A Mobile/Web-based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome

基于移动/网络的培训课程，用于传播新生儿阿片戒断综合征新生儿护理最佳实践

• 批准号: 9909479
• 负责人: Alberta Sum-Yu Kong
• 金额: $ 22.49万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-12-01 至 2021-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9909479
• 关键词: Address; Atmosphere; Benchmarking; Birth; Childhood; Clinical; Communities; Comprehensive Health Care; Data; Development; Developmental Process; E-learning; Educational Curriculum; Family; Feedback; Focus Groups; Goals; Health; Health Personnel; Health care facility; Healthcare; Hospitalization; Hospitals; Incidence; Infant; Infant Care; Infrastructure; Inpatients; Intensive Care; Intervention; Interview; Investments; Knowledge; Lead; Length of Stay; Managed Care; Marketing; Medical; Monitor; Mothers; Multimedia; Neonatal; Neonatal Abstinence Syndrome; Neonatal Intensive Care; Neonatal Intensive Care Units; New Mexico; Newborn Infant; Online Systems; Outcome; Patient-Focused Outcomes; Pharmacological Treatment; Phase; Postnatal Care; Pregnant Women; Procedures; Production; Provider; Public Health; Regimen; Resources; Risk; Rural Community; Sampling; Small Business Technology Transfer Research; Societies; Structure; Substance Withdrawal Syndrome; Testing; Time; Training; Treatment Cost; Treatment Protocols; United States; base; care providers; clinical practice; cost; curriculum development; curriculum enhancement; evidence base; experience; handheld mobile device; hands-on learning; implementation trial; improved; inpatient service; member; mobile application; neonatal care; opioid exposure; opioid use; opioid withdrawal; patient population; recruit; response; routine care; stressor; treatment duration; urban area; usability

Abstract The incidence of neonatal opioid withdrawal syndrome (NOWS) in the United States has grown dramatically over the past two decades. Efficient and effective resources and materials for training neonatal care providers in empirically based practices for NOWS are greatly needed. The goal of the proposed Phase I STTR project is to develop a highly accessible mobile/web-based multimedia curriculum for training neonatal health care providers in best practices for assessing and treating NOWS. The project will demonstrate proof-of- concept and feasibility of a web-based multimedia curriculum that provides a professional development experience enabling neonatal care providers to successfully assess and administer evidence-based non- pharmacologic family-centered care for newborns with NOWS. We will develop curriculum content including scripted video scenarios, interactive learning components, and quizzes delivered via a mobile/web-based platform. Focus groups with ten neonatal care providers will 33Tinform the content, structure, and style of the new curriculum by reviewing an existing preliminary version of the curriculum. 33TUsing these focus group data, we will create multimedia experiences featuring scripted video segments demonstrating core NOWS clinical practices and procedures. The curriculum will be delivered on a mobile application built within a web-based infrastructure allowing both app-based and web-based experiences. A community advisory board comprised of members representing state public health departments and agencies, pediatric healthcare facilities, and pediatric healthcare associations will provide feedback on the completed modules and offer guidance on further development, dissemination, and marketing of the curriculum. We will demonstrate usability and commercial viability of the completed curriculum modules through these interviews and through pilot testing with a sample of neonatal care providers who will use the completed curriculum modules and complete pre-post NOWS knowledge tests and after completing the modules complete a product usability assessment. Upon passing our benchmarks for Phase I, we will propose a Phase II STTR project that will support full production of all modules in the curriculum as well as an implementation trial to establish the effects of the curriculum on provider practices and patient outcomes. Following a successful Phase II, the NOWS curriculum will be marketed to state public health departments and agencies, pediatric healthcare facilities, managed care organizations. Organizational investment in the curriculum could produce returns many times over by virtue of fewer days of inpatient hospitalization for newborns with NOWS, less intensive and costly treatment regimens, and improved health outcomes driven by reductions in medically unnecessary pharmacologic treatments and increased use of non-pharmacologic family-centered interventions.

抽象的 新生儿阿片类药物戒断综合症的发生率（现在）已增长 在过去的二十年中，戏剧性地发挥了作用。培训新生儿的高效资源和材料 非常需要基于经验的实践的护理提供者。提议的第一阶段的目标 STTR项目将开发一个高度可访问的基于移动/网络的多媒体课程，用于培训新生儿 医疗保健提供者是评估和治疗现在的最佳实践。该项目将证明 - 提供专业发展的基于网络的多媒体课程的概念和可行性 使新生儿护理提供者能够成功评估和管理基于证据的非 - NOWS的新生儿的药理学以家庭为中心的护理。我们将开发课程内容，包括 脚本视频场景，交互式学习组件以及通过基于移动/网络的测验 平台。具有十个新生儿护理提供商的焦点小组将33 timformform新的内容，结构和样式 通过查看课程的现有初步版本，课程。 33通过这些焦点小组数据，我们将 创建包含脚本视频片段的多媒体体验，展示核心现在的临床实践 和程序。该课程将在基于Web的基础架构内构建的移动应用程序上交付 允许基于应用程序和基于Web的体验。由成员组成的社区顾问委员会 代表州公共卫生部门和机构，儿科医疗机构和儿科 医疗保健协会将提供有关完整模块的反馈，并提供进一步的指导 课程的开发，传播和营销。我们将展示可用性和商业 通过这些访谈的完整课程模块的生存能力以及通过样本进行试点测试 新生儿护理提供者将使用完整的课程模块并完成填写 知识测试和完成模块完成后完成产品可用性评估。经过我们的 第一阶段的基准，我们将提出一个II期STTR项目，该项目将支持所有模块的全部生产 在课程和实施试验中，以建立课程对提供商的影响 实践和患者结果。在成功的II阶段之后，现在的课程将被销售 州公共卫生部门和机构，儿科医疗机构，托管护理组织。 在课程中的组织投资可能会产生很多次 现为新生儿的住院住院治疗，较少且昂贵的治疗方案不足并改善 由医学不必要的药理治疗减少并增加使用而导致的健康结果 非药物以家庭为中心的干预措施。