Novel Pain Assessment/ntervention Network (NoPAIN)(RMI)

描述(由申请人提供)： 将建立一个新的跨学科网络--“新型疼痛评估和干预网络(NoPAIN)”，以探索老年疼痛的测量到管理系统，其长期目标是产生一门新的临床信息计量学学科。临床信息计量学，正如我们所设想的那样，它是利用计算机技术、信息论和测量科学来综合患者评估数据，以改善研究结果/指南与临床实践之间的联系。我们之所以选择老年疼痛，是因为它是一个复杂和多维的结构，有大量的评估工具需要改进，而且建议的做法和实际做法之间存在已知的差距。由于人口结构的变化，老年疼痛管理需要特别关注；它在改善方面的成功也可能适用于其他领域。 该项目有三个具体目标：1)将生物信息学、临床和护理研究以及社会科学的专家聚集在一起，讨论老年患者的疼痛问题；2)设计一种新的跨学科方法，以表征临床信息计量学的工作原理。这个原型将是一个集成的疼痛临床决策支持系统(CDSS-Pain)；以及3)产生拨款提案，以测试和实施CDSS-Pain。 NoPAIN网络的长期目标是：1)使用最先进的测量模型开发可靠和有效的测量方法；2)利用大型数据库上的复杂统计技术开发治疗结果的预测模型；3)利用医疗信息学开发定制的方法，将临床指南和患者报告的信息整合起来，促进知情的患者-医生决策；以及4)开发和完善生物行为技术，以提高患者对疼痛管理的遵从性和临床对指南的遵从性。虽然这个网络的重点将是探索CDSS-Pain的基础设施和分析方法，但在未来，它还将深入研究跨学科卫生研究的其他主题。 临床信息计量学的成功开发将有助于将治疗老年疼痛的方法从工作台转移到床边，由此产生的方法学将潜在地应用于其他条件和人群。

DESCRIPTION (provided by applicant): A new interdisciplinary network, the "Novel Pain Assessment and Intervention Network (NoPAIN)" will be established to explore a measurement-to-management system for geriatric pain with the long-term goal of generating a new discipline of Clinical Infometrics. Clinical Infometrics as we envision it is a synthesis of patient assessment data with computer technology, information theory, and measurement science to improve the connection between research findings / guidelines with clinical practices. We have chosen geriatric pain because it is a complex and multidimensional construct that has a critical mass of assessment instruments that need refining and has known gaps between recommended and actual practices. Because of demographic changes, geriatric pain management demands particular attention; its successes in improvement will also likely be applicable to other areas. This project has three specific aims: 1) To bring together experts in bio-informatics, clinical and nursing research, and the social sciences to discuss the issue of pain among older patients; 2) To design a new interdisciplinary method that will characterize how Clinical Infometrics can work. This prototype will be an integrated clinical decision support system in pain (CDSS-Pain); and 3) To produce grant proposals to test and implement CDSS-Pain. The broad long-term objectives of the NoPAIN Network are: 1) To develop reliable and valid measures using state-of-the-art measurement models; 2) To develop predictive models of treatment outcomes by using sophisticated statistical techniques on large databases; 3) To develop tailored approaches using medical informatics for the integration of clinical guidelines and patient-reported information to facilitate informed patient-physician decision making; and 4) To develop and refine biobehavioral techniques for improving patient adherence to pain management and clinical adherence to guidelines. Although the focus of this network will be to explore the infrastructure and analytic methods of a CDSS-Pain, in the future it will also delve into other topics of interdisciplinary health research. Successful development of Clinical Infometrics will assist in translating therapies from the bench to the bedside for geriatric pain, and the methodologies that flow from it will have potential applications to other conditions and populations.