Development and evaluation of a high-fidelity newborn simulator for breastfeeding education of health professionals

用于卫生专业人员母乳喂养教育的高保真新生儿模拟器的开发和评估

• 批准号: 10338307
• 负责人: Samantha Chuisano
• 金额: $ 5.5万
• 依托单位: LIQUIDGOLDCONCEPT, INC
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2021-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10338307
• 关键词: Anatomy; Asia; Breast; Breast Feeding; California; Cessation of life; Child; Clinical; Cross-Over Trials; Custom; Deglutition; Development; Education; Europe; Evaluation; Face; Health Care Costs; Health Personnel; Health Professional; Healthcare; Hospitals; Infant; International; Jaw; Lactation; Maternal Mortality; Michigan; Modeling; Mothers; Movement; Newborn Infant; North America; Nurses; Nursing Students; Oral; Oral cavity; Patient-Focused Outcomes; Patients; Pattern; Performance; Phase; Physicians; Positioning Attribute; Puppet; Randomized; Reflex action; Reporting; School Nursing; Self Efficacy; Small Business Innovation Research Grant; Students; Term Birth; Tongue; Training; Training Programs; United States; Universities; Woman; clinical encounter; design; improved; infant death; learning outcome; models and simulation; pediatrician; premature; preventable death; satisfaction; simulation; sound; sucking; suckling; tool

Project Summary Globally, low breastfeeding rates account for nearly a million annual preventable deaths of women and children. Suboptimal breastfeeding in the United States is associated with $18B in healthcare costs and 3,340 annual premature deaths of women and children. Lack of support from healthcare providers is a primary reason for low breastfeeding rates. Physicians and nurses receive inadequate training in clinical lactation because existing educational products are not effective. Lactation educators use cloth and plastic baby dolls and sock puppets, which do not look or feel like an infant and cannot be used to teach how to differentiate between normal and abnormal suckling patterns and latching at the breast. High-fidelity (realistic) simulators promote higher learner engagement and are more likely to improve learning and patient outcomes. There are no high-fidelity newborn simulators for breastfeeding education. In this SBIR, LiquidGoldConcept, Inc. a breastfeeding education company in Michigan, will develop the first high-fidelity Newborn Oral Assessment and Latch Simulator (NORALSim) for breastfeeding education. The NORALSim will be compatible with the commercialized LiquidGoldConcept Lactation Simulation Model, a wearable, lactating breast model: the first high-fidelity breastfeeding mother-infant simulator. Educators will use the NORALSim and Lactation Simulation Model to teach healthcare students and practitioners how to assess the suck reflex, tongue movement, and oral cavity for anatomical and functional abnormalities relevant to breastfeeding, position and attach a newborn at the breast, and differentiate between normal and abnormal suckling and swallowing patterns. In Aim 1 of this Phase I SBIR, we will develop a NORALSim that looks and feels like a term newborn and has a remotely-operable jaw that simulates different suckling patterns and syncs with the sound of an infant swallowing. The NORALSim’s form and function will be evaluated for face and content validity by unbiased clinical lactation experts. In Aim 2, we will conduct a randomized, controlled, crossover trial with Johns Hopkins School of Nursing students to compare their level of engagement when using the NORALSim vs. low-fidelity newborn simulators in a simulated clinical encounter. We expect that the NORALSim will increase learner engagement, which will be associated with higher learner satisfaction, performance, and self-efficacy. In Phase II we will design custom components that simulate a newborn’s suck reflex. Pediatricians at the University of California, Davis will be randomized to the NORALSim or low-fidelity simulators. We expect that breastfeeding patients treated by pediatricians randomized to the NORALSim will report higher confidence in newborn positioning and attachment. Hospitals and health professional training programs in North America, Europe, and Asia are avid consumers of high-fidelity simulation. LiquidGoldConcept has already commercialized two high-fidelity breastfeeding simulation products and partnered with six international distributors.

项目摘要 在全球范围内，低母乳喂养率每年造成近100万可预防的妇女死亡， 孩子在美国，母乳喂养不佳与180亿美元的医疗费用和3，340美元的医疗费用有关 妇女和儿童每年过早死亡。缺乏医疗保健提供者的支持是主要的 母乳喂养率低的原因。医生和护士在临床哺乳方面接受的培训不足 因为现有的教育产品效果不好。哺乳教育者使用布和塑料娃娃 和袜子木偶，看起来或感觉不像婴儿，不能用来教如何区分 正常和异常的哺乳模式和乳房闭锁之间的差异。高保真（真实）模拟器 促进更高的学习者参与度，更有可能改善学习和患者结果。有 没有用于母乳喂养教育的高保真新生儿模拟器。在本SBIR中，LiquidGoldConcept，Inc.一 密歇根州的母乳喂养教育公司将开发第一个高保真新生儿口腔评估， 用于母乳喂养教育的闭锁模拟器（NORALSim）。NORALSim将与 商业化的LiquidGoldConcept哺乳模拟模型，一种可穿戴的哺乳期乳房模型： 高保真母乳喂养母婴模拟器。教育工作者将使用NORALSim和哺乳模拟 模型，教导医疗保健学生和从业者如何评估吸吮反射，舌头运动， 与母乳喂养有关的解剖和功能异常的口腔，定位和连接新生儿 在乳房，并区分正常和异常的吸吮和吞咽模式。目标1， 在第一阶段SBIR中，我们将开发一种NORALSim，它看起来和感觉都像一个足月新生儿， 一个可遥控的下颚，可以模拟不同的吮吸模式，并与婴儿的声音同步 吞咽NORALSim的形式和功能将通过无偏的 临床哺乳专家。在目标2中，我们将与约翰霍普金斯进行一项随机对照交叉试验 护理学院的学生比较他们的参与水平时，使用NORALSim与低保真度 新生儿模拟器在一个模拟的临床遭遇。我们期望NORALSim将增加学习者 参与度，这将与更高的学习者满意度，表现和自我效能感相关。同相 我们将设计模拟新生儿吸吮反射的定制组件。儿科医生在大学 加州的Davis将被随机分配至NORALSim或低保真模拟器。我们希望母乳喂养 由儿科医生随机分配至NORALSim组治疗的患者将报告新生儿 定位和连接。北美、欧洲和欧洲的医院和卫生专业人员培训计划， 亚洲是高保真仿真的狂热消费者。LiquidGoldConcept已经将两个 高仿真母乳喂养模拟产品，并与六个国际分销商合作。