Decision Support for Responsible Pain Management (DS-RPM)

负责任的疼痛管理决策支持 (DS-RPM)

基本信息

批准号：
9915872
负责人：
Barbara Jean St Marie
金额：
$ 14.71万
依托单位：
UNIVERSITY OF IOWA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-05-01 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9915872
关键词：
Address Area Caring Categories Clinical Clinical Research Clinical Trials Complement Complex Consensus Data Development Discipline Drug Addiction Drug abuse Epidemic Evidence based practice Face Feasibility Studies Foundations Future Goals Guidelines Health Personnel Healthcare Individual Information Technology Intervention Trial Interview Iowa Joints Knowledge Leadership Light Link Measures Mentored Patient-Oriented Research Career Development Award Mentorship Methods Monitor National Institute of Drug Abuse Online Systems Opioid Outcome Outcome Study Pain Pain management Participant Patient Triage Patients Pharmaceutical Preparations Phase Primary Health Care Process Productivity Provider Public Health Publications Qualitative Methods Randomized Recommendation Reporting Research Research Methodology Research Personnel Resolution Resources Risk Safety Series Standardization Structure Surveys System Technology Testing Time Training Trees United States Universities Work career career development case-based chronic pain chronic pain patient clinical care clinical decision support design efficacy testing evidence base evidence based guidelines experience feeding follow-up heuristics high risk meetings multimodality opioid abuse opioid misuse point of care prescription opioid prescription opioid misuse primary care setting programs prototype risk minimization skills statistics support tools tool treatment comparison treatment planning usability

项目摘要

The overall goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to support candidate, Dr. Barbara St. Marie, in developing an independent clinical research program to address effective pain management while minimizing risk for opioid misuse. Dr. St. Marie's training goals are: (1) develop understanding of clinical decision support and how it applies at the point of care; (2) achieve a greater understanding on how evidence-based practice can be implemented and sustain system change; (3) enhance knowledge of information technologies into the design of tools to guide healthcare providers in making evidence based clinical decisions; (4) develop a deeper scientific and technical background in statistics, research methods, to inform future intervention and clinical trial research; (5) gain additional skills and experience in the conduct of research, leadership and scholarly productivity. These career development goals will be completed under the mentorship of an accomplished team of investigators at the University of Iowa, a research-intensive organization with significant and longstanding resources for early-career researchers. These career development goals will provide her with expertise and guidance necessary to address the problems of two significant and intertwined public health crises, undertreated persistent/chronic pain and a national drug abuse epidemic, both requiring immediate and joint resolution. Healthcare providers (MD, DO, NP, PA) are not prepared to address these problems in the primary care settings and evidence based guidelines are under utilized. A gap exists in understanding how to use evidence based guidelines and expert knowledge to manage pain while minimizing risk of opioid misuse that fits into the framework of a primary care practice. To address this gap, the research plan will be to complete the development and test a decision support tool (DS-RPM) that will triage patients with pain into three risk groups, then provide treatment recommendations on the basis of their risk. Alpha and Beta testing (operability) will occur followed by revisions of the decision support tool. Mixed methods will be used to assess feasibility through surveys and interviews. Forty healthcare providers will use the app with vignettes and standardized patients presenting with pain. The acceptability, usability and perceived barriers while using this tool will be measured. Decision support through the use of technology can be an initial first step in promoting effective pain management while minimizing risk for opioid misuse or abuse. This proposal complements the National Institute on Drug Abuse (NIDA) strategic focus to support and conduct drug abuse and addiction research across a broad range of disciplines of health care providers. Results of this study will further refine the decision support tool and Dr. St. Marie will develop and submit an R01 application to evaluate the efficacy of the DS-RPM in a larger scale clinical trial.

这个受过指导的以患者为导向的研究职业发展奖（K23）的总体目标是支持候选人芭芭拉·圣玛丽（Barbara St. Marie）博士开发了一项独立的临床研究计划解决有效的疼痛管理，同时最大程度地减少阿片类药物滥用的风险。圣玛丽博士的培训目标是：（1）对临床决策支持及其在护理点的应用方式发展；（2）对如何实施循证实践并维持更深入了解系统更改；（3）将信息技术的知识提高到指导工具的设计中医疗保健提供者做出基于证据的临床决策；（4）发展更深的科学和统计，研究方法的技术背景，以告知未来干预和临床试验研究; （5）在研究，领导和学术的进行方面获得额外的技能和经验生产率。这些职业发展目标将在一个指导下完成爱荷华大学的研究人员很有成熟的团队，这是一个研究密集型组织早期研究人员的重要资源大量资源。这些职业发展目标将为她提供必要的专业知识和指导，以解决两个重要的问题和交织在一起的公共卫生危机，持续/慢性疼痛不足和全国药物滥用流行病，既需要立即分辨率和关节分辨率。医疗保健提供者（MD，DO，NP，PA）不是准备在初级保健环境中解决这些问题和基于证据的准则是在使用下。存在一个差距，了解如何使用基于证据的准则和专家了解疼痛的知识，同时最大程度地减少了滥用阿片类药物的风险，该风险适合于初级保健实践。为了解决这一差距，研究计划将是完成开发和测试一个决策支持工具（DS-RPM），该工具将疼痛分为三个风险组，然后根据其风险提供治疗建议。 Alpha和Beta测试（可操作性）将随后进行了决策支持工具的修订。混合方法将用于评估通过调查和访谈的可行性。有40个医疗保健提供商将与Vignettes一起使用该应用程序和标准化患者出现疼痛。可接受性，可用性和可感知的障碍使用此工具将被测量。通过使用技术的决策支持可以是首先一步促进有效的疼痛管理，同时最大程度地减少阿片类药物滥用或滥用的风险。这提案补充了美国国家药物滥用研究所（NIDA）的战略重点，以支持和在医疗保健的广泛学科中进行药物滥用和成瘾研究提供者。这项研究的结果将进一步完善决策支持工具，圣玛丽博士将开发并提交R01应用程序在更大范围的临床试验中评估DS-RPM的功效。

项目成果

期刊论文数量（9）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Managing Pain in the Setting of Opioid Use Disorder.

在阿片类药物使用障碍的情况下管理疼痛。

DOI：
10.1016/j.pmn.2019.08.003
发表时间：
2020
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
0
作者：
StMarie,Barbara;Broglio,Kathleen
通讯作者：
Broglio,Kathleen

Factors Influencing Judgments to Consult Prescription Monitoring Programs: A Factorial Survey Experiment.

影响咨询处方监测计划判断的因素：析因调查实验。

DOI：
10.1016/j.pmn.2019.04.001
发表时间：
2020
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
0
作者：
Witry,MatthewJ;StMarie,BarbaraJ;Viyyuri,BrahmendraReddy;Windschitl,PaulD
通讯作者：
Windschitl,PaulD

Coexisting Substance Use Disorder and Chronic Pain During COVID-19.

DOI：
10.1016/j.pmn.2021.08.011
发表时间：
2022-03
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
0
作者：
Compton P;St Marie B
通讯作者：
St Marie B

Developing and Establishing Content Validity of Vignettes for Health Care Education and Research.