Care4AD: A Comprehensive Care Coordination and Management Platform for Alzheimer Disease and Related Dementias

Care4AD：阿尔茨海默病和相关痴呆症的综合护理协调和管理平台

• 批准号: 10404752
• 负责人: Bijan Najafi
• 金额: $ 123.02万
• 依托单位: BIOSENSICS, LLC
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-06-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10404752
• 关键词: Activities of Daily Living; Adherence; Adopted; Alzheimer' s Disease; Alzheimer' s disease related dementia; Appointments and Schedules; Architecture; Attitude; Caregiver Burden; Caregivers; Caring; Clinical Research; Collaborations; Comprehensive Health Care; Control Groups; Data; Data Security; Dementia; Detection; Development; Elderly; Epidemic; Family member; Feedback; Gold; Health Professional; Home; Hydration status; Impaired cognition; Individual; Interview; Medical; Medical Care Team; Medicine; Modeling; Monitor; Online Systems; Patients; Perception; Persons; Pharmaceutical Preparations; Phase; Physical Function; Physical activity; Protocols documentation; Quality of life; Randomized; Readiness; Schedule; Self Care; Self Efficacy; Series; Small Business Innovation Research Grant; Stress; System; Tablets; Technology; Telephone; Testing; Time; Touch sensation; Visual; Voice; Wireless Technology; Work; acceptability and feasibility; base; care coordination; care delivery; care giving burden; caregiving; cloud based; college; control trial; coping; data access; data exchange; dementia care; design; experience; group intervention; improved; infrastructure development; innovation; instrumental activity of daily living; interest; meter; primary outcome; programs; prospective; prototype; psychologic; remote monitoring; response; secondary outcome; sensor; social; telehealth; voice recognition; wearable sensor technology; Activities of Daily Living; Adherence; Adopted; Alzheimer' s Disease; Alzheimer' s disease related dementia; Appointments and Schedules; Architecture; Attitude; Caregiver Burden; Caregivers; Caring; Clinical Research; Collaborations; Comprehensive Health Care; Control Groups; Data; Data Security; Dementia; Detection; Development; Elderly; Epidemic; Family member; Feedback; Gold; Health Professional; Home; Hydration status; Impaired cognition; Individual; Interview; Medical; Medical Care Team; Medicine; Modeling; Monitor; Online Systems; Patients; Perception; Persons; Pharmaceutical Preparations; Phase; Physical Function; Physical activity; Protocols documentation; Quality of life; Randomized; Readiness; Schedule; Self Care; Self Efficacy; Series; Small Business Innovation Research Grant; Stress; System; Tablets; Technology; Telephone; Testing; Time; Touch sensation; Visual; Voice; Wireless Technology; Work; acceptability and feasibility; base; care coordination; care delivery; care giving burden; caregiving; cloud based; college; control trial; coping; data access; data exchange; dementia care; design; experience; group intervention; improved; infrastructure development; innovation; instrumental activity of daily living; interest; meter; primary outcome; programs; prospective; prototype; psychologic; remote monitoring; response; secondary outcome; sensor; social; telehealth; voice recognition; wearable sensor technology

Care for persons with dementia requires constant and effective management and coordination of delivery of care between caregivers and family members. A robust, technology-driven solution for care management and coordination could significantly reduce the burden of caregiving and improve quality of life for patients with Alzheimer’s disease (AD). A few attempts have been made to use technology to support care coordination, but there is no integrated system to support self-care, assist caregivers with care coordination, and facilitate information sharing within a patient's caregiving team. In response to this need, BioSensics, in collaboration with Baylor College of Medicine (BCM), proposes to develop a comprehensive care platform called Care4AD™. The Care4AD platform will allow caregivers to schedule caregiving tasks, monitor physical activity and activities of daily living (ADL), and facilitate timely completion of ADLs (e.g., taking medication, scheduled toileting, hydration and meals, and attendance at scheduled appointments) through visual and voice reminders. Care4AD will consist of four technologies that work in tandem to enable effective care coordination. The Care4AD app will be used by caregivers to coordinate care, view physical activity and ADL information, and schedule reminders. The Care4AD tablet serves as a kiosk in the patient’s home to show scheduled activities and reminders, and it also supports audio reminders and voice recognition. Care4AD tags are a series of wireless sensors that will be attached to various objects of interest within the home to facilitate the monitoring of instrumental activities of daily living. Finally, the Care4AD sensor is a wearable sensor (based on existing commercially available technology from BioSensics) that monitors physical activity and ADLs, collects data from the tags, and transfers data to the Care4AD tablet, which serves as a data gateway for all the data collected from the sensor and tags. BioSensics has the requisite experience to successfully complete this project having developed and commercialized a sensor-based remote monitoring platform for older adults called PAMSys™. For this project, we have conducted three preliminary studies using PAMSys to monitor physical activity in individuals with cognitive impairment. In addition, BioSensics has already developed a prototype of the Care4AD tag, which will be further refined in this project. In Phase I, we will develop a prototype of the Care4AD platform and carry out stakeholder interviews to assess the feasibility and acceptability of Care4AD and gather feedback that will be used to improve the platform. In Phase II, we will complete the development of Care4AD, incorporating feedback from Phase I, and carry out a randomized controlled clinical study to evaluate if using the Care4AD platform reduces the burden and stress of caregiving, increases adherence to scheduled ADLs, and improves physical function and quality of life of patients.

对患有痴呆症患者的护理需要持续有效的管理和协调护理人员和家庭成员之间的护理。一种强大的技术驱动解决方案用于护理管理和协调可以大大减少护理的燃烧，并改善阿尔茨海默氏病（AD）患者的生活质量。已经尝试了使用技术来支持护理协调的尝试，但是没有集成的系统来支持自我护理，协助护理人员进行护理协调以及支持患者护理团队中的信息共享。为了应对这种需求，生物密度与贝勒医学院（BCM）合作，提出了开发一个名为Care4AD™的综合护理平台的建议。 Care4AD平台将允许护理人员安排护理任务，监控日常生活的体育活动和活动（ADL），并促进通过视觉和语音提醒及时完成ADL（例如，服用药物，定期厕所，水分和餐点以及预定的预约）。 CARE4AD将由四种合作的技术组成，以实现有效的护理协调。护理人员将使用Care4AD应用程序来协调护理，查看体育活动和ADL信息，并安排提醒。 Care4AD平板电脑在患者家中充当信息亭，以显示预定的活动和提醒，并且还支持音频提醒和语音识别。 CARE4AD标签是一系列无线传感器，将附加到家庭中感兴趣的各种对象，以支持对日常生活的乐器活动的监视。最后，CARE4AD传感器是可穿戴的传感器（基于从生物密度学中现有的市售技术），可监视体育活动和ADL，从标签中收集数据，并将数据传输到CARE4AD平板电脑，该数据是从传感器和标签中收集的所有数据的数据网关。 Biosensics具有必要的经验，可以成功完成该项目，并将基于传感器的远程监控平台为老年人开发并商业化，称为PAMSYS™。对于这个项目，我们使用PAMSYS进行了三项初步研究，以监测认知障碍患者的体育活动。此外，Biosensics已经开发了Care4AD标签的原型，该标签将在该项目中进一步完善。在第一阶段，我们将开发Care4AD平台的原型，并进行利益相关者访谈，以评估Care4AD的可行性和可接受性4AD并收集将用于改善平台的反馈。在第二阶段，我们将完成CARE4AD的发展，增加I阶段的反馈，并进行一项随机对照临床研究，以评估使用Care4AD平台是否会减少护理的燃烧和压力，从而提高对计划的ADL的依从性，并改善患者的身体机能和生活质量。