Palliative Care Provider Online Education in Evidence-Based Complementary Therapi

描述（由申请人提供）：姑息治疗是医疗保健领域发展最快的领域之一。它的快速增长伴随着对多学科人员的培训的广泛需求，以处理其患者群体特有的一系列独特的健康问题-不仅是那些处于生命末期的患者，而且还有患有长期、不可治愈、慢性和退行性疾病的患者。选定的补充疗法提供了显着的好处，减少痛苦和改善姑息治疗患者的生活质量，但是，目前还没有系统的教育产品，在姑息治疗环境中的这种疗法的循证应用。该项目将为姑息治疗人员开发第一个在线继续教育计划，以循证医学为基础，在姑息治疗环境中应用补充疗法。最后产品将包括一个有八个单元的交互式课程;第一阶段将为课程开发网络基础设施，然后将对两个单元进行试点测试，以确定概念的可行性。具体目标如下：目标1。建立一个能够提供在线互动教育课程的网站。目标2.对姑息治疗环境中疼痛和呼吸困难补充疗法应用的文献进行循证综述。目标3。将课程内容整合到可以通过网站有效交付的结构和形式中。目标4。对内容进行同行审查评估，以确定课程内容与现有证据的保真度。目标5。招募在姑息治疗领域执业的多学科医疗保健人员样本。目标6。对该计划的两个模块进行试点测试。目标7。评估{态度和}学习成果和用户满意度反馈，以确定方法的可行性。该方法的可行性将取决于招募成功、合规性、满足用户学习目标的证据以及用户满意度数据。最后开发的产品是一个八个模块的在线教育课程，供多学科卫生专业人员在姑息治疗中循证应用补充疗法。商业应用将作为一个继续教育计划，授权给机构（护理机构，医院，大学，学院）以及由个人用户购买（收费），提供特定学科的继续教育学分，所有这些都通过互联网管理。影响和创新：这将是美国第一个针对姑息治疗人员的在线教育计划。该课程将率先扩大现有的姑息治疗模式，将以证据为基础的整合补充疗法。技术创新包括向许可证持有者提供流畅的内容更新，这是在线教育的一个新发展，鉴于新数据的快速出现，这一点尤为重要。公共卫生福利：该课程将有助于改善姑息治疗的质量，使医疗保健系统中最迅速扩张的部门的数百万接受者受益。 公共卫生相关性：姑息治疗是医疗保健发展最快的部门之一。它的快速增长伴随着对多学科人员的培训的广泛需求，以处理其患者群体特有的一系列独特的健康问题-不仅是那些处于生命末期的患者，而且还有患有长期，不可治愈，慢性和退行性疾病的患者。该项目将为姑息治疗人员开发第一个基于证据的补充疗法应用的在线继续教育计划，以提高姑息治疗环境中的患者护理和生活质量。

DESCRIPTION (provided by applicant): Palliative care represents one of the most rapidly expanding sectors of health care. Its rapid growth has been accompanied by widespread needs for training of multidisciplinary personnel to work with the unique set of health issues specific to its population of patients - not only those at end-of-life, but also patients with long- term, incurable, chronic and degenerative illnesses. Selected complementary therapies offer significant benefits for reducing suffering and improving quality of life in palliative care patients; however, there currently are no systematic educational offerings on the evidence-based application of such therapies in the palliative care setting. This project will develop the first online continuing education program for palliative care personnel in the evidence-based application of complementary therapies in the palliative care setting. The final product will consist of an interactive course with eight modules; Phase I will develop the web infrastructure for the course, and will then pilot test two modules to establish feasibility of the concept. The specific aims are as follows: Aim 1. Build a website capable of delivering an online interactive educational curriculum. Aim 2. Conduct evidence-based reviews of the literature on the application of complementary therapies to pain and dyspnea in palliative care settings. Aim 3. Incorporate the course content into a structure and form that can be effectively delivered over the website. Aim 4. Conduct peer review evaluation of content to determine fidelity of course content with available evidence. Aim 5. Recruit a multidisciplinary sample of health care personnel practicing in the field of palliative care. Aim 6. Conduct pilot testing of two modules of the program. Aim 7. Evaluate {attitudinal and} learning outcomes and user satisfaction feedback to determine feasibility of the approach. Feasibility of the approach will be determined by success in recruitment, compliance, evidence of meeting user learning objectives, and user satisfaction data. The final product to be developed is an eight- module online educational course for multidisciplinary health professionals in the evidence-based application of complementary therapies in palliative care. Commercial application will be as a continuing education program that is licensed to institutions (care facilities, hospitals, universities, colleges) as well as purchased by individual users (fee-based), with discipline-specific continuing education credits available, all administered over the internet. Impact and Innovation: This will be the first online educational program for palliative care personnel on this topic available in the US. The course will spearhead the expansion of the existing paradigm of palliative care to incorporate evidence-based integration of complementary therapies. Technological innovation includes the employment of fluid updating of content to licensees, which is a new development in online education and particularly important given the rapid rate of emergence of new data. Public health benefit: The course will aid in the improvement of quality of palliative care, benefitting potentially millions of recipients in the most rapidly expanding sector of the health care system. PUBLIC HEALTH RELEVANCE: Palliative care represents one of the most rapidly expanding sectors of health care. Its rapid growth has been accompanied by widespread needs for training of multidisciplinary personnel to work with the unique set of health issues specific to its population of patients - not only those at end-of-life, but also patients with long-term, incurable, chronic and degenerative illnesses. This project will develop the first online continuing education program for palliative care personnel in the evidence-based application of complementary therapies, to enhance patient care and quality of life in the palliative care setting.