A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self-Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education.
A randomized controlled trial to examine the effect of the Pediatric Opioid Analgesia Self-Instruction System (PedOASIS) tool on pediatric hematology/oncology trainee education.
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一项随机对照试验，旨在检查儿科阿片类镇痛自学系统 (PedOASIS) 工具对儿科血液学/肿瘤学实习生教育的影响。
DOI：
10.1002/pbc.30305
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发表时间：
2023
影响因子：
3.2
通讯作者：
Welch,JenniferG
中科院分区：
文献类型：
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作者：
MacDonell-Yilmaz,RebeccaE;Murillo,Anarina;Welch,JenniferG
背景许多有血液学和肿瘤学诊断的儿童需要阿片类药物来治疗疼痛，但儿童血液学/肿瘤学(Pho)成员之间的知识差距仍然存在。目的儿童阿片类止痛症自我指导系统(PedOASIS)是一种交互式的、基于病例的教育工具，旨在进行自主学习。本研究的目的是评估其在增加PHO研究员使用阿片类药物止痛的知识和舒适度方面的有效性。设计/方法PHO研究员是在2019-2020学年从74个美国研究生医学教育认证的美国项目中招募的，随机接受PedOASIS(干预)或常规PHO培训(对照)。在基线、使用工具后即刻和6个月后进行调查，评估与阿片类药物处方相关的知识和舒适度。结果研究员完成研究，其中干预组32人，对照组32人。在基线时，两组在10个问题的知识评估上的平均分数相似(干预：5，对照：6；p=18.8)。干预后，干预组的平均得分(9分)显著高于对照组(5分；P<；2.0001)。六个月后，两组的得分都有所下降，但干预组(7)的得分仍然显著高于对照组(5，p<；2.0001)和基线(p=0.0002)。干预组的研究员报告说，接触该工具后舒适的阿片类药物剂量显著增加(p=10.02)。结论与对照组相比，接触该工具的PHO研究员在有效知识问题上的得分有所提高，使用阿片类药物止痛的舒适度更高。因此，我们建议对PedOASIS进行进一步评估，将其作为PHO研究员的潜在工具。
BackgroundMany children with hematologic and oncologic diagnoses require opioids for management of pain, yet knowledge gaps persist among pediatric hematology/oncology (PHO) fellows.ObjectivePediatric Opioid Analgesia Self‐Instruction System (PedOASIS) is an interactive, case‐based education tool designed for independent learning. The goal of this study was to evaluate its efficacy in increasing PHO fellows’ knowledge and comfort with using opioids to manage pain.Design/methodPHO fellows were recruited from 74 American College of Graduate Medical Education‐accredited US programs during the 2019–2020 academic year and randomized to receive access to PedOASIS (intervention) or usual PHO training (control). Surveys at baseline, immediately after accessing the tool, and 6 months later assessed knowledge and comfort related to prescribing opioids.ResultsA total of 64 PHO fellows completed the study, with 32 in the intervention group and 32 controls. At baseline, mean scores on the 10‐question knowledge assessment were similar between groups (intervention: 5, control: 6;p= .8). Following intervention, mean score was significantly higher in the intervention group (9) versus controls (5;p< .0001). Six months later, scores in both groups decreased but remained significantly higher in the intervention group (7) compared to controls (5,p< .0001) and compared to baseline (p= .0002). Fellows in the intervention group reported significant increases in comfort dosing opioids after exposure to the tool (p= .02).ConclusionPHO fellows exposed to the tool had improved scores on validated knowledge questions and greater comfort using opioids for pain management compared to controls. We therefore suggest that PedOASIS warrants further evaluation as a potential tool for PHO fellows.