IGF::OT::IGF: Neonatal Abstinence Syndrome Primer Reference and Decision Support Tool. September 25, 2017 - September 24, 2019. N44DA-17-1210.

承包商应在实际临床环境中创建并测试可用的F-NAST版本。 技术目标1.加强培训和案例演示内容，构建F-NAST技术以支持NAS识别和治疗。现有的视频内容将通过添加针对所有症状的视频示例、修改内容流程和旁白来增强。承包商将为初级和参考工具文本和视频的动态内容管理、本地定制和模拟编辑控制台提供附加功能。承包商将组装和交付视频模拟播放列表，以验证用户评分的准确性。视频模拟将为用户提供灵活性，以包括新的和独特的病例。 技术目标2.开展F-NAST原型机的扩大试验研究。承包商将对培训和参考材料进行试点研究，以验证知识的改进和视频模拟在不同人群中提高评分一致性的能力。试点研究将包括对主管人员和用户重点小组当前培训的基线评估，以确定内容和案例参考情景的改进，以提高评价者之间的可靠性。在制定改进建议后，承包商将评估培训和参考材料的能力，以改进参与者的知识和评分员之间的可靠性评分。目标人群将包括护生、NICU和母婴护士。 技术目标3.为临床医生进行床边入门材料、参考资料和决策支持工具的有效性研究。承包商将评估底漆和参考工具作为床边F-NAST评分工具的效率。将利用试点研究程序对三级NICU的护士进行培训。将在一个月的时间内对当前的F-NAST评分进行基线研究。所有班次都有一名资源护士，对NAS婴儿进行六(6)个月的同步评分。资源护士计时条目将与常规护理下F-NAST评分的基线统计数据进行比较。假设与基线相比，资源护士条目将显著提高。

The Contractor shall create and test a usable version of F-NAST in real clinical settings. Technical Objectives 1. Enhance Training and Case Presentation content and build F-NAST technology to support NAS recognition and treatment. The existing video content will be enhanced by adding video examples for all symptoms, revising the content flow and narration. The Contractor will provide additional capabilities for dynamic content management of the Primer and Reference Tool text and videos, local customization and a simulation editing console. The Contractor will assemble and deliver video simulation playlists to validate user scoring accuracy. The video simulation will provide the flexibility to include new and unique cases to users. Technical Objectives 2. Conduct expanded Pilot study of F-NAST prototype. The Contractor will conduct a Pilot study for training and reference materials to validate the knowledge improvement and the ability for the video simulation to improve consistency of scoring across a diverse population. The pilot study will include a baseline evaluation of the current training by supervisors and user focus groups to identify enhancements to the content and the case reference scenarios for inter-rater reliability. Following the development of recommended improvements, the Contractor will evaluate the ability of the training and reference materials to improve the knowledge and the inter-rater reliability scoring by participants. The targeted populations will include Nursing students, NICU and Mother Baby nurses. Technical Objectives 3. Conduct Efficiency Study of bedside primer, reference, and decision support tool for clinicians. The Contractor will evaluate the efficiency of the primer and reference tool as a bedside F-NAST scoring tool. Nurses in a Level III NICU will be trained utilizing the Pilot Study procedure. A baseline study of current F-NAST scoring will occur over a one month period. A resource nurse will be available on all shifts to perform simultaneous scoring of NAS infants for a period of six (6) months. The resource nurse timed entries will be compared to the baseline statistics for F-NAST scoring under usual care. The hypothesis is that the resource nurse entries will be significantly improved compared to the baseline.