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

基于移动/网络的培训课程，用于传播新生儿阿片戒断综合征新生儿护理最佳实践

• 批准号: 9909479
• 负责人: Alberta Sum-Yu Kong
• 金额: $ 22.49万
• 依托单位: OREGON RES BEHAVIORAL INTERVENTION STRAT
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-12-01 至 2021-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9909479
• 关键词: Address; Atmosphere; Benchmarking; Birth; Childhood; Clinical; Communities; Comprehensive Health Care; Data; Development; Developmental Process; E-learning; Educational Curriculum; Family; Feedback; Focus Groups; Goals; Health; Health Personnel; Health care facility; Healthcare; Hospitalization; Hospitals; Incidence; Infant; Infant Care; Infrastructure; Inpatients; Intensive Care; Intervention; Interview; Investments; Knowledge; Lead; Length of Stay; Managed Care; Marketing; Medical; Monitor; Mothers; Multimedia; Neonatal; Neonatal Abstinence Syndrome; Neonatal Intensive Care; Neonatal Intensive Care Units; New Mexico; Newborn Infant; Online Systems; Outcome; Patient-Focused Outcomes; Pharmacological Treatment; Phase; Postnatal Care; Pregnant Women; Procedures; Production; Provider; Public Health; Regimen; Resources; Risk; Rural Community; Sampling; Small Business Technology Transfer Research; Societies; Structure; Substance Withdrawal Syndrome; Testing; Time; Training; Treatment Cost; Treatment Protocols; United States; base; care providers; clinical practice; cost; curriculum development; curriculum enhancement; evidence base; experience; handheld mobile device; hands-on learning; implementation trial; improved; inpatient service; member; mobile application; neonatal care; opioid exposure; opioid use; opioid withdrawal; patient population; recruit; response; routine care; stressor; treatment duration; urban area; usability

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.

摘要 在美国，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，用于培训新生儿的高效和有效的资源和材料 非常需要NOWS的基于经验的实践中的护理提供者。拟议第一阶段的目标 STTR项目是开发一个高度可访问的移动的/基于网络的新生儿培训多媒体课程 卫生保健提供者评估和治疗NOWS的最佳实践。该项目将证明- 一个基于网络的多媒体课程，提供专业发展的概念和可行性 经验，使新生儿护理提供者成功地评估和管理循证非 对患有NOWS的新生儿进行以家庭为中心的药物治疗。我们将开发课程内容，包括 脚本视频场景、交互式学习组件和通过移动的/基于Web的 平台由10名新生儿护理提供者组成的焦点小组将向33名新生儿护理提供者提供新的内容、结构和风格。 通过审查现有的初步版本的课程。33利用这些焦点小组数据，我们将 创建多媒体体验，包括演示核心NOWS临床实践的脚本视频片段 和程序该课程将在基于网络的基础设施内构建的移动的应用程序上提供 允许基于应用程序和基于网络的体验。一个社区咨询委员会， 代表州公共卫生部门和机构、儿科医疗机构和儿科 医疗保健协会将提供对已完成模块的反馈，并提供进一步的指导， 课程的开发、传播和营销。我们将展示可用性和商业 通过这些访谈和通过样本试点测试，确定已完成的课程模块的可行性 新生儿护理提供者将使用完成的课程模块和完成产前产后NOWS 知识测试，完成模块后完成产品可用性评估。经过我们的 为第一阶段的基准，我们将提出一个第二阶段STTR项目，该项目将支持所有模块的全面生产 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课程将向以下群体销售： 州公共卫生部门和机构、儿科医疗机构、管理式医疗机构。 组织对课程的投资可以通过减少学习的天数来产生数倍的回报。 新生儿NOWS住院治疗，不太密集和昂贵的治疗方案， 减少医学上不必要的药物治疗和增加使用 以家庭为中心的非药物干预。