Extraction of Vital Signs using a Telehealth Application for Asthma - EViTA-AThe purpose of this grant is to evaluate mobile devices to extract vitals signs to monitor patients with Asthma

使用哮喘远程医疗应用程序提取生命体征 - EViTA-A 这项拨款的目的是评估移动设备提取生命体征以监测哮喘患者

• 批准号: 10699530
• 负责人: Steven Myers
• 金额: $ 45.91万
• 依托单位: M5 ENTERPRISE, LLC D/B/A EMEDICAL SENTRY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2024-09-18
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10699530
• 关键词: Achievement; Acute; Address; Adherence; Adoption; Affect; Age; Asthma; Baltimore; Behavior; Binding; Black race; Categories; Cessation of life; Characteristics; Chronic; Chronic Disease; Cities; Clinic; Collection; Communicable Diseases; Complex; Darkness; Data; Data Collection; Dedications; Detection; Dimensions; Disease; Disease Management; Early Diagnosis; Ecosystem; Education; Equipment; Evaluation; Exposure to; Feedback; Funding; Goals; Grant; Health Insurance Portability and Accountability Act; Health Personnel; Health Professional; Health Status; Health Technology; Healthcare; Hispanic; Home; Hospitalization; Improve Access; Incidence; Individual; Infection; Inflammation; Internet; Intervention; Laboratories; Longitudinal Studies; Machine Learning; Maryland; Measurement; Medical; Medical Device; Methodology; Monitor; Not Hispanic or Latino; Nurses; Outcome; Participant; Patient Monitoring; Patient Triage; Patients; Phenotype; Physicians; Pilot Projects; Preparation; Prevalence; Prevention; Prevention program; Productivity; Provider; Quality of life; Reporting; Risk; Safety; Secure; Services; Severities; Skin; Socioeconomic Status; Symptoms; System; Techniques; Technology; Telemedicine; Testing; Transportation; Travel; Underserved Population; Visit; Visual; airway hyperresponsiveness; airway remodeling; asthma exacerbation; asthmatic patient; barrier to care; biopsychosocial; chronic respiratory disease; clinical phenotype; cognitive testing; cost; data acquisition; data exchange; data management; demographics; digital; digital health; effectiveness evaluation; handheld mobile device; health application; health assessment; health care availability; health care delivery; health care service utilization; health management; high risk; implementation facilitation; improved; innovative technologies; intervention cost; low socioeconomic status; novel; pandemic disease; point of care; prospective; recruit; remote assessment; remote monitoring; remote visit; respiratory; study population; telehealth; treatment guidelines; verbal; wearable sensor technology

Asthma is a chronic disease that affects quality of life, productivity, and healthcare use, and can ultimately lead to death. The costs of asthma are largely due to uncontrolled disease and accordingly rise as its prevalence and severity increase. Unfortunately, the incidence and impact of asthma attacks have not improved despite widespread adoption of effective universal treatment guidelines by healthcare providers, revealing an unmet need to facilitate implementation and monitoring of large groups of asthma patients. We seek to improve the detection of the presence and severity of an asthma attack for proper triage of patients to receive immediate medical treatment versus continued observation at home. Telemedicine provides an opportunity for better management, but these visual and verbal evaluations are often incomplete without vital sign measurements. Our approach of remote monitoring with video-based vital sign capture offers a game-changing alternative to address asthma attacks upon their initial presentation and prevention through improved management of chronic asthma symptoms. This innovative technology will: (i) extend the reach for physicians and accessibility for patients; (ii) improve efficiency of healthcare delivery to the highest risk patients; (iii) limit exposure to infectious disease for both patient and provider; and (iv) utilize common (relatively) commercial off the shelf (COTS) technologies instead of expensive boutique equipment. The distinguishing characteristics of asthma (inflammation, airway hyperreactivity and remodeling) are the expression of a unique and complex set of molecular interactions that also manifest as symptoms and changes in behavior that result in observed clinical phenotypes. Our next steps are to enhance remote medical monitoring with extracted vital signs by developing a biopsychosocial approach to refine phenotypes of asthma. Ultimately, the approach here will enhance the data gathered from each digital touchpoint to improve early detection of acute health status before more costly interventions are needed, thereby improving quality of life, and providing lower SES patients with asthma or other respiratory illnesses a more viable means to obtaining access to healthcare.

哮喘是一种影响生活质量，生产力和医疗保健的慢性疾病，可以 最终导致死亡。哮喘的成本主要是由于不受控制的疾病和 因此，随着其患病率和严重程度的增加而上升。不幸的是，发病率和影响 尽管广泛采用有效的通用治疗，但哮喘发作尚未改善 医疗保健提供者的指南，揭示了促进实施和 监测大量哮喘患者。我们试图改善对存在的检测 哮喘攻击的严重程度适用于适当的患者接受立即医疗 治疗与在家继续观察。远程医疗为更好的机会提供了机会 管理，但是这些视觉和言语评估通常不完整而没有生命体征 测量。我们使用基于视频的生命符号捕获的远程监控方法提供了 改变游戏的替代方案，以解决哮喘的初始介绍和 通过改善慢性哮喘症状的治疗来预防。这种创新 技术将：（i）扩展医生的范围和患者的可及性； （ii）改进 医疗保健提供给最高风险患者的效率； （iii）限制暴露于传染性 患者和提供者的疾病； （iv）利用架子上的常见（相对）商业 （COTS）技术代替昂贵的精品设备。区别特征 哮喘（炎症，气道高反应性和重塑）是独特的表达 以及一组复杂的分子相互作用，也表现为症状和变化 导致观察到的临床表型的行为。我们的下一步是增强远程 通过开发一种生物心理社会方法来完善的医学监测，并提取生命体征 哮喘的表型。最终，这里的方法将增强从每个 数字接触点以提高急性健康状况的早期检测 需要干预措施，从而改善生活质量，并为较低的SES患者提供 哮喘或其他呼吸系统疾病是获得医疗保健机会的一种更可行的手段。