Virtual Environment Training in the Proper Use of Prescription Pain Medications

正确使用处方止痛药的虚拟环境培训

• 批准号: 8455295
• 负责人: Mary P Metcalf
• 金额: $ 28.88万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-03-15 至 2015-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8455295
• 关键词: Address; Admission activity; Americas; Analgesics; Attention; Attitude; Automobiles; Behavior; Behavior Therapy; Cause of Death; Cessation of life; Clinic; Clinical; Clinical Skills; Communication; Communities; Competence; Continuing Education; Contracts; Data; Development; Diagnosis; Discipline of Nursing; Drug Controls; Education; Effectiveness; Environment; Epidemic; Etiology; Evaluation; Family; Feedback; Goals; Health; Health Insurance Portability and Accountability Act; Health Personnel; Health Professional; Hospitals; Housing; Instruction; Intervention; Interview; Length; Location; Longitudinal Studies; Medical Education; Medicine; Methodology; National Institute of Drug Abuse; Nurses; Online Systems; Opioid; Outcome Assessment; Overdose; Pain; Pain management; Patients; Performance; Pharmaceutical Preparations; Phase; Physicians; Pilot Projects; Policies; Process; Productivity; Professional Education; Program Development; Provider; Publishing; Randomized; Recording of previous events; Recruitment Activity; Reporting; Research Design; Resources; Risk; Risk Assessment; Self Efficacy; Simulate; Specialist; Structure; Substance abuse problem; Surveys; Technology; Testing; Training; Training Programs; Work; active control; addiction; base; case-based; computer generated; cost; design; experience; health care service organization; heuristics; improved; instrument; member; novel; overdose death; phase 2 study; preference; prescription drug abuse; prescription opioid; programs; prototype; research clinical testing; satisfaction; screening; simulation; skills; tool; usability; virtual

DESCRIPTION: (provided by applicant) An epidemic of addiction to prescription pain medications now causes deaths due to overdose that outnumber automobile-related deaths, rising admissions to hospitals, and disrupted lives for both the patient and family. The White House Office of National Drug Control Policy (ONDCP) report, Epidemic: Responding to America's Prescription Drug Abuse Crisis, highlights the crisis and calls for health care professional education in the proper use of opioids; required education related to opioid pain medications appears inevitable. Intended Impact: This project responds to this call by: 1) creating a continuing health professional development (CHPD) program using an On-Line Interactive Virtual Environment (OLIVE) with virtual patient scenarios, and 2) evaluating the products' ability to alter provider behavior relevant to decreasing the prescription opioid epidemic. The new product will be a part of the existing, successful OpioidRisk.com, which was developed with support from a NIDA contract, and is produced via a partnership between the Association for Medical Education on Substance Abuse (AMERSA) and Clinical Tools. We expect:" Providers will enhance their clinical skills and test practice change through deliberate practice via OLIVE's simulated (i.e., computer-generated) patients. The planned program will test their skills and provide automated feedback, guidance and direction. "Clinic leaders and health care organizations can implement a comprehensive CHPD program."The health professional education community will gain important data regarding the potential of novel virtual environment technology to instill new behaviors and effect practice change. Phase I demonstrates product feasibility and the acceptability of proceeding with Phase II by: 1) completing target audience needs analysis surveys and semi-structured interviews; 2) creating a training framework for OLIVE-based CHPD training on the proper use of opioids; 3) outlining assessments to be used in the Phase II evaluative study of OLIVE vs. web-based training; 4) developing a prototype OLIVE training experience; and, 5) demonstrating acceptability and feasibility and recruiting clinic locations for the Phase II study. Phase II completes the program based on content already found in our previously developed product's (OpiodRisk.com) interactive case-based instruction, clinical questions, resources and implementation guides. After finalizing clinic participation for the summative study, the project evaluates the CHPD program using a randomized, active control design of OLIVE-based training vs. OpioidRisk.com that compares change in competency, performance, clinical, and communication skills and improved treatment behavior related to opioid prescribing and pain patient assessment for addiction risk.

产品说明：（由申请人提供）处方止痛药成瘾的流行现在导致死亡，由于过量，超过汽车相关的死亡，增加入院人数，并扰乱了患者和家庭的生活。白宫国家药物管制政策办公室（ONDCP）的报告《流行病：应对美国处方药滥用危机》强调了这一危机，并呼吁进行适当使用阿片类药物的医疗保健专业教育;与阿片类止痛药相关的必要教育似乎是不可避免的。预期影响：该项目通过以下方式响应这一呼吁：1）使用具有虚拟患者场景的在线交互式虚拟环境（OLIVE）创建持续健康专业发展（CHPD）计划，以及2）评估产品改变与减少处方阿片类药物流行相关的提供者行为的能力。新产品将成为现有的成功的OpioidRisk.com的一部分，该网站是在NIDA合同的支持下开发的，并通过药物滥用医学教育协会（AMERSA）和临床工具之间的合作伙伴关系制作的。我们期望：“提供者将通过OLIVE的模拟（即，计算机生成的）患者。该计划将测试他们的技能，并提供自动反馈，指导和方向。“诊所领导人和医疗保健组织可以实施一个全面的CHPD计划。“卫生专业教育界将获得有关新的虚拟环境技术的潜力的重要数据，以灌输新的行为和影响实践的变化。第一阶段通过以下方式证明产品的可行性和继续进行第二阶段的可接受性：1）完成目标受众需求分析调查和半结构化访谈; 2）为基于OLIVE的CHPD关于阿片类药物正确使用的培训创建培训框架; 3）概述OLIVE与基于网络的培训的第二阶段评价研究中使用的评估; 4）开发原型OLIVE培训经验;以及5）证明可接受性和可行性，并为II期研究招募诊所位置。第二阶段根据我们以前开发的产品（OpiodRisk.com）中已经发现的内容完成该计划，该产品基于案例的交互式指导，临床问题，资源和实施指南。在完成总结性研究的临床参与后，该项目使用基于OLIVE的培训与OpioidRisk.com的随机、主动对照设计评估CHPD计划，比较能力、表现、临床和沟通技能的变化以及与阿片类药物处方和疼痛患者成瘾风险评估相关的治疗行为改善。