Dressing Assistant: Home Technology to Sustain Independent Dressing in Dementia

穿衣助手：维持痴呆症患者独立穿衣的家庭技术

基本信息

批准号：
9791157
负责人：
Winslow Burleson
金额：
$ 33.01万
依托单位：
INVENTORS' WORKSHOPS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-30 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9791157
关键词：
Activities of Daily Living Adoption Affect Affective Alzheimer&apos s Disease Awareness Behavior Caregiver Burden Caregivers Caring Cognitive Collaborations Complex Cost Savings Custom Data Data Analyses Dementia Dementia caregivers Development Devices Effectiveness Emotional Stress Equilibrium Expert Systems Exploratory/Developmental Grant for Diagnostic Cancer Imaging Feedback Focus Groups Formal caregiver Foundations Frequencies Funding Geriatric Nursing Goals Health Health Care Costs Healthy People 2020 Home environment Human In Situ Individual Institutionalization Intelligence Intervention Interview Laboratories Laboratory Assistant Length Logic Measures Mental Depression Methods Modeling Monitor Morbidity - disease rate Motion Nursing Homes Outcome Outcome Study Participant Pathway interactions Patients Perception Performance Persons Population Privacy Procedures Provider Public Health Quality of Care Quality of life Randomized Reporting Resistance Self Care Self-Help Devices Small Business Technology Transfer Research Sterile coverings Stress Structure System Technology Testing Time Training Translating Translational Research Translations Visit Workload aging in place base burnout computer human interaction computerized cost cost effective data acquisition design experience functional independence handheld mobile device improved informal caregiver insight mortality new technology prototype recruit research and development sensor smart home systems research trend vigilance

项目摘要

Abstract: Persons living with dementia (PWD) often require assistance with routine activities and daily tasks. Workloads placed on caregivers often results in high levels of physical and emotional stress, and depression, and higher overall morbidity and mortality rates. Focus group of caregivers for individuals with mild to moderate dementia, identified dressing the PWD as the most pressing and stressful daily concern. We have developed a prototype computerized Dressing Assistant (DA), designed to reduce caregiver burden and independence. The system, employing advanced smart home technologies embedded within a set of dresser drawers, uniquely tailors assistance to the cognitive and affective states and abilities of PWD, using prompts and feedback. Our interdisciplinary team which combines human-computer interaction, gerontological nursing and dementia, will conduct translational research, bringing DA from laboratory to home settings. AIM 1: Optimize the Dressing Assistant installation procedures for PWD home settings. To understand how effectively the DA system can be installed in a home, we will consider: 1) the initial system installation, including length of installation visit, number of component adjustments, and caregiver and PWD training time required; and 2) opportunities for system optimization and durability through ongoing DA system monitoring, alert notices generated by the performance log, and caregiver feedback to the study team. AIM 2: Assess Dressing Assistant system reliability and accuracy in PWD home settings. We will use an adaptive support model, performance log, error rate, and caregiver feedback, to determine how accurately the DA system functions in a home setting. Data includes: 1) system switches and sensor logs (i.e. which drawers were opened, when, for how long, and in what sequence), and doorway motion sensor; 2) validated Pearlin’s Caregiver Mastery and Mahoney’s Caregiver Vigilance scales will determine trend effects; and 3) mobile device caregiver feedback. AIM 3: Maximize utility through identification of barriers and facilitators, usage, acceptability, effectiveness, and perceptions and refining system accordingly. We will identify barriers and facilitators that enable/impede frequent, long-term Dressing Assistant system use and compare performance log usage frequency data and accuracy measures (AIM 2) to consider how DA system accuracy affects usage. The DA system-generated data, and qualitative open-ended structured caregivers and PWD interviews will be used to determine acceptability. We will consider whether the PWD/caregiver dyad effectively uses the technology, frequency and duration of use based on the performance logs, and user interviews to identify reasons for using/not using the DA system. Interviews will identify barriers and facilitators influencing usage and obtain information about how positive and negative perceptions of the interaction experience affect use. Key Words: Alzheimer's, caregiver, dementia, smart home, assistive technology, Activities of Daily Living.

摘要：痴呆症患者（PWD）通常需要协助进行日常活动和日常任务。护理人员的工作负担常常导致身体和情绪上的高度压力以及抑郁，轻度至轻症患者的护理人员焦点小组的总体发病率和死亡率较高。中度痴呆症患者的穿衣打扮是我们每天最紧迫、最有压力的问题。开发了一款计算机化的着装助手 (DA) 原型，旨在减轻护理人员的负担该系统采用嵌入在一套梳妆台中的先进智能家居技术。抽屉，根据提示，为残疾人士的认知和情感状态及能力提供独特的定制帮助我们的跨学科团队结合了人机交互、老年护理。和痴呆症，将进行转化研究，将 DA 从实验室带到家庭环境。目标1：针对残疾人家庭设置优化穿衣助手安装流程。要了解如何有效地在家中安装 DA 系统，我们将考虑：1) 初始系统安装，包括安装访问时长、组件调整次数以及护理人员和残疾人所需的培训时间；2) 通过持续的 DA 实现系统优化和耐用性的机会系统监控、性能日志生成的警报通知以及护理人员向研究团队的反馈。目标 2：评估残疾人家庭环境中的着装助理系统的可靠性和准确性。使用自适应支持模型、性能日志、错误率和护理人员反馈来确定如何 DA 系统在家庭环境中准确运行的数据包括：1) 系统开关和传感器日志（即）。哪些抽屉被打开、打开的时间、打开的时间以及打开的顺序）以及门口运动传感器 2）经过验证的 Pearlin 护理者掌握程度和 Mahoney 护理者警惕量表将确定趋势影响； 3) 移动设备护理人员反馈。目标 3：通过识别障碍和促进因素、使用情况、可接受性、我们将相应地确定有效性、认知和完善系统。促进/阻碍频繁、长期使用着装助理系统并比较性能的促进因素记录使用频率数据和准确性测量 (AIM 2)，以考虑 DA 系统准确性如何影响使用。 DA 系统生成的数据以及定性开放式结构化护理人员和残疾人访谈将用于确定可接受性。我们将考虑残疾人/护理人员二人组是否有效地使用该方法。基于性能日志的技术、使用频率和持续时间以及用户访谈来确定使用/不使用 DA 系统的原因访谈将找出影响使用的障碍和促进因素。并获取有关交互体验的积极和消极看法如何影响使用的信息。关键词：阿尔茨海默氏症、护理人员、痴呆症、智能家居、辅助技术、日常生活活动。