Using Rendever to improve the quality of life of older adults with cognitive impairments in senior living communities and their family members who live at a distance.

使用 Rendever 改善老年生活社区中有认知障碍的老年人及其远方家庭成员的生活质量。

• 批准号: 10256847
• 负责人: TAMARA DAWN AFIFI
• 金额: $ 111.71万
• 依托单位: RENDEVER, INC.
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10256847
• 关键词: Adult; Adult Children; Affect; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Back; Baseline Surveys; Behavioral; Boston; COVID-19; California; Caregiver Burden; Caregivers; Caring; Child; Childhood; Cognitive; Communication; Control Groups; Data; Dementia; Elderly; Emotional; Experimental Designs; Family; Family Relationship; Family member; Feeling; Geography; Goals; Guilt; Healthcare; Home; Immersion; Impaired cognition; Intervention; Life; Location; Loneliness; Long-Term Care; Love; Mediating; Mental Health; Modeling; Neurologic; Parents; Phase; Physiological; Population; Preventive measure; Public Health; Quality of Care; Quality of life; Randomized; Reporting; Research; Small Business Technology Transfer Research; Social isolation; Societies; Strategic Planning; Stress; Surveys; Technology; Testing; Time; Travel; United States; Videoconferencing; active control; care costs; caregiving; community living; cost; design; experience; feasibility testing; follow-up; hospice environment; improved; innovation; loved ones; mild cognitive impairment; negative affect; new technology; pandemic disease; phase 1 testing; programs; response; satisfaction; social relationships; virtual environment; virtual reality

The United States is experiencing a public health crisis on a massive scale due to the number of people with dementia, lack of cures, and challenges associated with caregiving for this population.1,2 Until cures for the dementias are discovered, new technologies and interventions are imperative that can reduce the stress and emotional burden of Alzheimer's disease (AD) and Alzheimer's disease-related-dementias (ADRD) for older adults and their family members (NIA strategic plan). Unfortunately, COVID-19 has exacerbated challenges related to social isolation and poor mental health in senior living communities. The virtual reality (VR) program, Rendever, provides an innovative and affordable solution to these challenges by enabling older adults in senior living communities to maintain important family relationships, engage fully with life, and reconnect with their past, regardless of physical location, through its advanced communication and network capabilities. There is neurological, behavioral, and physiological evidence that virtual environments allow people to feel the emotional presence of others in ways that surpass their location in space.3 Unfortunately, little research has examined its impact on older adults' social relationships, primarily due of a lack of networking and communication capabilities of other VR programs. Phase I tested the feasibility of Rendever with residents with mild cognitive impairments (MCI) or mild to moderate dementia and their family members who lived at a distance. Our results showed it to be safe, easy to use, highly satisfying, and transformative for the 21 resident- family member dyads who used it. Residents with MCI and dementia equally loved the VR, with residents with dementia reporting greater immersion. This Phase II project expands our test of the livestreaming and network features of Rendever with 192 resident-adult child dyads across 12 senior living communities in Central California and Boston with an experimental design. Our aims focus on the impact of Rendever on the quality of life of residents and their adult children who live at a distance and whether this association depends upon residents' level of cognitive impairment. We also focus on the adult children and whether participating in Rendever with their parent reduces care-giver guilt. If Phase II is successful, Rendever will be the only product that allows residents to still travel, view family photos and videos, and go back in time to one's childhood home and other memorable locations with one's family in VR and share stories while doing it, despite geographical separation and cognitive/physical challenges. Importantly, Phase II will provide a rigorous, scientific test of whether Rendever can improve residents' and family members' quality of life.

由于有 痴呆症，缺乏治疗方法以及与该人群的护理相关的挑战。1,2直到治愈 发现痴呆症，新技术和干预措施必须减轻压力和 阿尔茨海默氏病（AD）和阿尔茨海默氏病与疾病相关的痴呆症（ADRD）的情绪负担 成人及其家人（NIA战略计划）。不幸的是，Covid-19加剧了挑战 与高级生活社区的社会隔离和精神健康不良有关。虚拟现实（VR） 节目Rendever节目通过使老年人能够为这些挑战提供创新且负担得起的解决方案 在高级生活社区中，以维持重要的家庭关系，充分参与生活并重新建立联系 随着他们的过去，无论是物理位置如何，通过其先进的沟通和网络功能。 有神经，行为和生理证据表明，虚拟环境使人们能够感受到 他人的情感存在以超过太空中的位置的方式。3不幸的是，研究很少 检查了其对老年人社会关系的影响，主要是由于缺乏网络和 其他VR计划的沟通能力。第一阶段测试了与居民的可行性 患有轻度认知障碍（MCI）或轻度至中度痴呆及其家人 距离。我们的结果表明，这是安全，易于使用，高度令人满意和对21种居民的变革性 - 使用它的家庭成员二元组。患有MCI和痴呆症的居民同样喜欢VR，居民有 痴呆症报告更大的浸入。该第二阶段项目扩展了我们对直播和网络的测试 Rendever的功能与中央12个高级生活社区的192名居民二元组合 加利福尼亚和波士顿具有实验设计。我们的目标集中于归档对质量质量的影响 居民及其成年子女的生活，他们的生活在远处以及这种协会是否依赖 居民的认知障碍水平。我们还专注于成年子女以及是否参加 与他们的父母一起介绍，减少了护理人员的内gui。如果第二阶段成功，则呈现将是唯一的产品 这使居民仍然可以旅行，查看家庭照片和视频，然后回到一个童年的家中 尽管地理位置 分离和认知/身体挑战。重要的是，第二阶段将提供严格的科学测试 演变是否可以改善居民和家庭成员的生活质量。