Developing a Personalized and Culturally Responsive Virtual Coach to Engage Persons with Alzheimer's Disease and Related Dementias in Cognitive and Physical Activities

开发个性化且具有文化适应性的虚拟教练，让阿尔茨海默病和相关痴呆症患者参与认知和体育活动

• 批准号: 10699847
• 负责人: Emily S. Wang
• 金额: $ 50万
• 依托单位: BEAVER HEALTH, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-15 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699847
• 关键词: Accent; Activities of Daily Living; Adherence; Affect; Age; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Appointment; Artificial Intelligence; Asian; Asian Americans; Behavioral Symptoms; Black race; Caregivers; Caring; Characteristics; Code; Cognition; Cognitive; Computers; Dementia; Devices; Elderly; Ethnic Origin; Ethnic Population; Evidence based intervention; Facebook; Family; Female; Food; Foundations; Gender; Genetic Transcription; Geriatric Psychiatry; Goals; Health; Hearing; Holidays; Human; Improve Access; Individual; Instruction; Intake; Intervention; Interview; Jordan; Language; Latinx; Life; Minority; Minority Groups; Modeling; Modification; Motivation; Music; Natural Language Processing; Pacific Islander; Participant; Peer Review; Personal Satisfaction; Persons; Phase; Physical activity; Positioning Attribute; Provider; Psychiatry; Psychology; Quality of life; Race; Randomized; Reporting; Robot; Social support; Software Engineering; Specialist; Speech; Structure; Support Groups; System; Testing; Text; Time; Travel; Visual Aid; Work; caregiver stress; commercialization; cost; cultural competence; dementia care; design; efficacy study; ethnic diversity; evidence base; experience; improved; life history; male; microphone; new technology; preference; prototype; psychological symptom; racial diversity; racial population; recruit; remote health care; response; skills; social; speech recognition; usability; verbal; virtual coach; web app

Project Summary The number of Americans living with Alzheimer’s Disease and Related Dementias (ADRD) is estimated to double to 13.8 million people by 2050, with minoritized individuals affected disproportionately. Cognitive, physical, and social activities can improve quality of life, cognition, and behavioral and psychological symptoms of dementia (BPSD), but access, engagement, and adherence are challenging. ADRD specialists are expensive and inaccessible for daily support, especially for persons living with dementia (PL WD) from minoritized backgrounds who cannot find culturally competent providers. Support groups do not provide scalable, individualized, evidence-based skills or daily guidance, and caregivers are already overburdened assisting with activities of daily living. Commercial solutions to support PLWD are not culturally responsive or scalable for daily, affordable use. There is an increasingly unmet need for culturally relevant, accessible, and scalable ADRD care. We are developing a personalized and culturally responsive virtual coaching platform to engage and support PLWD in evidence-based cognitive and physical activities in order to enhance health and well-being. Our novel technology leverages advances in Artificial Intelligence (AI) and Natural Language Processing (NLP) to facilitate activities from peer-reviewed interventions at lower costs. In each session, an avatar is used to guide and support the PLWD through evidence-based cognitive and physical activities. To engage PLWD, our NLP-based system adapts the coach’s dialogue based on input shared by the PLWD and their family on key aspects of the PLWD's life history and culture (e.g., favorite holidays, music genres, foods). The avatar coach also has characteristics tailored to the PLWD’s preferences (e.g., race/ethnicity, gender, age) and offers social support to encourage adherence with check-ins, praise, and motivational words. Our user interface is designed for PLWD to easily speak to and see their personal virtual coach on a large-screen device with a microphone and camera (e.g., iPad, computer). In Phase 1, we will develop a personalized and culturally responsive virtual coach prototype that delivers evidence-based cognitive and physical activities and test initial usability/feasibility for racially and ethnically diverse persons with mild ADRD and their caregivers. By digitizing activities and increasing personal and cultural relevance, the coaching platform will support PLWD and their caregivers by improving access, engagement, and adherence to evidence-based interventions to enhance health and well-being.

项目摘要 患有阿尔茨海默氏病和相关痴呆症（ADRD）的美国人人数估计为 到2050年，少数人的影响不成比例。认知的， 身体和社交活动可以改善生活质量，认知以及行为和心理 痴呆症的症状（BPSD），但访问，参与和依从性受到挑战。 ADRD专家 每日支持很昂贵且无法访问，尤其是对于痴呆症患者（PL WD） 找不到具有文化胜任的提供者的少数化背景。支持小组不提供 可扩展，个性化的，基于证据的技能或日常指导，并且护理人员已经负担过负担 协助日常生活活动。支持PLWD的商业解决方案在文化上不响应或 可扩展可用于每日，负担得起的使用。对文化相关，可访问和 可扩展的ADRD护理。我们正在开发一个个性化和文化响应迅速的虚拟教练平台 参与和支持PLWD参与基于证据的认知和体育活动，以增强健康和 福利。我们的新技术利用人工智能（AI）和自然语言的进步 处理（NLP）以较低的成本促进进行同行评审干预措施的活动。在每个会话中， 阿凡达（Avatar）用于通过基于证据的认知和体育活动来指导和支持PLWD。到 GAND PLWD，我们的基于NLP的系统根据PLWD和 他们的家人在PLWD人生历史和文化的关键方面（例如，最喜欢的假期，音乐流派，食品）。 阿凡达教练还具有针对PLWD偏好的特征（例如，种族/种族，性别， 年龄）并提供社会支持，以鼓励遵守校验，赞美和励志话语。我们的 用户界面专为PLWD而设计，可以轻松与大屏幕上的个人虚拟教练交谈并查看他们的个人虚拟教练 带有麦克风和相机的设备（例如iPad，计算机）。在第1阶段，我们将开发一个个性化和 具有文化响应敏感的虚拟教练原型，可提供基于证据的认知和体育活动以及 测试具有轻度ADRD及其护理人员的大致和种族多样性人士的初始可用性/可行性。 通过数字化活动并提高个人和文化相关性，教练平台将支持PLWD 以及他们的护理人员通过改善访问，参与和遵守基于证据的干预措施 增强健康和福祉。