Interactive Simulation to Train Prescription Drug Abuse Screening

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。获得多个处方和及早续药的设施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个处方或早期续药，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，因为许多患者要么没有意识到，要么对自己的毒瘾或虐待行为含糊其辞。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将是非常有效的。对于第一阶段的应用，SIMmersion LLC与威斯康星大学的迈克尔·弗莱明博士合作，提议开发一个原型互动模拟，以培训初级保健环境中的临床医生的处方药滥用筛查技能。拟议的培训模拟将允许医生和其他初级保健从业者与虚拟患者练习筛查、干预和转诊技能，以识别潜在的处方药滥用并在必要时提供适当的干预。对于临床医生来说，理想的结果是更加熟练和熟悉这些技能，因此更有可能将其作为其与所有患者的常规做法的一部分，从而通过及早识别和干预将处方药物滥用的影响降至最低。由临床医生组成的专家小组将协助开发和审查原型模拟。一旦完成，专家小组将评估各种措施的模拟，以确定其在实地使用的可行性。如果在第一阶段成功建立了处方药滥用筛查的可行性，原型将在第二阶段扩大，包括对那些对处方药滥用进行积极筛查或显示与潜在的处方药滥用和/或滥用有关的风险迹象的患者进行简短干预。该模拟有望成为寻求获得处方药滥用筛查和简要干预技能的新临床医生以及寻求更新或完善现有技能的经验丰富的临床医生的有用工具。公共卫生相关性：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，从而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 facility of attaining multiple prescriptions and getting early refills poses a number of health risks for patients who use prescription drugs. Since 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, since many patients are either unaware or evasive about their addiction or abuse. Providing simulation training to help prepare clinicians to better screen patients for potential prescription drug abuse would be very effective. For the Phase I application, SIMmersion LLC, in cooperation with Dr. Michael Fleming of the University of Wisconsin, proposes to develop a prototype interactive simulation to train prescription drug abuse screening skills for clinicians in primary care settings. The proposed training simulation will allow physicians and other primary healthcare practitioners to practice screening, intervention, and referral skills with a virtual patient to identify potential prescription drug abuse and provide appropriate intervention when necessary. The ideal outcome would for be for clinicians to 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 minimizing the effects of prescription drug abuse through early identification and intervention. An expert panel composed of clinicians will assist in the development and review of the prototype simulation. Once completed, the panel will evaluate the simulation on a variety of measures to determine its feasibility for use in the field. If feasibility is successfully established during Phase I for prescription drug abuse screening, the prototype will be expanded in Phase II to include brief intervention for patients who screen positively for prescription drug abuse or show risk signs associated with potential prescription drug misuse and/or abuse. The simulation is expected to be a useful tool for new clinicians seeking to acquire prescription drug abuse screening and brief intervention skills and experienced clinicians seeking to refresh or refine existing skills. PUBLIC HEALTH RELEVANCE: Innovative and economical technologies that assist primary care clinicians in acquiring competence in screening patients for prescription drug abuse could help increase the frequency and efficacy of screening for potential abuse. Screening patients for prescription drug abuse in primary care settings 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.