Development and Evaluation of an Interactive Cognitive Training Program

交互式认知训练计划的开发和评估

• 批准号: 7497046
• 负责人: Philip A Keirn
• 金额: $ 24.08万
• 依托单位: VISUAL AWARENESS RESEARCH GROUP, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7497046
• 关键词: Activities of Daily Living; Administrator; Adult; Age; Aged, 80 and over; Aging-Related Process; Alabama; Algorithms; American; Automobile Driving; Categories; Cessation of life; Clip; Cognitive; Computer software; Computers; Condition; Control Groups; Development; Early Diagnosis; Effectiveness; Elderly; Environment; Epidemiologic Studies; Evaluation; Evaluation Studies; Exercise; Exhibits; Eye; Farming environment; Feedback; Focus Groups; Future; Glass; Goals; Group Processes; Health; Health Benefit; Healthcare; Home environment; Impaired cognition; Impairment; Independent Living; Individual; Injury; Insurance; Internet; Intervention; Laboratories; Lead; Life; Literature; Longevity; Measures; Mental Depression; Methods; Modification; Motivation; Numbers; Outcome; Participant; Performance; Phase; Physical Function; Population; Process; Protocols documentation; Public Health; Purpose; Quality of life; Rate; Recovery; Relative (related person); Reporting; Research; Risk; Risk Factors; Safety; Sampling; Screening procedure; Self Administration; Self-Administered; Sensory; Site; Speed; Standards of Weights and Measures; System; Testing; Time; Training; Training Programs; Training Technics; Treatment Protocols; Variant; Vehicle crash; Videotape; Visual; Visual attention; Voice; Wing; Work; age group; age related; aged; base; cognitive function; cost; disability; experience; falls; fitness; impaired driving performance; improved; interest; normal aging; older driver; processing speed; programs; remediation; skills; social; software development; visual process; visual processing

DESCRIPTION (provided by applicant): Americans are living longer and driving more. Furthermore, older adults are more prone to crashes than any other age group except inexperienced drivers. However, a recent and growing body of literature has demonstrated that older drivers at risk for crashing can be identified with a brief screening battery and once identified, cognitive skills important for safe driving can be improved. In particular, Speed of Processing, as measured by the UFOV(r) test, is highly predictive of future crash involvement. In addition, improvements in visual processing speed have been shown to directly improve on-the-road driving performance, thereby enhancing and preserving mobility in later life. Traditionally, such improvements in visual processing speed have been achieved through training on a set of computer exercises with the guidance of a certified trainer. The purpose of this Fast Track application is to develop and validate an enhanced self-administered interactive variation of these validated training techniques. Therefore the specific aims of this Fast Track application are: Phase 1: 1) Develop an enhanced self-administered interactive version of Speed of Processing training for use by individuals who demonstrate elevated crash risk during a Fitness to Drive assessment currently being used by State Farm Insurance Company in Alabama. 2) Evaluate the acceptability and effectiveness of this training software through an interactive focus group process to achieve acceptability, and a laboratory based test to demonstrate effectiveness of the new software relative to the trainer guided method. 3) Establish the mechanisms for a large-scale evaluation of the training product. Phase II: Conduct a state-wide evaluation of the training product in Alabama. To this end, we will continue to work with State Farm to assist us in evaluating the new training product on a large sample (minimum N=1000) of adults aged 75 and older with high-risk status. Specifically we will 1) examine the proportion of individuals achieving low-risk status post-training and 2) examine the effectiveness of the training in lowering crash risk and insurance claims, relative to a) individuals who are low-risk at baseline, b) individuals who are high risk at baseline but decline to undergo training, as well as by c) comparing crash occurrence. Relevance: The public health benefits of this project are clear. By developing a method for older adults to improve the cognitive skills important for safe driving without the help of a trainer, the cost of implementing such training on a broad scale can be reduced, availability of training increased, and long term safety, mobility, and quality of life improved. The public health benefits of this project are clear. By developing a method for older adults to improve the cognitive skills important for safe driving without the help of a trainer, the cost of implementing such training on a broad scale can be reduced, availability of training increased, and long term safety, mobility, and quality of life improved.

描述（由申请人提供）：美国人的寿命越来越长，开车的次数也越来越多。此外，除缺乏经验的驾驶员外，老年人比任何其他年龄段的人更容易发生车祸。然而，最近越来越多的文献表明，可以通过简短的电池筛查来识别有撞车风险的老年驾驶员，一旦识别出来，对安全驾驶至关重要的认知技能就可以得到提高。特别是，通过 UFOV(r) 测试测量的处理速度可以高度预测未来的碰撞事故。此外，视觉处理速度的提高已被证明可以直接改善道路驾驶性能，从而增强和保持晚年的机动性。传统上，视觉处理速度的这种提高是通过在经过认证的培训师的指导下进行一组计算机练习的培训来实现的。此快速通道应用程序的目的是开发和验证这些经过验证的培训技术的增强型自我管理交互式变体。因此，此快速通道应用程序的具体目标是： 第 1 阶段：1) 开发处理速度培训的增强型自我管理交互式版本，供在 State Farm 目前使用的驾驶健康评估期间表现出较高碰撞风险的个人使用阿拉巴马州的保险公司。 2) 通过交互式焦点小组流程评估该培训软件的可接受性和有效性，以实现可接受性，并进行基于实验室的测试，以证明新软件相对于培训师指导方法的有效性。 3）建立培训产品大规模评估机制。第二阶段：对阿拉巴马州的培训产品进行全州范围的评估。为此，我们将继续与 State Farm 合作，协助我们对 75 岁及以上高危成年人的大样本（至少 N=1000）评估新的培训产品。具体来说，我们将 1) 检查培训后达到低风险状态的个人比例，2) 检查培训在降低碰撞风险和保险索赔方面的有效性，相对于 a) 基线低风险的个人，b)基线时风险较高但拒绝接受培训的个人，以及 c) 比较事故发生情况。相关性：该项目的公共健康效益是显而易见的。通过开发一种方法，让老年人在没有培训师帮助的情况下提高对安全驾驶至关重要的认知技能，可以降低大规模实施此类培训的成本，增加培训的可用性，并实现长期的安全性、流动性和安全性。生活质量提高。该项目的公共健康效益是显而易见的。通过开发一种方法，让老年人在没有培训师帮助的情况下提高对安全驾驶至关重要的认知技能，可以降低大规模实施此类培训的成本，增加培训的可用性，并实现长期的安全性、流动性和安全性。生活质量提高。