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）：美国人的寿命更长，开车更多。此外，除了没有经验的司机外，老年人比其他任何年龄段更容易发生撞车事故。但是，最近越来越多的文献表明，可以通过简短的筛选电池来确定有撞车危险的老年驾驶员，并且一旦确定，可以改善对安全驾驶的认知技能。特别是，通过UFOV（R）测试来衡量的处理速度高度预测了未来崩溃的参与。此外，已证明可视化处理速度的提高可以直接改善公路驾驶性能，从而增强和保留以后的生活。传统上，通过认证培训师的指导，通过对一系列计算机练习进行培训，可以提高视觉处理速度。这种快速应用的目的是开发和验证这些经过验证的训练技术增强的自我管理的交互式变化。因此，此快速途径应用的具体目的是：1：1）开发增强的自我管理的交互式互动版本的处理速度培训训练的速度培训供个人使用，他们在适应性期间表现出升高的风险升高，以驱动阿拉巴马州州立农场保险公司目前使用的评估。 2）通过交互式焦点小组流程来评估该培训软件的可接受性和有效性，以及基于实验室的测试，以证明新软件相对于培训师指导方法的有效性。 3）建立对培训产品进行大规模评估的机制。第二阶段：对阿拉巴马州的培训产品进行全州评估。为此，我们将继续与State Farm合作，以帮助我们评估75岁及以上具有高风险状态的成年人的大型样本（至少n = 1000）的新培训产品。具体而言，我们将1）检查培训后培训后达到低风险状况的个人比例，研究培训在降低撞车风险和保险索赔方面的有效性，相对于a）基线时低风险的个人，b）b）基线高风险的人，但在基线却降低了培训，但要接受培训，以及通过c）比较崩溃的情况。相关性：该项目的公共卫生益处很明显。通过为老年人开发一种方法，以提高在没有培训师的情况下对安全驾驶重要的认知能力，可以降低大规模实施此类培训的成本，培训的可用性增加以及长期安全性，行动性和生活质量得到改善。该项目的公共卫生益处很明显。通过为老年人开发一种方法，以提高在没有培训师的情况下对安全驾驶重要的认知能力，可以降低大规模实施此类培训的成本，培训的可用性增加以及长期安全性，行动性和生活质量得到改善。