Plans4Care: Personalized Dementia Care On-Demand

Plans4Care：按需个性化痴呆症护理

• 批准号: 10758864
• 负责人: Eric Jutkowitz
• 金额: $ 50万
• 依托单位: PLANS4CARE INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10758864
• 关键词: Accident and Emergency department; Address; Age; Algorithms; Alzheimer' s Disease; Alzheimer' s disease caregiver; Alzheimer' s disease related dementia; Caregiver support; Caregiver well-being; Caregivers; Caring; Cellular Phone; Clinical; Clinical Protocols; Coin; Communication; Complex; Computer software; Computers; Databases; Daughter; Dementia; Disease; Education; Effectiveness; Elderly; Enrollment; Environment; Ethnic Origin; Evaluation; Family; Family Caregiver; Fathers; Feedback; Focus Groups; Friends; Geography; Healthcare Systems; Home environment; Hospitalization; Intervention; Lead; Letters; Libraries; Link; Maps; Marketing; Measures; Modification; Monitor; Nursing Homes; Personal Satisfaction; Persons; Phase; Primary Care; Provider; Race; Randomized, Controlled Trials; Risk; Small Business Innovation Research Grant; Sorting; Specialist; Stress; Survey Methodology; Symptoms; Tablets; Technology; Testing; Time; Training; United States National Institutes of Health; accountable care organization; acute care; burnout; care costs; commercialization; dashboard; dementia care; digital healthcare; digital platform; evidence base; family support; health care service utilization; healthy aging; improved; interest; learning materials; novel; personalized care; primary care practice; primary care provider; programs; prototype; randomized trial; response; standardize measure; telephone session; tool; usability

PROJECT ABSTRACT Although >11 million family/friends are caregivers to >6 million people with Alzheimer's Disease (AD) and AD- Related Dementias (AD/ADRD), they do not typically receive personalized education, strategies and support to manage their own wellbeing and complex dementia-related symptoms. Lack of personalized care contributes to $321 billion annually in AD/ADRD care costs. In response, our company, Plans4Care, Inc, proposes a Fast- Track SBIR (PAS-22-196) to build and test a digital platform that delivers personalized care plans to caregivers on a smartphone, tablet or computer. To generate a personalized care plan, caregivers select a care challenge (from >50) they seek to address, and respond to brief, easy-to-answer questions (assessment). A novel clinical algorithm, developed by Plans4Care, maps the challenge and assessment results to the company’s database of >1,000 evidence-based strategies. A resultant personalized care plan contains education about the care challenge and specific strategies modifying the environment, communications, tasks, and/or activities. Caregivers also have access to trained dementia specialists (care advisors) for one-on-one tele-support as needed. Phase I will develop and evaluate a prototype. Phase I specific aims include: Aim 1: Develop a clickable prototype with clinical algorithms that map 5 common care challenges to brief assessments and evidence-based strategies to generate tailored care plans; and Aim 2: Determine feasibility (able to use platform to identify challenge/generate care plan), acceptability (appeal, appropriateness), and usability (able to navigate), using focus group and survey methodologies involving validated measures with 25 diverse caregivers (racially, ethnically, age, relationship, geography). At the conclusion of Phase I, quantitative milestones (go-no go) to transition to Phase II are: 1) 25 caregivers enrolled; 2) 75% complete assigned Plans4Care task: onboard, identify care challenge, generate care plan (feasibility); 3) 75% rate Plans4Care acceptable; and 4) 75% rate navigation easy-to-use (usability). During Phase II, we will ascertain if embedding Plans4Care into large geriatric primary care practices (part of accountable care organizations) results in improved caregiver wellbeing and reduced acute care utilization by people with AD/ADRD, and a commercially viable product. Phase II specific aims include: Aim 3: Incorporate Phase I feasibility feedback to complete the build out of the platform to address all 50+ care challenges, and develop our solution into a commercial product; and Aim 4: Conduct a two-group randomized controlled trial (n=160) to evaluate if Plans4Care improves diverse caregivers’ wellbeing and reduces acute care utilization of people with dementia. This aim will formally provide evidence for the platform and its implementation in primary care/ACOs. Our company was competitively selected to participate in the NIA Healthy Aging Start-Up Bootcamp. The commercialization potential of an easy-to-use tool providing personalized care that is integrated into ACOs is unique and desperately needed in the marketplace.

项目摘要 尽管> 1100万家人/朋友是> 600万阿尔茨海默氏病（AD）和AD-的护理人员 相关痴呆症（AD/ADRD），他们通常不会获得个性化的教育，策略和支持 管理自己的健康和复杂的痴呆相关符号。缺乏个性化护理有助于 每年3210亿美元的广告/ADRD护理费用。作为回应，我们的公司，Plans4Care，Inc，提议快速 Track Sbir（PAS-22-196）构建和测试一个为照料者提供个性化护理计划的数字平台 在智能手机，平板电脑或计算机上。为了制定个性化护理计划，护理人员选择了护理挑战 （从> 50开始）他们寻求解决并回答简短的，易于提出的问题（评估）。一种新颖的临床 由Plans4Care开发的算法，将挑战和评估结果映射到公司的数据库 > 1,000个基于证据的策略。由此产生的个性化护理计划包含有关护理的教育 挑战和特定策略修改环境，通信，任务和/或活动。 护理人员还可以访问经过培训的痴呆症专家（护理顾问），以进行一对一的电视支持 需要。第一阶段将开发和评估原型。第一阶段的特定目的包括：目标1：开发 可单击的原型具有临床算法，这些算法将5个常见的护理挑战绘制为简短评估和 基于证据的策略来制定量身定制的护理计划；和目标2：确定可行性（能够使用 确定挑战/生成护理计划的平台），可接受性（上诉，适当性）和可用性（能够 导航），使用涉及25位潜水员验证措施的焦点小组和调查方法 照顾者（种族，种族，年龄，关系，地理）。在第一阶段结束时，定量 要过渡到第二阶段的里程碑（Go-no Go）为：1）25名护理人员参加； 2）75％完全分配 计划4CARE任务：机上，确定护理挑战，生成护理计划（可行性）； 3）75％的利率计划4Care 可以接受； 4）75％的速率导航易于使用（可用性）。在第二阶段，我们将确定是否嵌入 计划4将大型老年初级保健实践（责任护理组织的一部分）导致 改善了护理人员的福祉，并降低了AD/ADRD的人的急性护理利用和商业上 可行的产品。第二阶段的特定目的包括：目标3：合并I阶段的可行性反馈以完成 平台的建设以应对所有50多种护理挑战，并将我们的解决方案发展为广告 产品;目标4：进行两组随机对照试验（n = 160），以评估是否计划4Care 改善了潜水员护理人员的福祉，并降低了痴呆症患者的急性护理利用。这个目标 将正式提供该平台及其在初级保健/ACO中实施的证据。我们公司是 竞争性地选择参加NIA健康衰老启动训练营。商业化 提供易于使用的工具的潜力，该工具提供了整合到ACO的个性化护理是独一无二的，并且 在市场上迫切需要。