A Mobile/Web-based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome

摘要 美国新生儿阿片类药物戒断综合征(NOWS)的发病率有所上升 在过去的二十年里戏剧性地。高效有效的新生儿培训资源和材料 以经验为基础的NOWS实践中的护理提供者是非常需要的。拟议的第一阶段的目标是 STTR项目是开发一个高度可访问的移动/基于网络的多媒体课程，用于培训新生儿 卫生保健提供者在评估和治疗NOW方面的最佳做法。该项目将展示 提供专业发展的基于网络的多媒体课程的概念和可行性 使新生儿护理提供者能够成功评估和管理循证非 以药理学家庭为中心的NOWS新生儿护理。我们会发展课程内容，包括 脚本视频场景、交互式学习组件和通过移动/基于网络的 站台。由10名新生儿护理人员组成的焦点小组将向大家介绍新的 通过审查课程的现有初步版本来确定课程。33T使用这些焦点小组数据，我们将 创建以演示NOWS核心临床实践的脚本视频片段为特色的多媒体体验 和程序。课程将在基于Web的基础设施中构建的移动应用程序上提供 既允许基于应用程序的体验，也允许基于网络的体验。由成员组成的社区咨询委员会 代表州公共卫生部门和机构、儿科保健机构和儿科 医疗保健协会将对已完成的模块提供反馈，并就进一步的 课程的开发、传播和营销。我们将展示可用性和商业化 通过这些面谈和样本的试点测试，验证完成的课程模块的可行性 将使用完成的课程模块和完成后NOWS的新生儿护理提供者的数量 知识测试，并在完成模块后完成产品可用性评估。在经过我们的 对于第一阶段的基准，我们将提出第二阶段STTR项目，该项目将支持所有模块的全面生产 在课程中以及实施试验，以确定课程对提供者的影响 实践和患者结果。在第二阶段取得成功后，NOWS课程将推向 国家公共卫生部门和机构、儿科保健机构、管理保健组织。 组织对课程的投资可以通过更少的天数产生数倍的回报 NOWS新生儿的住院治疗，强度较低且费用较高的治疗方案，并有所改善 减少医学上不必要的药物治疗和增加使用所带来的健康结果 以家庭为中心的非药理学干预措施。

Abstract The incidence of neonatal opioid withdrawal syndrome (NOWS) in the United States has grown dramatically over the past two decades. Efficient and effective resources and materials for training neonatal care providers in empirically based practices for NOWS are greatly needed. The goal of the proposed Phase I STTR project is to develop a highly accessible mobile/web-based multimedia curriculum for training neonatal health care providers in best practices for assessing and treating NOWS. The project will demonstrate proof-of- concept and feasibility of a web-based multimedia curriculum that provides a professional development experience enabling neonatal care providers to successfully assess and administer evidence-based non- pharmacologic family-centered care for newborns with NOWS. We will develop curriculum content including scripted video scenarios, interactive learning components, and quizzes delivered via a mobile/web-based platform. Focus groups with ten neonatal care providers will 33Tinform the content, structure, and style of the new curriculum by reviewing an existing preliminary version of the curriculum. 33TUsing these focus group data, we will create multimedia experiences featuring scripted video segments demonstrating core NOWS clinical practices and procedures. The curriculum will be delivered on a mobile application built within a web-based infrastructure allowing both app-based and web-based experiences. A community advisory board comprised of members representing state public health departments and agencies, pediatric healthcare facilities, and pediatric healthcare associations will provide feedback on the completed modules and offer guidance on further development, dissemination, and marketing of the curriculum. We will demonstrate usability and commercial viability of the completed curriculum modules through these interviews and through pilot testing with a sample of neonatal care providers who will use the completed curriculum modules and complete pre-post NOWS knowledge tests and after completing the modules complete a product usability assessment. Upon passing our benchmarks for Phase I, we will propose a Phase II STTR project that will support full production of all modules in the curriculum as well as an implementation trial to establish the effects of the curriculum on provider practices and patient outcomes. Following a successful Phase II, the NOWS curriculum will be marketed to state public health departments and agencies, pediatric healthcare facilities, managed care organizations. Organizational investment in the curriculum could produce returns many times over by virtue of fewer days of inpatient hospitalization for newborns with NOWS, less intensive and costly treatment regimens, and improved health outcomes driven by reductions in medically unnecessary pharmacologic treatments and increased use of non-pharmacologic family-centered interventions.