Pain Addiction Progress 2008-08
From Clinicaltools.com
Contents |
Project Guide
SBIR Phase I Contract #HHSN271200800012C
ADB Contract No. N43-DA-8-2213
Title: Web Based Training for Pain Management Providers
PI: T. Bradley Tanner, MD
Monthly Progress Report #2 of 6
Reporting Period: 8/1/08 – 8/31/08
Project Period: 6/9/08 – 12/8/08
Pain and Addiction Project Framework
Overview
This month we refined the Web Based Training for Pain Management Providers project framework and curriculum outline, moving further in the direction of developing an innovative skills-training that meets needs not previously met on the Internet. Accomplishments for this month include the following:
- We refined the curriculum need, mission, vision, and constraints to emphasize skill development and innovation. [See Appendix A]. We also incorporated the results of our needs analysis surveys into the curriculum plan. From this framework we developed a revised curriculum using a wiki format to facilitate team development. (In-progress curriculum at http://wiki.clinicaltools.com/Pain_And_Addiction_Curriculum - link no longer active)
- We collected existing online continuing education courses related to the topic so that we can expand our online Resources data base. We also added search topic functionality to the Resources. [See http://painandaddiction.clinicaltools.com/node/134 or Appendix B]
- We recruited three additional expert consultants including two researchers and a nurse practitioner with expertise in pain management. [See Appendix C]
- We clarified the limits and focus of what this website will cover, narrowing it down from the extremely large topic of pain and addiction.
- We developed a needs analysis survey to clarify issues raised in the first round of testing and to get feedback on a proposed website design and recruited participants for this survey and a planned survey of experts.
Progress During August 2008
Objective 1
Determination of ASAM leader, expert consultants and expert advisory panel
We were pleased to add two researchers, Linda Dykstra, PhD and Charles Inturissi, PhD as recommended by NIDA during negotiations. We also added Nancy Wiedemer, RN, MSN, CRNP, a nurse practitioner who is an expert in pain management. This addition was based on the strong recommendation from our expert consultants that nurse managers need to be included in the target audience. See Appendix C for a description of the backgrounds for these new consultants.
Objective 2
Evaluate current technologies and literature
Resources. We created a searchable interface for our data base of over 100 annotated websites. They are available at http://painandaddiction.clinicaltools.com/node/134 . See also Appendix B for a screen shot of the resource center main page. The resource database will eventually also include patient handouts, screening tools, and other clinical forms as well as links to physician locaters, other continuing education, and clinical guidelines. Technologies. We added functionality to the discussion board in the form of visible subject lines and replies as part of our company-wide mission to develop this feature.
Objective 3
Develop needs analysis assessments
We developed a follow-up survey for the target audience with a goal of further exploring questions raised in the previous survey on user interest in topics and preferences in learning using a standardized patients. For example, respondants expressed high interest in knowing how to treat pain in a patient in recovery. In the current survey we distinguish between recovery from opiate addiction and other addictions. Questions related to topics of interest will be based on the revised version of the curriculum. We also added questions aimed at learning preferences regarding the website design. Future questions will also assess need for clinical resources as well as preferences for website appearance and navigation. Future surveys of the target audience will expand to include all prescribers of opioids in the treatment of pain.
Objective 4
Conduct needs analysis
Recruitment. In August we recruited for the next round of needs analysis. We contacted physicians who were on a waiting list after the previous survey and also recruited from the local African American Physician society, Old North. We also worked with ASAM to prepare a recruitment message to send to their membership by email. The next round of needs analysis will be conducted in September.
Objective 5
Determine the content and design (“framework”) of the proposed educational training modules
Need, Mission, and Vision. We revised our Need, Mission, and Vision to emphasize skill development and to reflect the results of our review of existing resources. See Appendix A. Course/module content. Based on the emphasis on skills-training and our needs analysis results, we revised the curriculum to emphasize the areas of greatest need and to develop a model that will lend itself to use with case-based learning and use of a standardized patient. We have also begun developing case descriptions. This development process is ongoing. We defined the content areas for the courses that we develop to emphasize addiction and substance abuse rather than pain treatment. We refined the focus based on a review of existing continuing education courses and practice guidelines, needs analysis results, the RFP for this project, and advice from our expert consultants.
Objective 6
Evaluate curriculum plans with advisory panel and revise as needed
No action taken this month. The advisory panel will evaluate the curriculum again in Sept
Objective 7
Create Phase II project plan, including delivery, methodology, system architecture, and contents of training program (outline complete design of product and content areas)
We have started the process of building the plan, especially as it relates to the curriculum being developed in Phase I.
Work to be Performed in the Next Reporting Period
Objective 1
Determination of ASAM leader, expert consultants and expert advisory panel
- Completed
Objective 2
Evaluate current technologies and literature
- Determine technologies to be used for standardized patient
Objective 3
Develop needs analysis instruments
- Revise surveys with new version of curriculum
- Develop assessmnt questions
- Internal testing and revision of the above instruments
Objective 4
Conduct needs analysis
- Finish recruiting residency program directors, pain and addiction experts,
and prescribers
- Collect and analyze data; develop action plans based on results
Objective 5
Determine the content and design (“framework”) of the proposed educational training modules
- Revise curriculum and website design in response to needs analysis results
and expert consultation
- Further develop website mock-ups, adding graphics and basic functionality
Objective 6
Evaluate curriculum plans with advisory panel and revise as needed
- Develop and complete an online survey of the expert panel to evaluate the curriculum plan
- Analyze survey results and implement suggested changes
Objective 7
Create Phase II project plan, including delivery, methodology, system architecture, and contents of training program (outline complete design of product and content areas)
- Continue to refine the work that would be done in Phase II
Please
Contact
Please feel free to contact me if you have any questions or concerns. I can be reached at (919) 960-8118 or tanner at clinicaltools dot com.
T. Bradley Tanner, MD (President, Clinical Tools, Inc.)
Other Progress Reports
Phase I Pain Addiction Progress • April 2009 • May 2009 • June 2009 • July 2009 • August 2009 • September 2009 • October 2009 • November 2009 • December 2009 • January 2010 • February 2010 • March 20010
