DEVELOPMENT OF A CANCER PAIN INTERACTIVE VIDEODISC

癌症疼痛互动视频光盘的开发

• 批准号: 2098610
• 负责人: TIM A AHLES
• 金额: $ 16.24万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-04-01 至 1997-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2098610
• 关键词: cancer pain; computer program /software; continuing education; education evaluation /planning; health care service evaluation; human subject; information dissemination; interview; neoplasm /cancer education; neoplasm /cancer palliative treatment; patient care personnel attitude; physicians; questionnaires; videotape /videodisc

The major goal of the current proposal is the development of a cancer pain interactive videodisc, an innovative educational format for teaching health care professionals about the complexities of the assessment and treatment of cancer pain and barriers (e.g., concerns about drug addiction) to the effective management of cancer pain. The advantages of the interactive videodisc technology include; 1) state-of-the-art information relevant to procedures for effective pain control, rehabilitation, and use of psychosocial knowledge and techniques can be succinctly presented that conform to the Guidelines for Cancer Pain Management which are being established by the Agency for Health Care Policy and Research (AHCPR); 2) once developed, in interactive videodisc is permanent product that can be utilized as an educational tool at all levels of medical education and as a research tool to study the impact of a structured educational format on health care professionals' factual knowledge, attitudes, and performance with regard to cancer pain management; 3) because the disc is easily disseminated, physicians in rural communities can have access to a high quality presentation of cancer pain management techniques; 4) because this is a computer-based technology, the interactive videodisc can easily be modified to reflect new development in the field; and 5) the use of interactive media technology is consistent with the unanimous passage by Congress of the High Performance Computing Act which establishes a national priority to build an information infrastructure linking personal computers to central computing nodes which can be used for research and education. Following the development of the cancer pain interactive videodisc, the remainder of the grant period will be devoted to dissemination and testing. The cancer pain videodisc will be disseminated to physicians at the Dartmouth-Hitchcock Medical Center, Outreach Clinic Hospitals (small community hospitals in New Hampshire and Vermont) affiliated with the Norris Cotton Cancer Center, and other physician group identified by the New Hampshire and Vermont Cancer Pain Initiatives and the New Hampshire American Cancer Society Physician Liaison System within the context of a randomized study. Physicians will be randomly assigned to be exposed to one of two educational formats: 1) Enhanced Dissemination Intervention, the cancer pain interactive videodisc plus two interventions designed to enhance the educational impact of the disc (a facilitator who assists in the development of office systems to aid in cancer pain assessment and management and a physician reminder system) or 2) Usual Dissemination Intervention, the written form of the AHCPR Guidelines for Cancer Pain Management. At pre- and post-intervention, physicians knowledge and attitudes (questionnaire) and behavior (chart review and patient exit questionnaire) will be assessed. We predict that physicians exposed to the interactive videodisc plus the interventions to enhance its educational impact will demonstrate greater pre- to post test change on measures of knowledge and attitudes and conform to the AHCPR Guidelines for Cancer Pain Management with a larger percentage of patients.

当前提案的主要目标是开发一种癌症 pain交互式视频光盘，一种创新的教学教育格式 医疗保健专业人员了解评估的复杂性和 癌症疼痛和障碍的治疗（例如，对药物的担忧） 成瘾）以有效控制癌症疼痛。 优点 交互式视盘技术包括： 1）最先进的 与有效疼痛控制程序相关的信息， 康复以及使用心理社会知识和技术可以 简洁地呈现符合癌症疼痛指南 医疗保健机构正在建立的管理机构 政策与研究（AHCPR）； 2) 开发完成后，以交互式视频光盘形式 是永久产品，完全可以用作教育工具 医学教育水平并作为研究其影响的研究工具 关于医疗保健专业人员事实的结构化教育形式 关于癌症疼痛的知识、态度和表现 管理; 3）由于椎间盘很容易扩散，医生在 农村社区可以获得高质量的内容 癌症疼痛管理技术； 4）因为这是基于计算机的 技术，交互式视频光盘可以轻松修改以反映 该领域的新发展； 5）互动媒体的使用 技术与国会一致通过的一致 《高性能计算法案》确立了国家优先事项 建立连接个人计算机和中央网络的信息基础设施 可用于研究和教育的计算节点。 随着癌症疼痛互动视频光盘的开发， 赠款期的剩余时间将用于传播和 测试。 癌症疼痛录像光盘将分发给医生 在达特茅斯-希区柯克医疗中心、外展诊所医院 （新罕布什尔州和佛蒙特州的小型社区医院）附属于 诺里斯棉花癌症中心和其他医生小组确定 新罕布什尔州和佛蒙特州癌症疼痛倡议和新 汉普郡美国癌症协会内的医师联络系统 随机研究的背景。 医生将被随机分配到 接受两种教育形式之一：1) 加强传播 干预、癌痛互动视盘加二 旨在增强光盘教育影响的干预措施（a 协助开发办公系统以协助 癌症疼痛评估和管理以及医生提醒系统） 或 2) 通常传播干预，AHCPR 的书面形式 癌症疼痛管理指南。 在干预前和干预后， 医生的知识和态度（问卷）和行为（图表 审查和患者退出调查问卷）将被评估。 我们预测 医生接触交互式视频光盘和干预措施 增强其教育影响力将表现出更大的事前事后 测试知识和态度测量的变化并符合 AHCPR 癌症疼痛管理指南，其中较大比例的 患者。