An eHealth solution for posttraumatic stress and pain screening integrated in pediatric injury care

将创伤后应激和疼痛筛查纳入儿科损伤护理的电子健康解决方案

基本信息

批准号：
9410127
负责人：
Nancy Kassam-Adams
金额：
$ 71.58万
依托单位：
RADIANT CREATIVE GROUP, LLC
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：
2015-12-01 至 2020-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9410127
关键词：
Accident and Emergency department Accountability Acute Address Admission activity Affect Caring Child Child Mortality Child health care Childhood Childhood Injury Chronic Disease Clinical Research Computer software Data Development Economics Evaluation Face Funding Future Goals Health Health Personnel Health system Healthcare Healthcare Systems Hospital Departments Hospitals Impairment Incentives Individual Industry Information Systems Injury Interview Joints Knowledge Managed Care Measures Medicaid Medical Modality Outcome Pain Parents Patient Self-Report Patient-Focused Outcomes Patients Pediatric Hospitals Pennsylvania Persistent pain Phase Philadelphia Predictive Analytics Production Prospective Studies Provider Recovery Recovery of Function Recruitment Activity Reporting Research Resources Risk School-Age Population Screening Result Sickle Cell Anemia Site Symptoms System Systems Development Technology Transfer Testing Time Trauma Trauma patient United States United States Health Resources and Services Administration United States National Institutes of Health United States Substance Abuse and Mental Health Services Administration Update Work base beneficiary clinically relevant cohort commercialization cost design digital disability eHealth experience follow-up functional outcomes game development health information technology health related quality of life high risk improved improved outcome injured interest intervention program novel pediatric patients pediatric trauma post-traumatic stress preference product development programs prototype screening stress symptom tool trauma care treatment as usual usability

Accident and Emergency department Accountability Acute Address Admission activity Affect Caring Child Child Mortality Child health care Childhood Childhood Injury Chronic Disease Clinical Research Computer software Data Development Economics Evaluation Face Funding Future Goals Health Health Personnel Health system Healthcare Healthcare Systems Hospital Departments Hospitals Impairment Incentives Individual Industry Information Systems Injury Interview Joints Knowledge Managed Care Measures Medicaid Medical Modality Outcome Pain Parents Patient Self-Report Patient-Focused Outcomes Patients Pediatric Hospitals Pennsylvania Persistent pain Phase Philadelphia Predictive Analytics Production Prospective Studies Provider Recovery Recovery of Function Recruitment Activity Reporting Research Resources Risk School-Age Population Screening Result Sickle Cell Anemia Site Symptoms System Systems Development Technology Transfer Testing Time Trauma Trauma patient United States United States Health Resources and Services Administration United States National Institutes of Health United States Substance Abuse and Mental Health Services Administration Update Work base beneficiary clinically relevant cohort commercialization cost design digital disability eHealth experience follow-up functional outcomes game development health information technology health related quality of life high risk improved improved outcome injured interest intervention program novel pediatric patients pediatric trauma post-traumatic stress preference product development programs prototype screening stress symptom tool trauma care treatment as usual usability

展开

项目摘要

ABSTRACT Pediatric injury is the leading cause of child mortality and acquired disability in the United States, affecting 20 million children annually. Among school age children alone, more than 2 million are treated in Emergency Department or admitted to the hospital annually for injury, incurring billions in medical and work-loss costs each year. After hospital discharge, many injured children experience pain that is not well-controlled, and approximately 1 in 6 develops persistent posttraumatic stress symptoms (PTSS). Both pain and PTSS have been shown to be associated with health and functional outcomes following injury. Health systems face increasing economic accountability for short- and long-term patient outcomes, but few have the ability to routinely screen for indicators of modifiable factors for poor recovery in injured pediatric patients after discharge from the hospital or emergency department, hampering follow-up care and impairing optimal outcomes. There is currently no practical, validated means to screen children, post-discharge, for pain, PTSS and functional recovery in a timely fashion and to make these data actionable to healthcare system stakeholders or to beneficiaries such as parents. We propose a novel, validated child self-report screening system that is delivered to pediatric trauma patients in a child-friendly modality, scored in real time, and integrated with external healthcare IT systems. The system addresses an urgent unmet need, and will transform pediatric trauma care by connecting screening results to follow-up care and predictive analytics to improve injury outcomes. Building on Phase I efforts that demonstrated the system’s feasibility, usability, subjective appeal and commercial potential, and learned from key stakeholders, this Phase II project continues system development and commercialization, with the active involvement of a potential customer. The integrated digital screening system takes advantage of advances in e-Health and developmentally-appropriate user engagement strategies, as well as a shifting economic landscape that provides health systems with incentives for optimizing short- and long-term patient outcomes and achieving meaningful use of health information technology. The proposed technology-transfer and commercialization effort is supported by a decade-long strong industry/academic technology transfer partnership that is ideally suited for pediatric trauma care transformation.

抽象的小儿损伤是儿童死亡率的主要原因，并在美国获得了残疾，影响20 每年百万个孩子。仅在学龄儿童中，在紧急情况下就会接受超过200万的治疗部门或每年因受伤而送往医院，导致数十亿美元的医疗和损害费用每年。出院后，许多受伤儿童经历无法控制的疼痛，并且大约有6分之1发展出创伤后应激症状（PTSS）。疼痛和PTS都有显示我们与受伤后的健康和功能结果有关。卫生系统面临着对短期和长期患者结果的经济责任的提高，但很少有能力定期筛选可修改因素的指标，以使儿科恢复不良从医院或急诊科出院后的患者，阻碍了随访和损害最佳结果。目前没有实用的，经过验证的方法来筛选儿童，分期后的痛苦，疼痛， PTSS和功能恢复及时恢复，并使这些数据可针对医疗保健系统作用利益相关者或父母等受益人。我们提出了一个新颖的，经过验证的儿童自我报告筛查系统，该系统交付给小儿创伤患者以对儿童友好的方式实时得分，并与外部医疗保健IT系统集成在一起。系统解决紧急未满足的需求，并将通过将筛查结果连接到后续护理和预测分析以改善损伤结果。基于第一阶段的努力展示了系统的可行性，可用性，主观外观和商业潜力，并从中学到了关键利益相关者，该第二阶段项目继续进行系统的开发和商业化，并积极潜在客户的参与。集成的数字筛选系统利用了电子健康和发展适当的用户参与策略以及经济变化景观为卫生系统提供了优化短期和长期患者预后的激励措施并实现有意义的健康信息技术。提议的技术转移和十年强大的行业/学术技术转移支持商业化工作非常适合小儿创伤护理转型的合作伙伴关系。