Developing a Personalized and Culturally Responsive Virtual Coach to Engage Persons with Alzheimer's Disease and Related Dementias in Cognitive and Physical Activities

开发个性化且具有文化适应性的虚拟教练，让阿尔茨海默病和相关痴呆症患者参与认知和体育活动

• 批准号: 10699847
• 负责人: Emily S. Wang
• 金额: $ 50万
• 依托单位: BEAVER HEALTH, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-15 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10699847
• 关键词: Accent; Activities of Daily Living; Adherence; Affect; Age; Alzheimer' s Disease; Alzheimer' s disease related dementia; American; Appointment; Artificial Intelligence; Asian; Asian Americans; Behavioral Symptoms; Black race; Caregivers; Caring; Characteristics; Code; Cognition; Cognitive; Computers; Dementia; Devices; Elderly; Ethnic Origin; Ethnic Population; Evidence based intervention; Facebook; Family; Female; Food; Foundations; Gender; Genetic Transcription; Geriatric Psychiatry; Goals; Health; Hearing; Holidays; Human; Improve Access; Individual; Instruction; Intake; Intervention; Interview; Jordan; Language; Latinx; Life; Minority; Minority Groups; Modeling; Modification; Motivation; Music; Natural Language Processing; Pacific Islander; Participant; Peer Review; Personal Satisfaction; Persons; Phase; Physical activity; Positioning Attribute; Provider; Psychiatry; Psychology; Quality of life; Race; Randomized; Reporting; Robot; Social support; Software Engineering; Specialist; Speech; Structure; Support Groups; System; Testing; Text; Time; Travel; Visual Aid; Work; caregiver stress; commercialization; cost; cultural competence; dementia care; design; efficacy study; ethnic diversity; evidence base; experience; improved; life history; male; microphone; new technology; preference; prototype; psychological symptom; racial diversity; racial population; recruit; remote health care; response; skills; social; speech recognition; usability; verbal; virtual coach; web app

Project Summary The number of Americans living with Alzheimer’s Disease and Related Dementias (ADRD) is estimated to double to 13.8 million people by 2050, with minoritized individuals affected disproportionately. Cognitive, physical, and social activities can improve quality of life, cognition, and behavioral and psychological symptoms of dementia (BPSD), but access, engagement, and adherence are challenging. ADRD specialists are expensive and inaccessible for daily support, especially for persons living with dementia (PL WD) from minoritized backgrounds who cannot find culturally competent providers. Support groups do not provide scalable, individualized, evidence-based skills or daily guidance, and caregivers are already overburdened assisting with activities of daily living. Commercial solutions to support PLWD are not culturally responsive or scalable for daily, affordable use. There is an increasingly unmet need for culturally relevant, accessible, and scalable ADRD care. We are developing a personalized and culturally responsive virtual coaching platform to engage and support PLWD in evidence-based cognitive and physical activities in order to enhance health and well-being. Our novel technology leverages advances in Artificial Intelligence (AI) and Natural Language Processing (NLP) to facilitate activities from peer-reviewed interventions at lower costs. In each session, an avatar is used to guide and support the PLWD through evidence-based cognitive and physical activities. To engage PLWD, our NLP-based system adapts the coach’s dialogue based on input shared by the PLWD and their family on key aspects of the PLWD's life history and culture (e.g., favorite holidays, music genres, foods). The avatar coach also has characteristics tailored to the PLWD’s preferences (e.g., race/ethnicity, gender, age) and offers social support to encourage adherence with check-ins, praise, and motivational words. Our user interface is designed for PLWD to easily speak to and see their personal virtual coach on a large-screen device with a microphone and camera (e.g., iPad, computer). In Phase 1, we will develop a personalized and culturally responsive virtual coach prototype that delivers evidence-based cognitive and physical activities and test initial usability/feasibility for racially and ethnically diverse persons with mild ADRD and their caregivers. By digitizing activities and increasing personal and cultural relevance, the coaching platform will support PLWD and their caregivers by improving access, engagement, and adherence to evidence-based interventions to enhance health and well-being.

项目概要 据估计，患有阿尔茨海默病和相关痴呆症 (ADRD) 的美国人数量 到 2050 年，这一数字将增加一倍，达到 1380 万人，其中少数群体受到的影响尤其严重。 身体和社交活动可以改善生活质量、认知以及行为和心理 痴呆症 (BPSD) 的症状，但 ADRD 专家的获取、参与和依从性具有挑战性。 日常支持费用昂贵且难以获得，特别是对于患有痴呆症 (PL WD) 的人来说 无法找到具有文化能力的提供者的少数群体不提供支持。 可扩展、个性化、基于证据的技能或日常指导，而护理人员已经负担过重 协助 PLWD 的日常生活活动的商业解决方案不符合文化要求或 可扩展以适应日常、经济实惠的需求 我们正在开发一个个性化且具有文化响应能力的虚拟辅导平台，以实现可扩展的 ADRD 护理。 让 PLWD 参与并支持基于证据的认知和身体活动，以增强健康和 我们的新技术利用了人工智能 (AI) 和自然语言的进步。 处理（NLP）以促进以较低成本开展同行评审干预活动。 阿凡达用于通过基于证据的认知和身体活动来指导和支持 PLWD。 与 PLWD 互动，我们基于 NLP 的系统会根据 PLWD 共享的输入来调整教练的对话， 向家人介绍 PLWD 生活史和文化的关键方面（例如最喜欢的节日、音乐流派、食物）。 化身教练还具有适合 PLWD 偏好的特征（例如种族/民族、性别、 年龄），并提供社会支持，通过签到、表扬和激励性话语来鼓励坚持。 用户界面专为 PLWD 设计，可在大屏幕上轻松与他们的个人虚拟教练交谈并查看 带有麦克风和摄像头的设备（例如 iPad、计算机） 在第一阶段，我们将开发个性化的、 具有文化响应能力的虚拟教练原型，提供基于证据的认知和身体活动， 测试患有轻度 ADRD 的不同种族和族裔人士及其护理人员的初始可用性/可行性。 通过数字化活动并增加个人和文化相关性，辅导平台将为 PLWD 提供支持 及其照顾者，通过改善循证干预措施的可及性、参与度和依从性， 增强健康和福祉。