Beacon Sensors and Telerehabilitation to Assess and Improve use of Devices (BeST-AID) for Low Vision

用于评估和改善低视力设备使用的信标传感器和远程康复 (BeST-AID)

• 批准号: 10736559
• 负责人: AVA K BITTNER
• 金额: $ 42.69万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10736559
• 关键词: Activities of Daily Living; Address; Adherence; Agreement; Awareness; Bluetooth; Caring; Cellular Phone; Clinical; Computer software; Consult; Data; Devices; Effectiveness; Electronics; Enrollment; Equipment and supply inventories; Evaluation; Eyeglasses; Frequencies; Funding; Geography; Goals; Health; Health Services; Health Services Accessibility; Home; Humidity; Individual; Intervention; Learning; Low Prevalence; Measures; Methods; Modality; Monitor; Motion; Office Visits; Optics; Outcome; Participant; Patient-Focused Outcomes; Patients; Pattern; Persons; Positioning Attribute; Procedures; Provider; Quality of life; Questionnaires; Randomized; Randomized, Controlled Trials; Reading; Records; Rehabilitation therapy; Reporting; Research; Resources; Services; Site; Speech; System; Tablets; Technology; Temperature; Testing; Text; Time; Training; Transportation; Validation; Videoconferencing; Vision; Visual; Visual Acuity; Visual Aid; Visual impairment; Work; acceptability and feasibility; active control group; barrier to care; clinical practice; design; diaries; digital; environmental change; follow-up; improved; improved outcome; interest; mobile application; novel; patient population; portability; primary outcome; reading ability; recruit; rehabilitation service; rehabilitation strategy; remote assessment; remote control; remote delivery; satisfaction; sensor; service delivery; telehealth; telerehabilitation; time use; treatment as usual; virtual platform; vision aid; vision rehabilitation

Project Summary or Abstract The successful application of magnification devices for reading and daily tasks is predicated on their correct use by individuals with low vision (LV). Barriers related to transportation, geography, and/or health-related concerns often limit LV patients’ ability to attend several in-office training sessions as part of low vision rehabilitation (LVR) to optimize visual function with magnification devices. A promising solution is real-time videoconferencing to provide telerehabilitation, involving remotely delivered LVR services by a LVR provider in-office to a patient at home. Telerehabilitation for LV appears to be feasible and acceptable by both patients and LVR providers, with preliminary evidence that its efficacy for enhancing reading ability may be similar to in-office LVR. However, it has not yet been fully demonstrated whether telerehabilitation is at least as effective as in-office usual care for LV follow-ups. This would be critical information for LV providers for reassurance that either modality is acceptable. Another key issue in LVR is the need for an effective system to continually assess how patients are functioning at home. Ideally this would involve a non-invasive, efficient method to assess when magnifier device abandonment occurs, so that a timely telerehabilitation session can be initiated. Bluetooth low energy (BLE) beacon sensors attached to the handles of magnifiers can collect longitudinal data regarding environmental changes, which might serve as a helpful indicator of magnifier use patterns by LV patients at home. Specifically, we propose to conduct a randomized non-inferiority trial of the potential for telerehabilitation to enhance visual ability by providing remotely-delivered LVR training to use magnification devices and/or visual assistive mobile apps in comparison to in-office usual care LVR. This will provide an evidence basis for whether the effects of two interventions are not clinically and statistically different from each other. This is important to determine if a novel service delivery mode (i.e., telerehabilitation), that might be safer, more resource efficient, convenient, may improve adherence and/or access to care, is at least as effective as a more established approach (i.e., in-office) with proven effectiveness. We aim to show how telehealth services can be made readily accessible to those with LV, as well as the value of annual follow-ups via telerehabilitation. We will determine whether BLE beacon sensor data are valid indicators of hand-held optical magnifier usage by LV patients at home. We anticipate that beacon sensors attached to hand-held optical magnifiers will measure increased temperature and/or humidity when motion is detected. Beacon sensor data will determine if it is feasible to remotely assess when magnifiers are used or abandoned, and if their frequency of use changes following telerehabilitation or in-office LVR. We envision that telerehabilitation can improve patient outcomes as an alternative, effective method for the provision of follow-up LV services. This is a high priority given the increasing prevalence of LV, paucity of LV providers, and barriers to care. Beacon sensors are a novel solution for monitoring LV patients beyond the clinical office visit, which could enhance patient management with timely LV services and evaluation of LV device use.

项目概要或摘要 放大设备在阅读和日常任务中的成功应用取决于其正确使用 与交通、地理和/或健康相关问题有关的障碍。 作为低视力康复 (LVR) 一部分的 LV 患者通常无法参加多次办公室培训课程 使用放大设备优化视觉功能的一个有前途的解决方案是实时视频会议。 提供远程康复，包括由办公室内的 LVR 提供商向患者远程提供 LVR 服务 左室远程康复似乎是可行的，并且患者和 LVR 提供者都可以接受。 初步证据表明，其增强阅读能力的功效可能与办公室内 LVR 类似。 尚未充分证明远程康复是否至少与办公室常规护理一样有效 对于 LV 提供者来说，这将是重要的信息，以确保这两种方式都是有效的。 LVR 的另一个关键问题是需要一个有效的系统来持续评估患者的状况。 理想情况下，这将涉及一种非侵入性、有效的方法来评估放大镜设备的使用时间。 发生放弃后，可以及时发起远程康复会话（BLE）。 连接到放大镜手柄的信标传感器可以收集有关环境的纵向数据 变化，这可能可以作为左室患者在家中使用放大镜模式的有用指标。 具体来说，我们建议进行一项随机非劣效性试验，探讨远程康复的潜力 通过提供远程提供的 LVR 培训来使用放大设备和/或视觉来增强视觉能力 辅助移动应用程序与办公室常规护理 LVR 的比较这将为是否提供证据依据。 两种干预措施的效果在临床和统计学上并无差异，这一点很重要。 确定是否有一种新颖的服务提供模式（即远程康复）可能更安全、资源效率更高， 方便，可以提高依从性和/或获得护理的机会，至少与更成熟的方法一样有效 我们的目标是展示如何轻松提供远程医疗服务。 我们将确定 LV 患者的可及性，以及每年通过远程康复进行随访的价值。 BLE 信标传感器数据是否是 LV 患者使用手持式光学放大器的有效指标 我们预计连接到手持式光学放大器的信标传感器将测量更多的数据。 检测到运动时的温度和/或湿度将确定是否可行。 远程评估放大镜何时被使用或废弃，以及其使用频率是否会随着以下变化而变化 远程康复或办公室 LVR。 我们认为，远程康复可以作为一种有效的替代方法来改善患者的治疗效果。 鉴于 LV 患病率日益增加且 LV 匮乏，提供后续 LV 服务是当务之急。 信标传感器是一种在临床之外监测左心室患者的新型解决方案。 办公室访问，这可以通过及时的左心室服务和评估左心室装置的使用来加强患者管理。