems; Opioid; Outcome Assessment; Overdose; Pain; Pain management; Patients; Performance; Pharmaceutical Preparations; Phase; Physicians; Pilot Projects; Policies; Process; Productivity; Professional Education; Program Development; Provider; Publishing; Randomized; Recording of previous events; Recruitment Activity; Reporting; Research Design; Resources; Risk; Risk Assessment; Self Efficacy; Simulate; Specialist; Structure; Substance abuse problem; Surveys; Technology; Testing; Training; Training Programs; Work; active control; addiction; base; case-based; computer generated; cost; design; experience; health care service organization; heuristics; improved; instrument; member; novel; overdose death; phase 2 study; preference; prescription drug abuse; prescription opioid; programs; prototype; research clinical testing; satisfaction; screening; simulation; skills; tool; usability; virtual

DESCRIPTION: (provided by applicant) An epidemic of addiction to prescription pain medications now causes deaths due to overdose that outnumber automobile-related deaths, rising admissions to hospitals, and disrupted lives for both the patient and family. The White House Office of National Drug Control Policy (ONDCP) report, Epidemic: Responding to America's Prescription Drug Abuse Crisis, highlights the crisis and calls for health care professional education in the proper use of opioids; required education related to opioid pain medications appears inevitable. Intended Impact: This project responds to this call by: 1) creating a continuing health professional development (CHPD) program using an On-Line Interactive Virtual Environment (OLIVE) with virtual patient scenarios, and 2) evaluating the products' ability to alter provider behavior relevant to decreasing the prescription opioid epidemic. The new product will be a part of the existing, successful OpioidRisk.com, which was developed with support from a NIDA contract, and is produced via a partnership between the Association for Medical Education on Substance Abuse (AMERSA) and Clinical Tools. We expect:" Providers will enhance their clinical skills and test practice change through deliberate practice via OLIVE's simulated (i.e., computer-generated) patients. The planned program will test their skills and provide automated feedback, guidance and direction. "Clinic leaders and health care organizations can implement a comprehensive CHPD program."The health professional education community will gain important data regarding the potential of novel virtual environment technology to instill new behaviors and effect practice change. Phase I demonstrates product feasibility and the acceptability of proceeding with Phase II by: 1) completing target audience needs analysis surveys and semi-structured interviews; 2) creating a training framework for OLIVE-based CHPD training on the proper use of opioids; 3) outlining assessments to be used in the Phase II evaluative study of OLIVE vs. web-based training; 4) developing a prototype OLIVE training experience; and, 5) demonstrating acceptability and feasibility and recruiting clinic locations for the Phase II study. Phase II completes the program based on content already found in our previously developed product's (OpiodRisk.com) interactive case-based instruction, clinical questions, resources and implementation guides. After finalizing clinic participation for the summative study, the project evaluates the CHPD program using a randomized, active control design of OLIVE-based training vs. OpioidRisk.com that compares change in competency, performance, clinical, and communication skills and improved treatment behavior related to opioid prescribing and pain patient assessment for addiction risk.

描述：（由申请人提供）对处方止痛药的成瘾流行现在导致死亡，因为服用过量，与汽车相关的死亡人数超过了与医院的招生，并破坏了患者和家人的生活。白宫国家药物管制政策办公室（ONDCP）报告，流行病：应对美国处方药滥用危机，重点介绍危机，并呼吁在适当使用阿片类药物的情况下进行医疗保健专业教育；与阿片类止痛药有关的所需教育似乎是不可避免的。预期影响：该项目通过以下方式对此调用做出响应：1）使用在线互动虚拟环境（橄榄）（橄榄）具有虚拟患者场景的持续卫生专业发展（CHPD）计划，以及2）评估产品改变提供者行为与减少处方药的相关的提供者行为的能力。新产品将成为现有成功的阿片类依然红认可的一部分，该产品是在NIDA合同的支持下开发的，并通过医学教育协会（AMERSA）（AMERSA）和临床工具之间的合作伙伴关系而生产。我们期望：“提供者将通过Olive的模拟（即计算机生成的）患者进行故意练习来提高他们的临床技能，并进行测试实践。计划的计划将测试他们的技能，并提供自动反馈，指导和指导，指导和指导和指导和医疗保健组织。可行性和第二阶段的可接受性：1）完成目标分析和半结构性访谈； II期研究的位置。第二阶段根据我们先前开发的产品（Opiodrisk.com）基于互动案例的指导，临床问题，资源和实施指南中已经发现的内容完成了该计划。在最终确定了总结研究的诊所参与之后，该项目使用基于橄榄的培训与Apioidrisk.com的随机，主动控制设计对CHPD计划进行了评估，该设计比较了能力，绩效，临床和沟通技巧的变化，并改善与阿片类药物处方和疼痛患者评估有关成瘾风险的治疗行为。