Covering Care: Long-term care planning and education tool for AD/ADRD caregivers

Covering Care：针对 AD/ADRD 护理人员的长期护理规划和教育工具

• 批准号: 10684333
• 负责人: Olu Olofinboba
• 金额: $ 99.33万
• 依托单位: MOAI TECHNOLOGIES, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-05 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10684333
• 关键词: Address; Adult; Adult Children; Advocate; Age; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Caregivers; Caring; Certification; Complex; Computer software; Custom; Databases; Decision Trees; Dementia caregivers; Development; Education; Effectiveness; Elderly; Eligibility Determination; Enrollment; Face; Family Caregiver; Feedback; Financial Hardship; Friends; Government; Home; Human; Image; Individual; Knowledge; Language; Laws; Lawyers; Learning; Legal; Long-Term Care; Medicaid; Medicaid eligibility; Methodology; Methods; Modeling; Modernization; Occupational activity of managing finances; Online Systems; Output; Persons; Phase; Process; Provider; Recommendation; Regulation; Resources; Risk; Savings; Security; Services; Small Business Innovation Research Grant; Spouses; System; Testing; Trust; Uncertainty; United States; Visual; care recipients; caregiving; commercialization; cost; design; disability; education planning; experience; follow-up; improved; innovation; iterative design; loved ones; programs; prototype; response; sound; tool; trustworthiness; two-dimensional; uptake; usability; web app; web site

Project Summary/Abstract Older adults with Alzheimer's disease (AD) and AD-related dementias (ADRD) need a trusted financial advocate to help orchestrate and oversee their care as they age. Spousal and adult child caregivers need comprehensive education around financial caregiving and tools on how to access resources to pay for long- term services and supports (LTSS). This SBIR project will create an easy-to-use online decision tree-based tool to give a caregiver the exact knowledge they need to plan for long-term care financing without overwhelming them with unnecessary information. We focus on the extremely complex problem of helping caregivers understand Medicaid while providing customized recommendations for Medicaid eligibility planning. Our financial management and LTSS planning and education tool—the Assistant—will be designed for the spousal or adult child caregiver who can navigate websites but who has very little understanding of public programs that help pay for LTSS and how to access them. Medicaid planning is extremely complex and eligibility rules vary from state to state. Most caregivers do not have the financial or prior caregiving experience to know how to navigate the process of becoming eligible for the program or how to finance LTSS in general. Caregivers often start by getting advice from friends or by searching online. Lack of tailored information can lead to financial missteps that can delay individuals with AD/ADRD from getting the level of care they need, or result in the caregiver tapping into their own savings to pay for LTSS. Other mistakes include depleting assets too quickly or improper wealth transfers that may extend periods of ineligibility. If the person with AD/ADRD has a spouse residing in the home, that individual's financial security is at risk in the absence of proper planning. To address these needs, we propose to develop an online “Assistant” that: (1) educates spousal and adult child caregivers about long-term care financing/Medicaid eligibility in English and Spanish, (2) collects information on the care recipients' assets and disability status to provide customized recommendations needed to execute the next steps in planning and enrollment, and (3) if desired, refers caregivers to planning professionals like Certified Medicaid Planners (CMPs), elder law attorneys, Agencies of Aging, or to the appropriate government office. In order to increase uptake, trustworthiness, enjoyment, and usability of the Assistant, we will use an innovative conversational agent, driven by a decision tree database and certified provider database.

项目概要/摘要 患有阿尔茨海默病 (AD) 和 AD 相关痴呆症 (ADRD) 的老年人需要可靠的经济来源 倡导帮助协调和监督配偶和成年子女照顾者的老年护理。 围绕财务护理的全面教育以及如何获取资源来支付长期费用的工具 术语服务和支持 (LTSS) 该 SBIR 项目将创建一个易于使用的基于在线决策树的系统。 为护理人员提供规划长期护理融资所需的准确知识的工具，而无需 我们用不必要的信息压倒他们，并专注于帮助他们这个极其复杂的问题。 护理人员了解医疗补助，同时为医疗补助资格规划提供定制建议。 我们的财务管理和 LTSS 规划和教育工具——助手——将设计用于 可以浏览网站但对公众知之甚少的配偶或成年儿童看护者 帮助支付 LTSS 费用的计划以及如何获得这些计划极其复杂且困难。 各州的资格规则各不相同，大多数护理人员没有财务或先前的护理经验。 了解如何完成获得该计划资格的流程或如何为 LTSS 提供一般资金。 护理人员通常从朋友那里获取建议或在线搜索开始。缺乏量身定制的信息可能会导致这种情况。 导致财务失误，从而导致 AD/ADRD 患者无法获得他们所需的护理水平，或者 导致护理人员动用自己的积蓄来支付 LTSS 其他错误包括耗尽资产。 如果患有 AD/ADRD 的人财富转移过快或不当，可能会延长其不符合资格的期限。 有配偶住在家里，如果没有适当的保护，该人的财务安全将面临风险 规划。 为了满足这些需求，我们建议开发一个在线“助手”：（1）教育配偶和 用英语和西班牙语向成年儿童看护者提供关于长期护理融资/医疗补助资格的信息，(2) 收集 有关护理接受者的资产和残疾状况的信息，以提供所需的定制建议 执行计划和登记的后续步骤，以及 (3) 如果需要，请看护者参与计划 专业人士，例如经过认证的医疗补助规划师 (CMP)、老年法原告、老龄化机构或 适当的政府办公室，以提高其接受度、可信度、享受度和可用性。 助理，我们将使用创新的对话代理，由决策树数据库驱动并经过认证 提供商数据库。