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A Mobile/Web-based Training Curriculum for Disseminating Best Practices for the Care of Newborns with Neonatal Opioid Withdrawal Syndrome

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 1R41DA050408-01
Agency Tracking Number: R41DA050408
Amount: $224,919.00
Phase: Phase I
Program: STTR
Solicitation Topic Code: NIDA
Solicitation Number: PA18-575
Timeline
Solicitation Year: 2018
Award Year: 2020
Award Start Date (Proposal Award Date): 2019-12-01
Award End Date (Contract End Date): 2020-11-30
Small Business Information
1776 MILLRACE DR
Eugene, OR 97403-2536
United States
DUNS: 079250784
HUBZone Owned: No
Woman Owned: No
Socially and Economically Disadvantaged: No
Principal Investigator
 DAVID SMITH
 (541) 484-2123
 david.smith@or-bis.com
Business Contact
 DAVID SMITH
Phone: (541) 484-2123
Email: david.smith@or-bis.com
Research Institution
 UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
 
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
United States

 Nonprofit College or University
Abstract

AbstractThe incidence of neonatal opioid withdrawal syndrome (NOWS) in the United States has grown
dramatically over the past two decades. Efficient and effective resources and materials for training neonatal
care providers in empirically based practices for NOWS are greatly needed. The goal of the proposed Phase I
STTR project is to develop a highly accessible mobile/web-based multimedia curriculum for training neonatal
health care providers in best practices for assessing and treating NOWS. The project will demonstrate proof-of-
concept and feasibility of a web-based multimedia curriculum that provides a professional development
experience enabling neonatal care providers to successfully assess and administer evidence-based non-
pharmacologic family-centered care for newborns with NOWS. We will develop curriculum content including
scripted video scenarios, interactive learning components, and quizzes delivered via a mobile/web-based
platform. Focus groups with ten neonatal care providers will 33Tinform the content, structure, and style of the new
curriculum by reviewing an existing preliminary version of the curriculum. 33TUsing these focus group data, we will
create multimedia experiences featuring scripted video segments demonstrating core NOWS clinical practices
and procedures. The curriculum will be delivered on a mobile application built within a web-based infrastructure
allowing both app-based and web-based experiences. A community advisory board comprised of members
representing state public health departments and agencies, pediatric healthcare facilities, and pediatric
healthcare associations will provide feedback on the completed modules and offer guidance on further
development, dissemination, and marketing of the curriculum. We will demonstrate usability and commercial
viability of the completed curriculum modules through these interviews and through pilot testing with a sample
of neonatal care providers who will use the completed curriculum modules and complete pre-post NOWS
knowledge tests and after completing the modules complete a product usability assessment. Upon passing our
benchmarks for Phase I, we will propose a Phase II STTR project that will support full production of all modules
in the curriculum as well as an implementation trial to establish the effects of the curriculum on provider
practices and patient outcomes. Following a successful Phase II, the NOWS curriculum will be marketed to
state public health departments and agencies, pediatric healthcare facilities, managed care organizations.
Organizational investment in the curriculum could produce returns many times over by virtue of fewer days of
inpatient hospitalization for newborns with NOWS, less intensive and costly treatment regimens, and improved
health outcomes driven by reductions in medically unnecessary pharmacologic treatments and increased use
of non-pharmacologic family-centered interventions.Project Narrative
The incidence of neonatal opioid withdrawal syndrome (NOWS) in the United States has grown dramatically
over the past two decades. By 2016, the incidence of NOWS in the United States grew to an estimated 20 out
of 1000 births. Standards of care for newborns with NOWS call for extensive observation and monitoring of
such infants with the majority being admitted to neonatal intensive care units for pharmacological treatment.
Prevailing intensive care regimens for NOWS are exorbitantly expensive. This project will develop a highly
accessible mobile/web-based multimedia curriculum for training neonatal health care providers in best
practices for assessing and treating newborns with opioid withdrawal syndrome. The curriculum will be tailored
to address the needs of healthcare providers and patient populations in rural communities where facilities and
resources for providing comprehensive care for infants with opioid exposure and their mothers are limited.

* Information listed above is at the time of submission. *

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