Delivery System to Increase Adherence to Myofunctional Therapy Protocol

提高肌功能治疗方案依从性的输送系统

基本信息

批准号：
10010978
负责人：
John Paul Condon
金额：
$ 24.49万
依托单位：
INNOVATIVE DESIGN LABS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10010978
关键词：
Academy Address Adherence Affect Air Movements American Apnea Arousal Arrhythmia Cardiovascular Diseases Chronic Disease Clinical Collaborations Complex Computer software Conceptions Consult Continuous Positive Airway Pressure Coronary Arteriosclerosis Data Dental Development Devices Diabetes Mellitus Diagnosis Discipline Exercise Exercise Therapy Face Facial Muscles Healthcare Systems Human body Hypertension Impairment Improve Access Incidence Individual Insulin Resistance Intervention Mandible Medical Technology Medicine Mental Depression Metabolic Diseases Methods Minnesota Monitor Muscle Myofunctional Therapy Obesity Obstructive Sleep Apnea Operative Surgical Procedures Oropharyngeal Oxygen Palate Pathogenesis Patient Self-Report Patients Pharmacology Phase Play Principal Investigator Procedures Production Protocols documentation Quality of life Records Replacement Therapy Reporting Research Research Design Risk Risk Factors Role Sleep Sleep Apnea Syndromes Sleep Disorders Snoring Specialist Stroke System Systems Development Techniques Testing Time Tongue Translations United States Universities Use Effectiveness adherence rate aging population airway muscle base common treatment comorbidity design digital economic impact experience genioglossus muscle improved indexing innovation interactive therapy interest member non-compliance orofacial pressure programs residence respiratory smartphone Application sound vehicular accident

项目摘要

Project Summary/Abstract The proposed project focuses on creating a delivery method for myofunctional therapy that is designed to increase user engagement and adherence to the therapy protocol. Significance: Sleep apnea affects 22 million people in the U.S. and 80% of the individuals who suffer from moderate or Severe Obstructive Sleep Apnea have not received diagnosis or treatment. The economic impact of untreated sleep apnea is nearly $150 billion. Common treatments such as CPAP devices, dental appliances, and surgical interventions are expensive, uncomfortable, or invasive, resulting in large number of untreated individuals even when there is a proper diagnosis. Myofunctional therapies have been proven to be an effective co-therapy to improve existing treatments for sleep apnea and an effective alternative method for treating sleep apnea when uncomfortable devices or invasive procedures are not tolerated by the patient. However, access to myofunctional therapy is limited to guided therapy sessions by specialists and the adherence to the myofunctional therapy protocol in an unguided setting can be difficult. Healthcare systems are increasingly delivering therapies through smartphone applications in order to improve access and adherence. Hypothesis: We hypothesize that myofunctional therapies can be delivered through an interactive smartphone application with reasonable adherence rates. Specific Aims: To prove feasibility of the proposed system in Phase I, IDL and its collaborators will: (1) Develop a gamified myofunctional therapy protocol effective for OSA treatment (2) Develop an interactive therapy delivery system and (3) Test the adherence to the protocol while using the developed system.

项目概要/摘要拟议项目的重点是创建一种肌功能治疗的传递方法，旨在提高用户参与度和对治疗方案的遵守。意义：睡眠呼吸暂停影响 22 美国有 100 万人，其中 80% 的人患有中度或重度阻塞性睡眠呼吸暂停尚未接受诊断或治疗。未经治疗的睡眠呼吸暂停的经济影响几乎是 1500亿美元。常见的治疗方法包括 CPAP 设备、牙科器具和手术干预昂贵、不舒服或具有侵入性，导致大量未经治疗的人，即使有正确的诊断。肌功能疗法已被证明是改善现有症状的有效联合疗法睡眠呼吸暂停的治疗方法以及在不舒服时治疗睡眠呼吸暂停的有效替代方法患者无法忍受设备或侵入性操作。然而，获得肌功能治疗是仅限于专家指导的治疗课程以及遵守肌功能治疗方案无指导的设置可能会很困难。医疗保健系统越来越多地通过智能手机提供治疗应用程序，以提高访问和依从性。假设：我们假设肌功能可以通过交互式智能手机应用程序以合理的依从率提供治疗。具体目标：为了证明第一阶段拟议系统的可行性，IDL 及其合作者将： (1) 开发对 OSA 治疗有效的游戏化肌功能治疗方案 (2) 开发交互式治疗传递系统；(3) 在使用开发的系统时测试对方案的遵守情况。