iPadEMR Pain Management Simulator: Tablet-based Skills Development

iPadEMR 疼痛管理模拟器：基于平板电脑的技能开发

• 批准号: 8669828
• 负责人: Mary P Metcalf
• 金额: $ 49.08万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8669828
• 关键词: Address; Adult; Area; Attention; Attitude; Clinical; Clinical Competence; Clinical Skills; Collaborations; Communication; Competence; Computerized Medical Record; Crossover Design; Data; Data Analyses; Decision Making; Dentists; Development; Diagnosis; Discipline of Nursing; Education; Educational Assessment; Educational process of instructing; Effectiveness; Environment; Evaluation; Faculty; Feedback; Focus Groups; Future; Genetic Crossing Over; Goals; Health Insurance Portability and Accountability Act; Health Personnel; Health Professional; Healthcare Systems; Individual; Intervention; Interview; Knowledge; Learning; Learning Module; Length; Life; Longitudinal Studies; Marketing; Measures; Medical Students; Medicine; Nurses; Nursing Students; Online Systems; Outcome; Outcome Assessment; Outcome Measure; Pain; Pain Measurement; Pain management; Participant; Patients; Performance; Pharmaceutical Preparations; Phase; Physical Examination; Physicians; Pilot Projects; Process; Public Health; Quality of Care; Randomized; Recommendation; Recording of previous events; Reporting; Resources; Self Efficacy; Simulate; Solutions; Structure; Students; Surveys; Tablets; Testing; Time; Training; Training Programs; Waiting Lists; base; chronic pain; clinical practice; cost; design; evidence based guidelines; experience; improved; instructor; instrument; member; novel; opioid misuse; preference; prevent; programs; prototype; satisfaction; screening; simulation; skills; tool; treatment planning; usability; web site

DESCRIPTION (provided by applicant): An estimated 116 million US adults suffer from chronic pain at an estimated cost of $635 billion and, unfortunately, existing pain management training is not adequately preparing health professionals to address this area [1]. To address this gap we propose to create iPad EMR Pain Management Simulator, an iPad- based application to provide a learning and shared experience environment for health professional students to enhance their skills related to pain assessment and control. The simulated EMR will echo core features of any EMR used in clinical practice and present case simulations. For learners it will provide easy and affordable access to standardized skill-based pain management training. For faculty/educators it will assess: 1) a student's clinical competence and skills in diagnosing and treating patients with pain, while 2) decreasing the chance of opioid misuse and diversion. For each iPad EMR simulated pain management case, health professional students will collect data, examine the patient, choose the appropriate course of action, outline a treatment plan, and receive feedback. Feedback from choices and decisions made will be based on best practice. The instructor will have control over the clinical components of the application by providing increasing or decreasing clinical information, challenge, feedback, or prompts. Phase I will develop a prototype and perform basic usability of the potential intervention based on the active involvement of different target audiences: 1) health professional students in medicine and nursing, and 2) educators in medicine and nursing. Phase I will proceed with a carefully planned formative analysis involving needs analysis surveys, semi-structured interviews, guidance from consultants, creation of prototype experiences, and usability assessments. Phase II will complete the program and conduct an evaluation using a randomized, cross-over [wait-list control], pretest-posttest design with an estimated 60 participants from medicine and nursing. We will specifically assess if the simulated learning and shared experience environment positively impacts target clinical skills and increases core competencies related to assessment and treatment of pain. Phase III will market the product actively via existing and novel partnerships with Clinical Tools. We will pursue additional tailoring of the content to specific audiences beyond physicians and nurses such as dentists, P.A.s, physical therapists and others. Our solution will support ongoing assessment of the training to determine areas of weakness which can be refined and improved over time.

描述（由申请人提供）：估计有 1.16 亿美国成年人患有慢性疼痛，估计造成 6,350 亿美元的损失，不幸的是，现有的疼痛管理培训不足以让卫生专业人员做好应对这一领域的充分准备 [1]。为了弥补这一差距，我们建议创建 iPad EMR 疼痛管理模拟器，这是一款基于 iPad 的应用程序，为健康专业学生提供学习和共享体验环境，以提高他们与疼痛评估和控制相关的技能。模拟的 EMR 将呼应临床实践中使用的任何 EMR 的核心特征并呈现病例模拟。对于学习者来说，它将提供简单且负担得起的标准化基于技能的疼痛管理培训。对于教师/教育工作者来说，它将评估：1）学生诊断和治疗疼痛患者的临床能力和技能，同时2）减少阿片类药物滥用和转移的机会。对于每个 iPad EMR 模拟疼痛管理案例，健康专业的学生将收集数据、检查患者、选择适当的行动方案、制定治疗计划并接收反馈。做出的选择和决策的反馈将基于最佳实践。讲师将通过提供增加或减少的临床信息、挑战、反馈或提示来控制应用程序的临床组成部分。第一阶段将开发一个原型，并根据不同目标受众的积极参与来执行潜在干预措施的基本可用性：1）医学和护理专业的健康专业学生，2）医学和护理教育工作者。第一阶段将进行精心策划的形成性分析，包括需求分析调查、半结构化访谈、顾问指导、原型体验创建和可用性评估。第二阶段将完成该计划，并使用随机、交叉[等待名单控制]、前测后测设计进行评估，预计有 60 名来自医学和护理领域的参与者。我们将专门评估模拟学习和共享经验环境是否对目标临床技能产生积极影响并提高与疼痛评估和治疗相关的核心能力。第三阶段将通过与 Clinical Tools 的现有和新型合作伙伴关系积极营销该产品。我们将针对医生和护士之外的特定受众（例如牙医、私人助理、物理治疗师等）进一步定制内容。我们的解决方案将支持对培训的持续评估，以确定可以随着时间的推移进行完善和改进的薄弱环节。