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

基本信息

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
项目类别：
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

项目摘要

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，据估计，美国有 3400 万人患有 T2DM，其中 8400 万人患有 T2DM。患有前期糖尿病 - 其中近一半是 65 岁以上的成年人，这使许多老年人面临更高的不健康风险健康的生活方式可以治疗甚至逆转 T2DM，但要改变生活方式。很难，很多人都失败了，导致美国糖尿病团体就诊 (DGV) 的费用达到 $327B 以及糖尿病自我管理教育和支持 (DSME/S) 帮助 T2DM 患者学习和维持然而，获得 DSME/S 的机会有限，因此参与 DSME/S 计划。据报道，支持 DSME/S 计划的新技术在患有 T2DM 的成年人中的比例低至 7%。新兴的，但大多数都无法满足技术熟练程度有限的老年人的独特需求，从而创造了一个新的 See Yourself Health (SYH) 旨在通过新的技术来弥合老年人的数字健康差距。设计了沉浸式学习和远程医疗应用程序 - HOPE 应用程序 - 旨在提供高影响力、高参与型糖尿病护理和 DSME/S 专为患有糖尿病的老年人量身定制。虚拟现实软件、新的云游戏技术和用户界面设计的进步使得我们的团队设想了一个新的远程医疗和沉浸式学习环境，以支持慢性病自我治疗我们使用虚拟现实、电信技术和社交游戏策略，提供实时同伴支持、护理指导和 28 个真人体验模块在我们的第一阶段 SBIR 中，帮助参与者掌握复杂的糖尿病自我管理技能的学习计划。项目中，我们实现了以下里程碑：制作了具有云访问和新功能的 HOPE App 平台原型导航和通信功能；完成了 20 名目标用户的可用性测试（SUS = 71） HOPE App 平台的可行性测试（100% 参与）；为老年人开发了新的 DSME 内容。在第二阶段，我们将进一步开发 HOPE App 患者参与和人口健康管理特性和功能，然后在全面的临床试验中评估其功效。具体目标 1：开发 HOPE App 提供最先进的沉浸式患者参与体验，包括自动入职、社交功能网络和游戏化 DSME/S 功能，以支持长期患者保留。具体目标 2：开发 HOPE App 的人口健康管理预测分析功能具体目标 3：临床验证。 HOPE 应用程序对六个月临床结果 (A1c) 的干预、患者报告的结果（糖尿病）痛苦）和参与（患者保留、遵守 DSME/S）。团队向我们的目标客户（医疗保健支付者）销售 HOPE APP HOPE APP 提供了简单、高效的服务。具有影响力、高度吸引人、身临其境的远程医疗体验，有可能成为一种无处不在的糖尿病管理工具，将糖尿病患者转变为自己护理的高度驱动者。