Peer mentor training to reduce hospitalizations for children with asthma

同伴导师培训可减少哮喘儿童的住院治疗

基本信息

批准号：
9044017
负责人：
Ashwin R Patel
金额：
$ 69.12万
依托单位：
INQUISITHEALTH, INC.
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-11 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9044017
关键词：
Accounting Address Age Area Asthma Automation Back Child Clinical Clinical Trials Communication Communities Computer software Consensus Development E-learning Education Educational Intervention Emergency department visit Evaluation Feedback Focus Groups Foundations Goals Health Insurance Portability and Accountability Act Health Planning Health system Healthcare Hospitalization Hospitals Individual Internet Intervention Interview Life Mentors Methods Online Systems Outpatients Parents Patients Persons Phase Procedures Process Process Measure Protocols documentation Randomized Clinical Trials Recruitment Activity Research Schools Self Management Small Business Innovation Research Grant System Telephone Testing Training Training Programs Translating Visit Work Writing arm asthmatic base cost cost effective evidence base experience improved insight interest meetings peer programs prototype public health relevance success tool web services

项目摘要

DESCRIPTION (provided by applicant): The overall goal of this SBIR Fast-Track application is to develop a web-based program to train peer mentors to guide parents of children with asthma on methods to reduce ED visits and hospitalizations. There are 7.1 million children with asthma. Asthma is the cause of 10.5 million missed days of school, 7.5 million outpatient visits, 640,000 ED visits, and 157,000 hospitalization visits in 2008. Recent work by Fisher et al. (2009) has shown in a 2-year randomized clinical trial that trained peers mentors (lay individuals from the community) can be effective in reducing hospitalizations for asthmatic children from 59.1 percent to 36.5 percent (p<0.01). The training protocol used in the clinical trial involved 3 months of in-person training. In-person training is too slow and expensive to allow for general dissemination of this effective method for reducing hospitalizations in children with asthma. To overcome this barrier to dissemination, we are developing a web-based training program. In Phase I, our Specific Aim is to develop a web-based tool for training peer mentors such that the mentors meet the same qualification standards achieved in the study. Following training, we will use Mentor1to1" (developed by InquisitHealth) to allow the peer mentors to coach parents of children with asthma. Mentor1to1" allows for HIPAA-compliant phone conversations between a parent and a peer mentor that are easily managed, tracked, and integrated into clinical workflow. The proposed platform (web-training plus Mentor1to1") should allow for the creation of a scalable, cost-effective peer mentor workforce to meet the challenge of reducing asthma-related hospitalizations. In Phase II, our Specific Aim is to test this software with a health plan and a health system in a randomized clinical trial. To achieve our Phase I Specific Aim, we will carry out the following three Tasks: Task 1: Conduct Focus Groups. Task 2: Iterative Development of our Web-based Training Program Prototype for Peer Mentors. Task 3. Evaluate Peer Training Efficacy with 40 Peer Mentor-Trainees. Phase I Test of Feasibility: (1) 70 percent+ of mentors should meet the threshold set for both passing the written (80 percent correct) and simulated patient exams (80 percent of objectives met). (2) 70 percent+ of mentors should be satisfied with the Process Measure Tests (score at 3 or 4 on a 0-4 Likert scale, with 4 being completely satisfied). To achieve our Phase II Specific Aim, we will carry out the following four Tasks: Task 1. Gather and Utilize Feedback to Improve Training System. Task 2. Develop Easy-Access Material for Peer Mentors. Task 3. Develop Systems and Automation to Support Peer Mentoring Deployment. Task 4. Evaluate Efficacy of our Web-Trained Peer Mentors. Phase II Criteria for Success: Reduce hospitalizations by at least 30 percent, as in Fisher et al. (2009).

描述（由申请人提供）：此SBIR快速浏览申请的总体目标是开发基于Web的程序，以培训同伴导师，以指导患有哮喘的儿童的父母，以减少ED访问和住院治疗。有710万儿童哮喘。哮喘是1050万日期错过的学校，750万个门诊就诊，640,000次ED访问以及2008年的157,000次住院访问。费舍尔等人最近的工作。（2009年）在一项为期两年的随机临床试验中表明，训练同龄人的导师（来自社区的个人）可以有效地将哮喘儿童的住院治疗从59.1％降低到36.5％（p <0.01）。临床试验中使用的培训方案涉及3个月的面对面培训。面对面的培训太慢且昂贵，无法普遍传播这种有效的方法来减少哮喘儿童的住院治疗。为了克服这种传播的障碍，我们正在制定基于网络的培训计划。在第一阶段，我们的具体目的是开发一种基于Web的工具，以培训同伴导师，以使指导者符合研究中相同的资格标准。在培训之后，我们将使用Mentor1to1“（由InspoIthealth开发），以允许同伴导师指导哮喘儿童的父母。Mentor1to1”允许在父母和同伴导师之间进行符合HIPAA的电话对话，这些父母和同伴导师易于管理，跟踪和集成到临床工作流程中。拟议的平台（Web-Training Plus Mentor1to1”）应允许创建可扩展的，具有成本效益的同伴导师劳动力，以应对减少与哮喘相关的住院的挑战。在第二阶段，我们的具体目的是通过健康计划测试该软件以及一项随机临床试验中的卫生系统。为了实现我们的I阶段特定目标，我们将执行以下三个任务：任务1：进行焦点小组。任务2：我们基于网络的培训计划的迭代开发针对同伴导师的原型。任务3。使用40名同行导师培训者评估同行培训功效。可行性的第一阶段测试：（1）70％以上的导师应达到通过书面（80％正确）和模拟患者考试的阈值集（满足目标的80％）。（2）应对70％以上的指导者满足过程测量测试（以0-4的李克特量表为3或4的得分，而4个完全满足）。为了实现我们的II阶段特定目标，我们将执行以下四个任务：任务1。收集并利用反馈来改善培训系统。任务2。为同伴导师开发易于访问的材料。任务3。开发系统和自动化以支持同行指导部署。任务4。评估我们的网络培训同行导师的功效。成功的第二阶段标准：将住院定为至少30％，如Fisher等人。（2009）。