Palliative Care Provider Online Education in Evidence-Based Complementary Therapi

描述(由申请人提供)：姑息治疗是医疗保健中发展最迅速的领域之一。它的快速增长伴随着对培训多学科人员的广泛需求，以处理其患者群体特有的一组独特的健康问题--不仅是那些生命垂危的患者，而且还有患有长期、不治之症、慢性病和退化性疾病的患者。选定的补充疗法对减轻姑息治疗患者的痛苦和提高生活质量具有显著的益处；然而，目前还没有关于这种疗法在姑息治疗环境中的循证应用的系统教育课程。该项目将为姑息治疗人员开发第一个在线继续教育计划，在姑息治疗环境中应用以证据为基础的补充疗法。最后的产品将包括一个包含八个模块的互动课程；第一阶段将为该课程开发网络基础设施，然后将试行测试两个模块，以确定这一概念的可行性。具体目标如下：目标1.建立一个能够提供在线互动教育课程的网站。目的2.对在姑息治疗环境中应用辅助疗法治疗疼痛和呼吸困难的文献进行循证回顾。目标3.将课程内容纳入可通过网站有效交付的结构和形式。目的4.对课程内容进行同行评议评估，以确定课程内容的保真度。目的5.招募在姑息治疗领域执业的卫生保健人员的多学科样本。目标6.对该计划的两个模块进行试点测试。目的7.评估学习结果和用户满意度反馈，以确定该方法的可行性。该方法的可行性将取决于招聘成功、合规性、满足用户学习目标的证据以及用户满意度数据。将开发的最终产品是为多学科卫生专业人员提供的八个模块的在线教育课程，内容是在姑息治疗中应用补充疗法的循证应用。商业应用将作为一种继续教育计划，授权给机构(护理机构、医院、大学、学院)以及个人用户购买(收费)，并提供特定学科的继续教育学分，所有这些都通过互联网管理。影响和创新：这将是美国第一个针对姑息治疗人员的在线教育项目。该课程将带头扩展现有的姑息治疗范例，以纳入以证据为基础的补充疗法的整合。技术创新包括对被许可方使用流畅的内容更新，这是在线教育的一项新发展，鉴于新数据的快速出现，这一点尤其重要。公共健康益处：该课程将有助于改善姑息治疗的质量，使卫生保健系统中发展最快的部门的数百万受惠者可能受益。 公共卫生相关性：姑息治疗是卫生保健中发展最迅速的部门之一。它的快速增长伴随着对培训多学科人员的广泛需求，以处理其患者群体特有的一组独特的健康问题--不仅是那些生命垂危的患者，而且还有患有长期、不治之症、慢性病和退化性疾病的患者。该项目将为姑息治疗人员开发首个以循证为基础的补充疗法应用的在线继续教育计划，以提高姑息治疗环境中的患者护理和生活质量。

DESCRIPTION (provided by applicant): Palliative care represents one of the most rapidly expanding sectors of health care. Its rapid growth has been accompanied by widespread needs for training of multidisciplinary personnel to work with the unique set of health issues specific to its population of patients - not only those at end-of-life, but also patients with long- term, incurable, chronic and degenerative illnesses. Selected complementary therapies offer significant benefits for reducing suffering and improving quality of life in palliative care patients; however, there currently are no systematic educational offerings on the evidence-based application of such therapies in the palliative care setting. This project will develop the first online continuing education program for palliative care personnel in the evidence-based application of complementary therapies in the palliative care setting. The final product will consist of an interactive course with eight modules; Phase I will develop the web infrastructure for the course, and will then pilot test two modules to establish feasibility of the concept. The specific aims are as follows: Aim 1. Build a website capable of delivering an online interactive educational curriculum. Aim 2. Conduct evidence-based reviews of the literature on the application of complementary therapies to pain and dyspnea in palliative care settings. Aim 3. Incorporate the course content into a structure and form that can be effectively delivered over the website. Aim 4. Conduct peer review evaluation of content to determine fidelity of course content with available evidence. Aim 5. Recruit a multidisciplinary sample of health care personnel practicing in the field of palliative care. Aim 6. Conduct pilot testing of two modules of the program. Aim 7. Evaluate {attitudinal and} learning outcomes and user satisfaction feedback to determine feasibility of the approach. Feasibility of the approach will be determined by success in recruitment, compliance, evidence of meeting user learning objectives, and user satisfaction data. The final product to be developed is an eight- module online educational course for multidisciplinary health professionals in the evidence-based application of complementary therapies in palliative care. Commercial application will be as a continuing education program that is licensed to institutions (care facilities, hospitals, universities, colleges) as well as purchased by individual users (fee-based), with discipline-specific continuing education credits available, all administered over the internet. Impact and Innovation: This will be the first online educational program for palliative care personnel on this topic available in the US. The course will spearhead the expansion of the existing paradigm of palliative care to incorporate evidence-based integration of complementary therapies. Technological innovation includes the employment of fluid updating of content to licensees, which is a new development in online education and particularly important given the rapid rate of emergence of new data. Public health benefit: The course will aid in the improvement of quality of palliative care, benefitting potentially millions of recipients in the most rapidly expanding sector of the health care system. PUBLIC HEALTH RELEVANCE: Palliative care represents one of the most rapidly expanding sectors of health care. Its rapid growth has been accompanied by widespread needs for training of multidisciplinary personnel to work with the unique set of health issues specific to its population of patients - not only those at end-of-life, but also patients with long-term, incurable, chronic and degenerative illnesses. This project will develop the first online continuing education program for palliative care personnel in the evidence-based application of complementary therapies, to enhance patient care and quality of life in the palliative care setting.