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 美国新生儿阿片类药物戒断综合征 (NOWS) 的发病率有所上升 过去二十年里发生了戏剧性的变化。用于培训新生儿的高效、有效的资源和材料 非常需要护理提供者进行基于经验的NOWS 实践。拟议第一阶段的目标 STTR 项目旨在开发一种高度可访问的移动/基于网络的多媒体课程，用于培训新生儿 医疗保健提供者评估和治疗NOWS 的最佳实践。该项目将展示证明- 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 对患有NOWS 的新生儿进行以家庭为中心的药物护理。我们将开发的课程内容包括 通过移动/网络提供脚本化视频场景、交互式学习组件和测验 平台。由 10 名新生儿护理提供者组成的焦点小组将在 33T 中通报新内容的内容、结构和风格。 通过审查现有的课程初步版本来制定课程。 33T利用这些焦点小组数据，我们将 创建以脚本视频片段为特色的多媒体体验，展示NOWS 核心临床实践 和程序。课程将在基于网络的基础设施内构建的移动应用程序上提供 允许基于应用程序和基于网络的体验。由成员组成的社区咨询委员会 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已完成模块的反馈，并提供进一步指导 课程的开发、传播和营销。我们将展示可用性和商业性 通过这些访谈和样本试点测试已完成的课程模块的可行性 将使用已完成的课程模块并完成岗前NOWS 的新生儿护理提供者 知识测试并在完成模块后完成产品可用性评估。通过我们的 根据第一阶段的基准，我们将提出第二阶段 STTR 项目，该项目将支持所有模块的全面生产 以及实施试验以确定课程对提供者的影响 实践和患者结果。第二阶段成功后，NOWS 课程将推广至 州公共卫生部门和机构、儿科医疗机构、管理式医疗组织。 组织对课程的投资可以通过更少的学习天数产生数倍的回报。 患有NOWS 的新生儿住院治疗，强度较低且成本较低的治疗方案，以及改进的 减少医疗上不必要的药物治疗和增加使用所驱动的健康结果 以家庭为中心的非药物干预措施。