TEACH PH II

描述（由申请人提供）：此第二阶段申请旨在开发TEACH（培训以实现文化敏感的医疗保健），这是一种基于桌面计算机的低成本产品，用于培训文化敏感的医疗保健服务。TEACH将为来自非洲裔美国人（以及后来的其他种族）社区的恶性肿瘤患者以及治疗这些患者的临床医生提供服务。TEACH基于一个虚拟环境，为提供者提供了一个无威胁但现实的机会，以受控的方式练习文化技能，并以来自患者社会文化背景和期望研究的经过充分验证的规则为指导。TEACH的创新之处在于，它利用了社会模拟、认知建模、虚拟环境和智能辅导等快速发展领域的技术和方法的多条研究路线。这些研究路线与新兴的，但目前手动的方法进行评估和治疗，在第二阶段的原型，非洲裔美国人乳腺癌患者（AABCP）。完成后，本研究将创造一个低成本，易于推广，可复制的方法，在文化能力的培训。此外，这里开发的技术将直接适用于其他社会群体和疾病的治疗。在第二阶段，重点小组研究和验证研究的有效性的教学系统，无论是前和后暴露，形成的评价核心。来自这些经验可行性评估程序的数据也将用于完善TEACH II期设计，并向III期发展，以创建一个功能齐全的TEACH产品，该产品可以根据我们的商业化计划直接产品化，其临床疗效可以在TEACH的正式II期评估中评估，以量化其对患者和临床医生的价值。TEACH的商业潜力在很大程度上源于人们对AABCP护理的关键独特方面的认识不断提高，其中生物和社会文化因素都影响了我们为应得人群提供最佳护理的能力。这项工作将产生一个基于计算机的，类似游戏的产品，将提供内部员工计划的学员，包括医疗和外科肿瘤学研究员，与照顾非洲裔美国乳腺癌患者（AABCP）的现实模拟体验。将特别强调文化能力问题。该产品将使用户，无论是实习生还是毕业生医生和其他临床医生，都能与游戏角色互动，从而有机会增强对恶性肿瘤疾病的生活体验的移情理解，就像少数人群中的患者所感受到的那样。本研究完成后，将为农业生态保护区的评价和后续管理提供一种低成本、易推广、易复制的方法。

DESCRIPTION (provided by applicant): This Phase II application seeks to develop TEACH (Training to Enable & Achieve Culturally Sensitive Healthcare), a low-cost desktop-computer-based product for training culturally sensitive healthcare delivery. TEACH will serve patients from the African-American (and later other ethnic) communities confronting malignancy, as well as the clinicians who treat these patients. TEACH is based on a virtual environment that gives providers a non-threatening but realistic opportunity to practice cultural skills in a controlled manner, guided by well-validated precepts derived from studies of patients' socio-cultural context and expectations. TEACH is innovative in that it utilizes several lines of research in technologies and methods in the rapidly evolving domains of social simulation, cognitive modeling, virtual environments, and intelligent tutoring. Those lines of research are connected with emerging but currently manual methods for assessment and treatment, in the prototype for Phase II, of the African-American breast cancer patient (AABCP). When completed, this research will create a low-cost, easily-distributed, and replicable method for training in cultural competency. In addition, the technology developed here will be directly applicable to treatment of other social groups and disorders. In Phase II, focus group studies and validation studies of the efficacy of the TEACH system, both pre- and post-exposure, form the evaluative core. Data from these empirical feasibility assessment procedures will also be used to refine the TEACH Phase II design and build toward Phase III to create a fully-functional TEACH product that can be directly productized according to our commercialization plan, and whose clinical efficacy can be assessed in a formal Phase II assessment of TEACH to quantify its value to both patients and clinicians. The commercial potential for TEACH arises in large part from the increasing awareness of key distinctive aspects of the care of the AABCP, wherein both biological and socio-cultural factors impinge on our ability to furnish optimal care to a deserving population. This effort will produce a computer-based, game-like product that will provide trainees in house staff programs, including medical and surgical oncology fellows, with a realistic simulation experience of caring for African-American breast cancer patients (AABCP). Stress will be placed particularly on issues of cultural competency. The product will enable users, be they trainee or graduate physicians and other clinicians, to interact with game characters that provide the opportunity to enhance empathic understanding of the lived experience of illness from malignancy, as felt by patients in minority populations. When completed, the research will create a low-cost, easily-distributed and easily-replicated method for assessment and adjunctive management of AABCP.