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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要积极让非正式护理人员参与重症监护室床边的直接患者护理病房 (ICU) 有潜力改善患者、非正式护理人员和医疗保健系统结果实践指南呼吁自由地将非正式护理人员纳入积极的范围。 ICU 护理领域的合作伙伴，但目前迫切需要开发有效的工具，但这一需求尚未得到满足我们的解决方案 ICU-CARE 采用安全有效的护理人员参与。以用户为中心的设计，为非正式护理人员提供：1) 虚拟游览和特定教育 ICU 环境，2) 交互式教育模块，教护理人员如何评估并使用基于证据的非药物治疗 ICU 患者的常见症状干预措施，以及 3) 供护理人员记录和跟踪其贡献的电子平台该 STTR 项目的长期目标是将易于使用的产品商业化。移动应用程序可提高日常非正式护理的效率，促进症状管理决策，并加强患者之间的临床沟通，在第一阶段，我们将修改和优化 ICU 的护理人员和医疗保健提供者。 CARE（目标 1）通过分析 ICU-CARE alpha 版本当前用户的数据来识别我们将使用我们的图形用户界面和教育内容的基本要素。对于 Aim 2，我们将把 ICU-CARE 与我们的电子系统集成起来。最后，通过创建应用程序编程接口（API）来实现健康记录（EHR）系统。目标 3，我们将有目的地招募 ICU 非正式护理人员和 ICU 护士样本，参与任务驱动的模拟，以评估初步的可用性、可行性和 ICU-CARE 的可接受性，以及在 EHR 测试中验证我们的 API 连接在第二阶段环境中，团队将进行全面的两组可行性随机试验。 ICU-CARE 与注意力控制的对照试验，并进行 1 个月的随访结果。试用将进一步确定该应用程序的可行性和可接受性以及测试效果。商业机会在于成为解决患者症状的护理标准满足超过 500 万 ICU 患者的需求并提高非正式护理的有效性美国每年的患者和护理人员。