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Development and evaluation of a high-fidelity newborn simulator for breastfeeding education of health professionals

用于卫生专业人员母乳喂养教育的高保真新生儿模拟器的开发和评估

基本信息

批准号：
10082009
负责人：
Samantha Chuisano
金额：
$ 25.2万
依托单位：
LIQUIDGOLDCONCEPT, INC
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-20 至 2021-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10082009
关键词：
3D Print Anatomy Asia Breast Breast Feeding California Cessation of life Child Clinical Clinical Skills Competence Cross-Over Trials Custom Deglutition Development Education Educational process of instructing Europe Evaluation Exclusive Breastfeeding Face Faculty Feedback Goals Head Health Care Costs Health Personnel Health Professional Healthcare Hospitals Infant International Jaw Knowledge Lactation Legal patent Maternal Mortality Medical Methods Michigan Modeling Molds Mothers Movement Newborn Infant North America Nurses Nursing Students Oral Oral cavity Outcome Outcome Measure Patient Care Patient Self-Report Patient-Focused Outcomes Patients Pattern Perception Performance Phase Physicians Positioning Attribute Problem Solving Puppet Randomized Reflex action Reporting Risk Sales School Nursing Self Efficacy Self-Examination Small Business Innovation Research Grant Students Surveys Techniques Term Birth Time Tongue Toy Training Training Programs United States Universities Variant Weaning Woman Work clinical encounter commercial application design digital health care model improved infant death learning outcome models and simulation pediatrician premature preventable death primary outcome programs satisfaction simulation skills sound student participation sucking suckling technological innovation tool

项目摘要

Project Summary Globally, low breastfeeding rates account for nearly a million annual preventable deaths of women and children. Suboptimal breastfeeding in the United States is associated with $18B in healthcare costs and 3,340 annual premature deaths of women and children. Lack of support from healthcare providers is a primary reason for low breastfeeding rates. Physicians and nurses receive inadequate training in clinical lactation because existing educational products are not effective. Lactation educators use cloth and plastic baby dolls and sock puppets, which do not look or feel like an infant and cannot be used to teach how to differentiate between normal and abnormal suckling patterns and latching at the breast. High-fidelity (realistic) simulators promote higher learner engagement and are more likely to improve learning and patient outcomes. There are no high-fidelity newborn simulators for breastfeeding education. In this SBIR, LiquidGoldConcept, Inc. a breastfeeding education company in Michigan, will develop the first high-fidelity Newborn Oral Assessment and Latch Simulator (NORALSim) for breastfeeding education. The NORALSim will be compatible with the commercialized LiquidGoldConcept Lactation Simulation Model, a wearable, lactating breast model: the first high-fidelity breastfeeding mother-infant simulator. Educators will use the NORALSim and Lactation Simulation Model to teach healthcare students and practitioners how to assess the suck reflex, tongue movement, and oral cavity for anatomical and functional abnormalities relevant to breastfeeding, position and attach a newborn at the breast, and differentiate between normal and abnormal suckling and swallowing patterns. In Aim 1 of this Phase I SBIR, we will develop a NORALSim that looks and feels like a term newborn and has a remotely-operable jaw that simulates different suckling patterns and syncs with the sound of an infant swallowing. The NORALSim’s form and function will be evaluated for face and content validity by unbiased clinical lactation experts. In Aim 2, we will conduct a randomized, controlled, crossover trial with Johns Hopkins School of Nursing students to compare their level of engagement when using the NORALSim vs. low-fidelity newborn simulators in a simulated clinical encounter. We expect that the NORALSim will increase learner engagement, which will be associated with higher learner satisfaction, performance, and self-efficacy. In Phase II we will design custom components that simulate a newborn’s suck reflex. Pediatricians at the University of California, Davis will be randomized to the NORALSim or low-fidelity simulators. We expect that breastfeeding patients treated by pediatricians randomized to the NORALSim will report higher confidence in newborn positioning and attachment. Hospitals and health professional training programs in North America, Europe, and Asia are avid consumers of high-fidelity simulation. LiquidGoldConcept has already commercialized two high-fidelity breastfeeding simulation products and partnered with six international distributors.

项目概要在全球范围内，母乳喂养率低每年导致近百万妇女和儿童死于可预防的死亡孩子们。在美国，次优母乳喂养与医疗保健费用 $18B 和 3,340 相关每年有妇女和儿童过早死亡。缺乏医疗保健提供者的支持是一个主要原因母乳喂养率低的原因。医生和护士接受的临床哺乳培训不足因为现有的教育产品效果不佳。哺乳教育者使用布和塑料娃娃和袜子木偶，它们看起来或感觉不像婴儿，不能用来教如何区分正常和异常的哺乳模式和衔乳之间的关系。高保真（真实）模拟器促进更高的学习者参与度，更有可能改善学习和患者治疗效果。有没有用于母乳喂养教育的高保真新生儿模拟器。在此 SBIR 中，LiquidGoldConcept, Inc. 密歇根州的母乳喂养教育公司将开发第一个高保真新生儿口腔评估和用于母乳喂养教育的衔乳模拟器 (NORALSim)。 NORALSim 将与商业化的LiquidGoldConcept哺乳模拟模型，一种可穿戴的哺乳期乳房模型：第一个高保真母乳喂养母婴模拟器。教育工作者将使用 NORALSim 和哺乳模拟教授医疗保健学生和从业者如何评估吸吮反射、舌头运动和口腔与母乳喂养、定位和附着新生儿相关的解剖和功能异常乳房，并区分正常和异常的哺乳和吞咽模式。目标 1 在第一阶段 SBIR 中，我们将开发一个 NORALSim，它看起来和感觉起来都像足月新生儿，并且具有可远程操作的下巴，模拟不同的吸吮模式并与婴儿的声音同步吞咽。 NORALSim 的形式和功能将通过无偏见的评估其表面和内容有效性临床哺乳专家。在目标 2 中，我们将与约翰霍普金斯大学进行随机、对照、交叉试验护理学院学生比较使用 NORALSim 与低保真度时的参与程度模拟临床遭遇中的新生儿模拟器。我们期望 NORALSim 能够提高学习者的能力参与度，这与更高的学习者满意度、表现和自我效能相关。同相 II 我们将设计模拟新生儿吸吮反射的定制组件。大学儿科医生加利福尼亚州戴维斯将被随机分配到 NORALSim 或低保真模拟器。我们期望母乳喂养接受儿科医生随机分配至 NORALSim 治疗的患者将报告对新生儿的信心更高定位和附着。北美、欧洲和美国的医院和卫生专业培训项目亚洲是高保真模拟的狂热消费者。 LiquidGoldConcept 已经将两种产品商业化高保真母乳喂养模拟产品，并与六家国际经销商合作。