ICU-CARE: An interactive mobile app to enhance the efficiency of daily informal caregiving in the intensive care unit

ICU-CARE：一款交互式移动应用程序，可提高重症监护病房日常非正式护理的效率

• 批准号: 10602917
• 负责人: Breanna D Hetland
• 金额: $ 22.86万
• 依托单位: SILICON CURES LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10602917
• 关键词: Address; Beds; Caregivers; Caring; Clinic; Clinical; Clinical Data; Clinical Trials; Collaborations; Communication; Communities; Data; Data Collection; Delirium; Education; Educational process of instructing; Effectiveness; Electronic Health Record; Electronics; Elements; Environment; Goals; Health Personnel; Health system; Healthcare; Healthcare Systems; Hospitals; Incidence; Institution; Intensive Care Units; Intervention; Language; Lead; Learning Module; Marketing; Medicine; Methods; Morbidity - disease rate; Nebraska; Neurobehavioral Manifestations; Nurses; Outcome; Participant; Patient Admission; Patient Care; Patient Self-Report; Patients; Phase; Practice Guidelines; Prevalence; Price; Provider; Qualitative Methods; Quality of life; Randomized, Controlled Trials; Records; Sampling; Secure; Security; Severities; Silicon; Small Business Technology Transfer Research; Symptoms; System; Testing; Time; Translational Research; United States; Work; acceptability and feasibility; application programming interface; attentional control; clinical practice; commercial application; commercialization; common symptom; cost; design; digital health; direct patient care; diversity and inclusion; efficacy testing; electronic health record system; evidence base; experience; follow-up; graphical user interface; implementation barriers; improved; industry partner; informal caregiver; informal caregiving; informal support; innovation; mobile application; mortality; patient safety; physical symptom; psychological symptom; recruit; simulation; standard of care; symptom management; tool; uptake; usability; user centered design; virtual

PROJECT SUMMARY Actively involving informal caregivers in direct patient care at the bedside in the intensive care unit (ICU) has the potential to improve patient, informal caregiver, and health care system outcomes. Practice guidelines call for the liberal inclusion of informal caregivers as active partners in ICU care, but there is a critical, unmet need to develop tools that effectively operationalize safe and effective caregiver involvement. Our solution, ICU-CARE employs a user-centered design, providing informal caregivers with: 1) a virtual tour and education specific to the ICU environment, 2) interactive educational modules that teach caregivers how to assess and manage common symptoms of ICU patients with evidenced-based nonpharmacologic interventions, and 3) an electronic platform for caregivers to record and track their contributions to patient care. The long-term goal of this STTR project is to commercialize an easy-to-use mobile application that improves the efficiency of day-to-day informal caregiving, facilitates symptom management decisions, and enhances clinical communication among patients, caregivers, and health care providers in the ICU. In Phase I, we will revise and optimize ICU- CARE (Aim 1) by analyzing data from current users of the ICU-CARE alpha version to identify the essential elements of the graphical user interface and educational content. We will use our findings to create a beta version. For Aim 2, we will integrate ICU-CARE with our electronic health record (EHR) system by creating an application programing interface (API). Finally, in Aim 3, we will recruit a purposeful sample of ICU informal caregivers and ICU nurses to participate in task-driven simulations to evaluate preliminary usability, feasibility, and acceptability of ICU-CARE, as well as validate our API connection within an EHR test environment. In Phase II, the team will conduct a fully powered two-group feasibility randomized controlled trial of ICU-CARE versus attention control with a 1-month follow-up. Results from this trial will further determine the app’s feasibility and acceptability as well as test efficacy. The commercial opportunity lies in becoming the standard of care for addressing patients’ symptom needs as well as improving the effectiveness of informal caregiving for over 5 million ICU patients and caregivers per year in the United States.

项目摘要 积极参与非正式护理者在重症监护床边的直接患者护理 单位（ICU）有可能改善患者，非正式护理人员和医疗保健系统 结果。实践指南要求自由纳入非正式护理人员作为活跃的 ICU护理的合作伙伴，但是有一个至关重要的，未满足的需要开发有效的工具 操作安全有效的护理人员参与。我们的解决方案，ICU-Care员工A 以用户为中心的设计，为非正式护理人员提供：1）虚拟旅行和特定于教育 到ICU环境，2）教导护理人员如何评估的互动教育模块 并管理基于证据的非药物的ICU患者的常见症状 干预措施，以及3）护理人员记录和跟踪其贡献的电子平台 给病人护理。该STTR项目的长期目标是商业化易于使用的 提高日常非正式护理效率的移动应用程序，促进 症状管理决策，并增强患者之间的临床交流， ICU的护理人员和医疗保健提供者。在第一阶段，我们将修改和优化ICU- 通过分析ICU-Care Alpha版本的当前用户的数据来确定（AIM 1） 图形用户界面和教育内容的基本要素。我们将使用我们的 创建Beta版本的发现。对于AIM 2，我们将将ICU-Care与我们的电子 健康记录（EHR）系统通过创建应用程序编程接口（API）。最后，在 目标3，我们将招募有目的的ICU非正式护理人员和ICU护士样本 参加任务驱动的模拟，以评估初步可用性，可行性和 ICU护理的可接受性，并在EHR测试中验证我们的API连接 环境。在第二阶段，团队将进行全功率的两组可行性随机 ICU-Care与注意力控制的对照试验具有1个月的随访。结果 试验将进一步确定应用程序的可行性和可接受性以及测试效率。这 商业机会在于成为解决患者症状的护理标准 需求以及提高超过500万个ICU的非正式护理的有效性 美国每年的患者和看护人。