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

承包商应在真实的临床环境中创建并测试可用的F-NAST版本。 技术目标1。增强培训和案例演示内容，并构建F-NAST技术以支持NAS识别和治疗。将通过添加所有症状的视频示例、修改内容流和叙述来增强现有视频内容。承包商将提供额外的能力，用于对入门和参考工具文本和视频进行动态内容管理、本地定制和模拟编辑控制台。承包商将组装并提供视频模拟播放列表，以验证用户评分的准确性。视频模拟将为用户提供灵活性，包括新的和独特的情况。 技术目标2。对F-NAST原型进行扩大的初步研究。承包商将对培训和参考材料进行试点研究，以验证知识的提高和视频模拟的能力，从而提高不同人群评分的一致性。试点研究将包括由主管和用户焦点小组对目前的培训进行基线评价，以确定如何加强内容和案例参考情景，提高评分者之间的可靠性。在制定建议的改进措施后，承包商将评估培训和参考材料的能力，以提高参与者的知识和评分员间可靠性评分。目标人群将包括护理专业学生、新生儿重症监护室和母婴护士。 技术目标3。为临床医生进行床旁入门、参考和决策支持工具的效率研究。承包商将评估初级工具和参考工具作为床边F-NAST评分工具的效率。III级NICU的护士将接受使用初步研究程序的培训。当前F-NAST评分的基线研究将在一个月内进行。资源护士将在所有班次上对NAS婴儿进行6个月的同步评分。将资源护士计时条目与常规护理下F-NAST评分的基线统计量进行比较。假设与基线相比，资源护士条目将得到显著改善。

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.