Beacon Sensors and Telerehabilitation to Assess and Improve use of Devices (BeST-AID) for Low Vision

用于评估和改善低视力设备使用的信标传感器和远程康复 (BeST-AID)

• 批准号: 10736559
• 负责人: AVA K BITTNER
• 金额: $ 42.69万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10736559
• 关键词: Activities of Daily Living; Address; Adherence; Agreement; Awareness; Bluetooth; Caring; Cellular Phone; Clinical; Computer software; Consult; Data; Devices; Effectiveness; Electronics; Enrollment; Equipment and supply inventories; Evaluation; Eyeglasses; Frequencies; Funding; Geography; Goals; Health; Health Services; Health Services Accessibility; Home; Humidity; Individual; Intervention; Learning; Low Prevalence; Measures; Methods; Modality; Monitor; Motion; Office Visits; Optics; Outcome; Participant; Patient-Focused Outcomes; Patients; Pattern; Persons; Positioning Attribute; Procedures; Provider; Quality of life; Questionnaires; Randomized; Randomized, Controlled Trials; Reading; Records; Rehabilitation therapy; Reporting; Research; Resources; Services; Site; Speech; System; Tablets; Technology; Temperature; Testing; Text; Time; Training; Transportation; Validation; Videoconferencing; Vision; Visual; Visual Acuity; Visual Aid; Visual impairment; Work; acceptability and feasibility; active control group; barrier to care; clinical practice; design; diaries; digital; environmental change; follow-up; improved; improved outcome; interest; mobile application; novel; patient population; portability; primary outcome; reading ability; recruit; rehabilitation service; rehabilitation strategy; remote assessment; remote control; remote delivery; satisfaction; sensor; service delivery; telehealth; telerehabilitation; time use; treatment as usual; virtual platform; vision aid; vision rehabilitation

Project Summary or Abstract The successful application of magnification devices for reading and daily tasks is predicated on their correct use by individuals with low vision (LV). Barriers related to transportation, geography, and/or health-related concerns often limit LV patients’ ability to attend several in-office training sessions as part of low vision rehabilitation (LVR) to optimize visual function with magnification devices. A promising solution is real-time videoconferencing to provide telerehabilitation, involving remotely delivered LVR services by a LVR provider in-office to a patient at home. Telerehabilitation for LV appears to be feasible and acceptable by both patients and LVR providers, with preliminary evidence that its efficacy for enhancing reading ability may be similar to in-office LVR. However, it has not yet been fully demonstrated whether telerehabilitation is at least as effective as in-office usual care for LV follow-ups. This would be critical information for LV providers for reassurance that either modality is acceptable. Another key issue in LVR is the need for an effective system to continually assess how patients are functioning at home. Ideally this would involve a non-invasive, efficient method to assess when magnifier device abandonment occurs, so that a timely telerehabilitation session can be initiated. Bluetooth low energy (BLE) beacon sensors attached to the handles of magnifiers can collect longitudinal data regarding environmental changes, which might serve as a helpful indicator of magnifier use patterns by LV patients at home. Specifically, we propose to conduct a randomized non-inferiority trial of the potential for telerehabilitation to enhance visual ability by providing remotely-delivered LVR training to use magnification devices and/or visual assistive mobile apps in comparison to in-office usual care LVR. This will provide an evidence basis for whether the effects of two interventions are not clinically and statistically different from each other. This is important to determine if a novel service delivery mode (i.e., telerehabilitation), that might be safer, more resource efficient, convenient, may improve adherence and/or access to care, is at least as effective as a more established approach (i.e., in-office) with proven effectiveness. We aim to show how telehealth services can be made readily accessible to those with LV, as well as the value of annual follow-ups via telerehabilitation. We will determine whether BLE beacon sensor data are valid indicators of hand-held optical magnifier usage by LV patients at home. We anticipate that beacon sensors attached to hand-held optical magnifiers will measure increased temperature and/or humidity when motion is detected. Beacon sensor data will determine if it is feasible to remotely assess when magnifiers are used or abandoned, and if their frequency of use changes following telerehabilitation or in-office LVR. We envision that telerehabilitation can improve patient outcomes as an alternative, effective method for the provision of follow-up LV services. This is a high priority given the increasing prevalence of LV, paucity of LV providers, and barriers to care. Beacon sensors are a novel solution for monitoring LV patients beyond the clinical office visit, which could enhance patient management with timely LV services and evaluation of LV device use.

项目摘要或摘要 预测其正确使用的放大设备用于阅读和日常任务的成功应用 由低视力的人（LV）。与运输，地理和/或与健康有关的问题有关的障碍 通常会限制LV患者参加几次办公室内培训课程的能力，这是低视力康复的一部分（LVR） 用放大设备优化视觉功能。有希望的解决方案是实时视频会议 提供远程递减，涉及LVR提供商在办公室内远程交付的LVR服务给患者 家。患者和LVR提供商都可以使用LV的远离居民，并且 初步证据表明，其增强阅读能力的效率可能类似于办公室LVR。但是，它 尚未充分证明电信是否至少与办公室常规护理一样有效 LV随访。对于LV提供商而言，这将是一种关键信息，以保证这两种方式都是 可以接受。 LVR中的另一个关键问题是有效的系统需要不断评估患者的状态 在家工作。理想情况下，这将涉及一种无创，有效的方法来评估何时放大器设备 发生放弃，以便可以及时启动电信会议。蓝牙低能（BLE） 附着在放大镜手柄上的信标传感器可以收集有关环境的纵向数据 变化，这可能是LV患者在家使用放大镜模式的有用指标。 具体而言，我们建议对远程移动潜力的随机非效率试验进行。 通过提供远程交付的LVR训练来使用放大倍率和/或视觉效果来增强视觉能力 与办公室常规护理LVR相比，辅助移动应用程序。这将为是否提供证据依据 两种干预措施的影响在临床和统计学上没有彼此不同。这对 确定一种新型的服务交付模式（即telehelibriation），这可能是安全，更有效的， 方便，可以提高依从性和/或获得护理的访问，至少与更确定的 具有公认有效性的方法（即在办公室）。我们的目的是展示如何轻松提供远程医疗服务 LV的人可以访问，以及通过Telehelibilation的年度随访价值。我们将确定 BLE信标传感器数据是否是LV患者在 家。我们预计附着在手持光学放大镜上的信标传感器将测量增加 检测到运动时温度和/或湿度。信标传感器数据将确定是否可行 远程评估何时使用或放弃放大镜，以及它们的使用频率是否更改之后 Telerehabilitation或Office LVR。 我们设想，远程居民可以改善患者的结果，作为一种替代的有效方法 提供后续LV服务。鉴于LV的患病率增加，LV的患病率的增加，这是一个优先级 提供者和护理障碍。信标传感器是一种新的解决方案，用于监测临床之外的LV患者 办公室访问，这可以通过及时的LV服务和LV设备使用评估来增强患者管理。