Mobile Technologies Assisting Patients & Family Caregivers in Healthy Living

移动技术协助患者

• 批准号: 8588926
• 负责人: CAROL E SMITH
• 金额: $ 56.03万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8588926
• 关键词: Access to Information; Address; Adherence; Administrator; Algorithms; Appointment; Binding; Biotechnology; Blood; Car Phone; Care given by nurses; Caregiver Burden; Caregivers; Caring; Chronic; Chronic Disease; Clinical; Complex; Computers; Data; Diagnosis; Distant; Early Diagnosis; Evidence based intervention; Family; Family Caregiver; Fatigue; Goals; Group Homes; Guidelines; Health; Health Professional; Health Promotion; Health Services; Health Status; Healthcare; Home Parenteral Nutrition; Home environment; Hospitalization; Infection; Information Technology; Interdisciplinary Study; Internet; Intervention; Intravenous; Intravenous infusion procedures; Knowledge; Life; Medical Care Team; Modeling; Monitor; Motion; Music; Napping; Outcome; Patient observation; Patients; Peer Group; Persons; Population; Problem Solving; Procedures; Psyche structure; Psychological reinforcement; Quality of life; Readiness; Recommendation; Relative (related person); Relaxation; Research; Research Priority; Safety; Sepsis; Specialist; Stream; Support Groups; System; Tablet Computer; Tablets; Technology; Telephone; Testing; Time; Translating; United States National Institutes of Health; Visit; Visual; Work; alertness; base; care burden; caregiving; cost; design; empowered; evidence base; health care economics; improved; innovation; meetings; multidisciplinary; novel; patient home care; peer; physical conditioning; prevent; public health relevance; satisfaction; social; statistics; telehealth; transmission process; virtual; web site

DESCRIPTION (provided by applicant): This study tests how mobile technologies engage and empower families in healthy living and reduce their home healthcare burden (PAR-11-020). Professionals' real-time home observation of patients via XOOM-EVO motion video and photograph snapshots will provide early detection of the often fatal blood stream sepsis infections and other serious complications of home management of life-long daily home parenteral nutrition (HPN) intravenous (IV) infusions. Millions of dollars are spent annually on poor health associated with complex home-caregiving and on our nation's most costly but preventable diagnosis of IV sepsis, a top 25 NIH research priority. This project will determine the cost-efficiency of mobile technology access to our evidence-based interventions (internet based step-by-step home-caregiving algorithms, video scenes illustrating complex HPN home-care IV procedures and automated prompts and motivating games support families' healthy living activities). Also our XOOM-EVO system (a low cost integrated system using the Motorola XOOM built-in camera computer tablet and the EVO mobile smart phone) uses our multi-point unit or "bridge" technology for simultaneous interactions among the family at home and multiple professionals and for peer support groups. Specific aims are to test the effects of the FamHomeCare delivered via XOOM mobile tablet PC & EVO mobile phone with 80 HPN patients and on their caregivers: (a) health status and quality of life; (b) use of healthy living activities; (c) IV infections; (d) caregiver burden; (e) fatigue; and also use of the innovative econometric efficiency statistics of Data Envelopment Analysis (DEA) will determine the XOOM-EVO system costs, relative to patients' in-person health services. Nested linear mixed model analyses are used to test effects over time. Also, the novel concept of "Virtual Nurse Caring" evaluates subjects' (patients and caregivers) sense of being "cared for" from a distance via computer tablet telehealth, internet and smart phones. This project will have a sustained impact on: (a) biotechnology, by translating reliable "best practices" technology by calculating the cost efficiency of mobile system in ratio to in-person health services used; and (b) clinicians and administrators, by providing new distance care interventions. This study will gain new knowledge about mobile management of complex chronic conditions using an integrated system with scientifically validated mobile access to internet home-care algorithms; photographs and video appointments to and from patients and their family caregivers at home via bridged transmissions with multiple professionals and group peer sessions.

描述（由申请人提供）：本研究测试移动技术如何让家庭参与健康生活并赋予其权力，并减轻他们的家庭医疗保健负担 (PAR-11-020)。专业人员通过 XOOM-EVO 运动视频和照片快照对患者进行实时家庭观察，将能够及早发现经常致命的血流脓毒症感染以及终身每日家庭肠外营养 (HPN) 静脉注射的家庭管理的其他严重并发症。 IV) 输液。每年花费数百万美元用于治疗与复杂的家庭护理相关的不良健康状况，以及我国成本最高但可预防的静脉脓毒症诊断，这是 NIH 25 项研究重点之一。该项目将确定移动技术访问我们循证干预措施的成本效益（基于互联网的分步家庭护理算法、说明复杂 HPN 家庭护理 IV 程序的视频场景以及自动提示和激励游戏支持家庭的健康）健康的生活活动）。此外，我们的 XOOM-EVO 系统（使用摩托罗拉 XOOM 内置摄像头电脑平板电脑和 EVO 移动智能手机的低成本集成系统）使用我们的多点单元或“桥接”技术，实现家庭和多个家庭之间的同步交互。专业人士和同伴支持团体。具体目标是测试通过 XOOM 移动平板电脑和 EVO 手机向 80 名 HPN 患者及其护理人员提供的 FamHomeCare 的效果：(a) 健康状况和生活质量； (b) 采用健康的生活活动； (c) 静脉感染； (d) 照顾者的负担； (e) 疲劳；此外，使用数据包络分析 (DEA) 的创新计量经济效率统计数据将确定 XOOM-EVO 系统相对于患者现场医疗服务的成本。嵌套线性混合模型分析用于测试随时间变化的效果。此外，“虚拟护士护理”的新颖概念通过电脑平板电脑远程医疗、互联网和智能手机评估受试者（患者和护理人员）被远程“护理”的感觉。该项目将对以下领域产生持续影响： (a) 生物技术，通过计算移动系统与所使用的面对面医疗服务的成本效率，转化可靠的“最佳实践”技术； (b) 临床医生和管理人员，提供新的远程护理干预措施。这项研究将使用一个集成系统，通过经过科学验证的移动访问互联网家庭护理算法，获得有关复杂慢性病移动管理的新知识；通过与多名专业人员和小组同行会议的桥接传输，与患者及其家庭护理人员进行照片和视频预约。