The HOPE App: An Immersive Telehealth Solution for Older Adults with Diabetes

HOPE 应用程序：针对患有糖尿病的老年人的沉浸式远程医疗解决方案

• 批准号: 10703505
• 负责人: Suzanne Mitchell
• 金额: $ 99.94万
• 依托单位: SEE YOURSELF HEALTH, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10703505
• 关键词: Active Learning; Adherence; Adult; Affect; Aging; Attention; Behavior; Blood Glucose; Businesses; COVID-19; COVID-19 pandemic; COVID-19 patient; Caring; Chronic Disease; Clinical; Clinical Trials; Cognitive; Communication; Complex; Computer software; Coronavirus; Diabetes Mellitus; Disease Management; Education; Educational Technology; Effectiveness; Elderly; Enrollment; Ensure; Epidemic; Face; Fostering; Funding; Goals; Health; Health Benefit; Health Care Costs; Health Services; Health Technology; Health behavior; Health behavior and outcomes; Health behavior change; Health system; Healthcare; Hospitalization; Impaired cognition; Internet; Intervention; Learning; Length of Stay; Life Style; Marketing; Medication Management; Mental Depression; Minority Women; Modeling; New York; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Patient Outcomes Assessments; Patients; Persons; Phase; Physical Function; Physically Challenged; Play; Prediabetes syndrome; Predictive Analytics; Reporting; Research; Running; SARS-CoV-2 exposure; Self Care; Self Management; Small Business Innovation Research Grant; Social Network; Social isolation; Social support; Special Supplemental Nutrition Program for Women, Infants, and Children; Stress; Surveys; Technology; Telecommunications; Testing; Time; United States National Institutes of Health; Validation; Video Games; Visit; Woman; brain health; cloud based; cognitive function; commercialization; comorbidity; coping; cost; cost effective; depressive symptoms; design; diabetes control; diabetes distress; diabetes management; diabetes self-management; dietary; digital; digital health; educational atmosphere; evidence base; experience; feasibility testing; fitness; handheld mobile device; health application; health care availability; health management; health plan; health service use; healthy lifestyle; high risk; human old age (65+); improved; mobile application; mortality risk; new technology; pandemic disease; patient engagement; patient population; patient retention; peer support; physical conditioning; population health; programs; prototype; skills; social; telehealth; tool; usability; user centered design; virtual platform; virtual reality; virtual world

Type 2 diabetes (T2DM) is an epidemic. An estimated 34 million people in the US have T2DM and 84 million have pre-diabetes - nearly half of whom are adults 65+ yo, putting many older adults at higher risk of unhealthy aging and cognitive decline. A healthy lifestyle can treat and even reverse T2DM. But making lifestyle changes is hard and many people fail, contributing to $327B in US healthcare costs. Diabetes group visits (DGV) and diabetes self- management education and support (DSME/S) help people with T2DM to learn and sustain complex disease management skills. Yet, access to DSME/S is limited such participation in DSME/S programs is reportedly as low as 7% among adults with T2DM. New technologies supporting DSME/S programs are emerging, but most fail to meet the unique needs of older adults with limited technology fluency, creating a new digital divide. See Yourself Health (SYH) aims to bridge this digital health gap for older adults with a newly designed immersive learning and telehealth application – the HOPE App – designed to deliver high-impact, high engagement diabetes care and DSME/S tailored for older adults with diabetes. Advancements in virtual reality software, new cloud gaming technology and user interface design have enabled our team to envision a new telehealth and immersive learning environment to support chronic disease self- management needs of older adults with diabetes. We use virtual reality, telecommunication technology and social gaming strategies to offer real-time peer support, care coaching, and 28 modules of live-action experiential learning programs to help participants master complex diabetes self-management skills. In our Phase I SBIR project, we reached the following milestones: prototyped the HOPE App platform with cloud access and new navigation and communication features; completed usability testing (SUS = 71) with 20 target users and feasibility testing (100% participation) of the HOPE App platform; developed new DSME content for older adults. In Phase II, we will further develop the HOPE App patient engagement and population health management features and capabilities and then assess its efficacy in a fully powered clinical trial. Specific Aim 1: Develop the HOPE App’s state-of-the-art immersive patient engagement experience with automated onboarding, social networking and gamified DSME/S features to support long-term patient retention. Specific Aim 2: Develop the HOPE App’s predictive analytic capabilities for population health management. Specific Aim 3: Clinical validation of the HOPE App intervention on six-month clinical outcomes (A1c), patient reported outcomes (diabetes distress) and engagement (patient retention, adherence to DSME/S). SYH has assembled an expert business team to sell the HOPE APP to our target customer, health care payors. The HOPE APP offers a simple, high- impact, highly engaging, immersive telehealth experience with the potential to become a ubiquitous diabetes management tool to transform diabetes patients into high performing drivers of their own care.

2型糖尿病（T2DM）是一种流行病。美国估计有3400万人有T2DM和8400万人 有糖尿病前 - 几乎一半的成年人65岁以上，使许多老年人处于不健康的风险中 衰老和认知能力下降。健康的生活方式可以治疗甚至逆转T2DM。但是改变生活方式 很难，许多人失败了，造成了327B美元的美国医疗保健费用。糖尿病小组访问（DGV）和 糖尿病自我管理教育和支持（DSME/S）帮助T2DM的人学习和维持 复杂的疾病管理技能。但是，访问DSME/s是在此类参与DSME/S程序的限制 据报道，T2DM的成年人中高达7％。支持DSME/S程序的新技术是 新兴，但大多数人无法满足技术流利程度有限的老年人的独特需求，从而创造了一个新的 数字鸿沟。看到自己的健康（SYH）旨在弥合新成年人的数字健康差距 设计的沉浸式学习和远程医疗应用 - 希望应用 - 旨在提供高影响力的高度 订婚糖尿病护理和DSME/S为糖尿病老年人量身定制。 虚拟现实软件，新的云游戏技术和用户界面设计的进步已启用 我们的团队环境环境一个新的远程医疗和沉浸式学习环境，以支持慢性疾病自我 老年人糖尿病的管理需求。我们使用虚拟现实，电信技术和 社交游戏策略，提供实时同伴支持，护理教练和28个真人经验模块 学习计划，以帮助参与者掌握复杂糖尿病的自我管理能力。在我们的第阶段 项目，我们达到了以下里程碑：原型用云访问和新的“希望应用程序平台” 导航和通信功能；完成了20个目标用户的完成可用性测试（SUS = 71）， 希望应用程序平台的可行性测试（100％参与）；为老年人开发了新的DSME含量。 在第二阶段，我们将进一步发展Hope App患者参与和人群健康管理 功能和功能，然后在全功率的临床试验中评估其有效性。特定目标1：开发 Hope App具有自动入职，社交的最先进的身临其境的患者参与经验 网络和游戏化DSME/S功能以支持长期的患者保留率。特定目标2：开发 Hope App对人群健康管理的预测分析能力。特定目标3：临床验证 在六个月临床结果（A1C）的Hope App干预中，患者报告了结局（糖尿病 困扰）和参与度（保留患者，遵守DSME/S）。 SYH汇集了专家业务 团队将Hope App出售给我们的目标客户，医疗保健付款人。 Hope App提供了一个简单，高的应用 影响，高度吸引人，身临其境的远程医疗体验，有可能成为无处不在的糖尿病 将糖尿病患者转变为自己护理的高表现驱动因素的管理工具。