Prescription Drug Abuse Screening & Pain Management Plan Training Simulation

描述(由申请人提供)：处方药滥用是一个日益令人担忧的问题，原因有几个。获得多张处方和早期续药的做法对使用处方药的患者构成了一系列健康风险；由于没有密切监测多张处方或早期续药，有时需要由初级保健医生适当筛查潜在的处方药滥用和成瘾迹象。初级保健环境中的临床医生应该具备识别潜在滥用迹象的知识，以及处理被认为对处方药上瘾或滥用处方药的患者所需的步骤。这种互动可能很困难，因为许多患者要么不知道，要么对自己的毒瘾或虐待行为避而不谈。提供模拟培训，帮助临床医生做好准备，更好地筛查患者是否可能滥用处方药，并确定治疗方法，以帮助这些高危患者处理他们的慢性疼痛，这将是非常有效的。对于第二阶段的应用，SIMmersion LLC与威斯康星大学的迈克尔·弗莱明博士合作，提议开发和评估一个功能齐全的互动模拟，以培训初级保健环境中的临床医生如何筛选处方药滥用和应用疼痛管理计划。拟议的培训模拟将使医生和其他初级保健从业者能够练习检测和管理慢性疼痛患者的处方阿片类药物滥用。理想的结果是，临床医生对这些技能变得更加熟练和自在，因此更有可能将其作为与所有患者一起执业的常规部分，从而减少因滥用处方药而受到伤害的人数。为了评估模拟训练系统的效果，弗莱明博士和他的研究团队将进行一项教育试验。100名学生和从业者将被随机分配到关于处方药滥用和滥用的常规教育(n=50)或SIMmersion培训计划(n=50)。受试者将完成基线和6个月后的知识和临床行为测量。这些措施将包括知识纸笔测试和标准化患者。这项研究将在华盛顿大学健康科学临床教学和评估中心进行。使用SIMmersion技术的模拟患者程序预计将显著提高我们在人类处理和交互技能方面培训医疗专业人员的能力。我们预计SBIR赠款的最终结果将包括提高医疗保健专业人员在处方药筛选和疼痛管理计划应用方面的技能，以及改善那些使用处方药治疗慢性疼痛的患者的预后。 与公共卫生相关：创新和经济的技术，帮助初级保健临床医生获得筛查患者滥用处方药和慢性疼痛的能力，可以帮助提高筛查潜在滥用药物的频率和效率。在初级保健环境中对患者进行处方药滥用筛查和实施治疗管理计划可能有助于更早地识别滥用情况，并导致改变生活的干预措施，这可能会减少处方药和其他药物滥用和成瘾的负面影响。

DESCRIPTION (provided by applicant): Prescription drug abuse is a growing concern for several reasons. The practice of obtaining multiple prescriptions and early refills poses a number of health risks for patients who use prescription drugs; because multiple prescriptions or early refills are not closely monitored, it is sometimes up to the primary care physician to properly screen for signs of potential prescription drug abuse and addiction. Clinicians in primary care settings should be equipped with the knowledge to recognize the signs of potential abuse, as well as the steps necessary to address patients who are deemed to be addicted to, or abusing, prescription drugs. The interaction can be difficult, because many patients are either unaware of or evasive about their addiction or abuse. Providing simulation training to help prepare clinicians to better screen patients for potential prescription drug abuse and to identify treatment methods to help these high-risk patients deal with their chronic pain would be very effective. For the Phase II application, SIMmersion LLC, in cooperation with Dr. Michael Fleming of the University of Wisconsin, proposes to develop and evaluate a full-featured interactive simulation to train clinicians in primary care settings how to screen for prescription drug misuse and apply pain management plans. The proposed training simulation will allow physicians and other primary healthcare practitioners to practice the detection and management of prescription opioid misuse in patients suffering from chronic pain. The ideal outcome would be that clinicians become more proficient and comfortable with these skills, and therefore more likely to use them as a routine part of their practice with all patients, thereby reducing the number of people being harmed by the misuse of prescription drugs. To evaluate the efficacy of the simulation training system, Dr. Fleming and his research team will conduct an educational trial. One hundred students and practitioners will be randomly assigned to usual education on prescription drug abuse and misuse (n=50) or to the SIMmersion training program (n=50). Subjects will complete baseline and 6-month post-measures of knowledge and clinical behavior. The measures will include a knowledge pencil-and-paper test and standardized patients. The research will be conducted at the UW Health Sciences Clinical Teaching and Assessment Center. The simulated patient program, using the SIMmersion technology, is expected to significantly advance our ability to train medical professionals in human processing and interaction skills. We expect the end result of the SBIR grant will include improved skills among healthcare professionals in prescription drug screening and application of pain management plans, as well as improved patient outcomes for those who use prescription drugs to manage chronic pain. PUBLIC HEALTH RELEVANCE: Innovative and economical technologies that assist primary care clinicians in acquiring competence in screening patients for prescription drug abuse and chronic pain management could help increase the frequency and efficacy of screening for potential abuse. Screening patients for prescription drug abuse in primary care settings and implementing treatment management plans may help identify abuse sooner and lead to life-changing interventions, which could reduce the negative impact of prescription and other drug abuse and addiction.