A mobile Enabling Technology to promote adherence to behavioral therapy

促进行为治疗依从性的移动支持技术

• 批准号: 7941740
• 负责人: Edward W Boyer
• 金额: $ 49.63万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7941740
• 关键词: Acceleration; Acute; Address; Adherence; Adopted; Adoption; Affect; Affective; Afghanistan; Area; Artificial Intelligence; Arts; Behavior; Behavior Therapy; Behavioral; Behavioral Sciences; Biological; Biomedical Research; Case Management; Chronic; Clinical; Cognitive Therapy; Communication; Computer software; Cues; Data; Devices; Disease; Drug usage; Effectiveness of Interventions; Electrical Engineering; Enrollment; Environment; Evidence based intervention; Feasibility Studies; Feedback; Funding; Galvanic Skin Response; Goals; Growth; Health; Hour; Image; Intervention; Investigation; Iraq; Lead; Learning; Link; Machine Learning; Mental Health; Methods; Modeling; Monitor; Occupations; Outcome; Patients; Pharmaceutical Preparations; Physiologic Monitoring; Physiologic pulse; Physiological; Physiology; Play; Population; Population Study; Post-Traumatic Stress Disorders; Process; Professional counselor; Public Health; Recovery; Recruitment Activity; Research; Risk Behaviors; Services; Stress; Substance abuse problem; Technology; Telecommunications; Text; Time; United States Substance Abuse and Mental Health Services Administration; Veterans; Wireless Technology; acute stress; acute traumatic stress disorder; base; biomedical Computer science; brief intervention; combat; commercial application; cost effectiveness; disorder later incidence prevention; evidence base; experience; follow-up; improved; in vivo; innovation; instrument; interest; loved ones; motivational enhancement therapy; new technology; novel; response; sensor; social; stressor; study characteristics; substance abuse treatment; technology development

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (06) Enabling Technologies, 06-DA-105: Improving health through ICT/mobile technologies. The ultimate goal of this research is to fundamentally change the ways in which behavioral interventions are delivered. We propose an innovative mobile Enabling Technology-iHeal-that recognizes stressors that threaten a patient's recovery and then delivers evidence-based interventions exactly at the moment of greatest need. Our objective is to determine, within subjects, the extent to which physiologic and affective changes detected by iHeal are predictive, within subjects, of posttraumatic stress or drug cues. The study team has considerable expertise in technology development and in assessment of behavioral interventions in co-occurring disorders. We will study 25 subjects drawn from an existing SAMHSA-funded investigation that utilizes intense case management to monitor progression of PTSD and substance abuse in returning combat veterans. Our proposed investigation will share interventions with the SMAHSA study that are based upon a blending of Motivational Interviewing and Cognitive Behavioral Therapy approaches for PTSD and substance abuse. Specific aims: 1) To evaluate the accuracy with which iHeal characterizes physiological and affective phenomena as acute stress reactions related to PTSD and environmental drug cues; and 2) To evaluate the effect of Motivational Interviewing-based interventions on acute stress reactions related to PTSD and environmental drug cues. This initial proposal is extremely innovative. The proposed iHeal device will employ cutting-edge wireless technology to link wearable sensors to personal mobile computing platforms (e.g., iPhone). This linkage will allow iHeal to detect co-occurring biological and behavioral processes, while embedded computing in the mobile platform permits iHeal to deliver evidence-based empathetic interventions at the opportune moment. iHeal can learn to intervene in ways that are most effective for the user, including scripted text-based dialogues modeled after brief interventions; use of motivating images or messages from loved ones; playing a meaningful song; or contacting a counselor at the moment of greatest need. Ultimately, a wearable wireless device that anticipates stressors and intervenes at a likely transition to risky activities has enormous potential in a variety of social, behavioral, and biomedical research enterprises. Importantly, iHeal has immediate commercial applications that will encourage job growth in behavioral science, biomedical, computer science, telecommunication, and electrical engineering enterprises. iHeal is an innovative device that uses wearable sensors to detect pulse, skin conductance, and acceleration; the sensor array links wirelessly to an iPhone which has an app that identifies changes in the user's physiology. Changes consistent with acute stress from PTSD exacerbations or drug use cues generate an empathetic conversation between the iPhone and the user, who enters real-time data on social/behavioral/environmental contexts. The iPhone (which tracks time and GPS data) uses predictive software to anticipate upcoming stressors and helps the user avoid them. The public health significance of this proposal is 1) iHeal will detect co-occurring biological and behavioral processes in real time; 2) it will discern undiscovered behavioral states; 3) it will predict a behavior of interest; and 4) it will deliver empathetic interventions to the user at the opportune moment for intervention. Because it is based on the union of existing technology and has immediate commercial applications, iHeal will encourage job growth in behavioral science, biomedical, computer science, telecommunication, and electrical engineering enterprises.

描述（由申请人提供）：此申请介绍了广泛的挑战领域（06）启用技术，06-DA-105：通过ICT/移动技术改善健康状况。这项研究的最终目标是从根本上改变提供行为干预的方式。我们提出了一种创新的移动性，使技术可以识别出威胁患者康复的压力源，然后在最需要的时候正好提供基于证据的干预措施。我们的目标是在受试者中确定iHeal检测到的生理和情感变化在受试者内，创伤后压力或药物线索的预测性。研究团队在技术开发和评估同时发生疾病的行为干预方面具有相当大的专业知识。我们将研究来自现有SAMHSA资助的研究的25名受试者，该研究利用强烈的病例管理来监测PTSD和药物滥用的进展，以返回战斗退伍军人。我们提出的调查将与SMAHSA研究分享干预措施，该研究基于动机访谈和PTSD和药物滥用的认知行为疗法的融合。具体目的：1）评估iHeal将生理和情感现象表征为与PTSD和环境药物提示有关的急性应激反应的准确性； 2）评估基于动机的干预措施对与PTSD和环境药物提示有关的急性应力反应的影响。最初的提议非常创新。提出的IHEAL设备将采用尖端的无线技术将可穿戴传感器连接到个人移动计算平台（例如iPhone）。这种联系将使Iheal能够检测出共发生的生物学和行为过程，而移动平台中的嵌入计算则可以在适当的时候提供基于证据的移情干预措施。 IHEAL可以学会以对用户最有效的方式进行干预，包括在简短干预后建模的基于脚本的基于文​​本的对话；使用激励的图像或亲人的信息；播放有意义的歌；或在最需要时与辅导员联系。最终，一种可穿戴的无线设备，可以预测压力源和介入可能过渡到危险活动的可穿戴设备在各种社会，行为和生物医学研究企业中具有巨大的潜力。重要的是，IHEAL具有直接的商业应用，可以鼓励行为科学，生物医学，计算机科学，电信和电气工程企业的工作增长。 Iheal是一种创新的设备，它使用可穿戴传感器来检测脉冲，皮肤电导和加速度。传感器阵列将无线链接到具有标识用户生理变化的应用程序的iPhone。与PTSD加重或药物使用提示的急性应力一致的变化会产生iPhone与用户之间的善解人意对话，这些对话涉及社交/行为/环境环境的实时数据。 iPhone（跟踪时间和GPS数据）使用预测软件来预测即将到来的压力源，并帮助用户避免使用它们。该提案的公共健康意义是1）IHEAL将实时检测同时发生的生物学和行为过程； 2）它将辨别未发现的行为状态； 3）它将预测感兴趣的行为； 4）它将在及时的干预时为用户提供善解人意的干预措施。由于它基于现有技术的结合并具有立即的商业应用，因此IHEAL将鼓励行为科学，生物医学，计算机科学，电信和电气工程企业的工作增长。