Development of a Behavioral Intervention with Socially Assistive Robots to Enhance Magnification Device Use for Reading

开发社交辅助机器人的行为干预以增强放大设备的阅读使用

• 批准号: 10093051
• 负责人: AVA K BITTNER
• 金额: $ 27.07万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-02-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10093051
• 关键词: Adherence; Adoption; Adult; Behavior Therapy; Blindness; Bluetooth; Clinical Trials; Clinical trial protocol document; Computer software; Control Groups; Crossover Design; Custom; Data; Data Collection; Development; Devices; Elderly; Evaluation; Feasibility Studies; Feedback; Frequencies; Frustration; Future; Geography; Goals; Hand; Health Services Accessibility; Home; Home visitation; Individual; Instruction; Intervention; Low Prevalence; Managed Care; Modification; Motivation; Outcome; Outcome Measure; Patient-Focused Outcomes; Patients; Periodicity; Pharmacologic Substance; Phase; Physical activity; Process; Protocols documentation; Provider; Psychological reinforcement; Randomized Controlled Trials; Reading; Rehabilitation Centers; Research Project Grants; Role; Self-Help Devices; Services; Surveys; System; Tablets; Testing; Time; Training; Transportation; Vision; Visit; Visual; Visual impairment; Work; behavior change; comorbidity; compliance behavior; cost; design; disability; follow-up; improved; medication compliance; novel; novel strategies; prevent; prototype; provider-level barriers; psychosocial; rehabilitation service; response; sensor; skills; social assistive robot; stroke rehabilitation; trend; vision rehabilitation

Project Summary or Abstract The successful application of magnification devices for reading and daily tasks is predicated on their correct use by individuals with low vision (LV), which can require several training sessions. Barriers related to transportation, geography, and/or co-morbidities often limit LV patients' ability to attend several in-office training sessions as part of low vision rehabilitation (LVR) to enhance visual function with magnification devices. A promising solution is the provision of real-time magnifier training and motivational support from an affordable socially assistive robot (SAR) to a LV patient at home. We propose to adapt and deploy SARs to promote optimal use of magnifiers and long-term engagement by providing motivation and reinforcement of skills at home. The SAR will be designed to help improve LV patients' reading efficiency, reduce their frustration, and encourage the use of the magnification device for a greater number of tasks and/or duration, thus minimizing the likelihood of abandonment of the magnifier device. Specifically, we propose to customize SAR interaction and data collection capabilities for use with adults who have newly received a hand-held magnifier for near reading tasks. We will obtain feedback from LV patients seen at the UCLA vision rehabilitation center to help guide the modifications throughout the development process. We will generate new dialog and conversations for the SAR, as well as add the ability to record, store and forward audio/video to document the LV patient performing reading tasks with their magnifier. The SAR will engage in conversations pertaining to the use of the magnifier, and use a tablet screen to solicit patients' input and display basic instructional videos. The SAR will utilize motivational dialog to enhance patients' magnifier use by promoting acceptance, adherence, and skills reinforcement. Following this development of a SAR to support magnifier use for reading, we will evaluate changes in patient outcomes following in-home deployment of a SAR for LVR. We will use a small-scale randomized controlled trial with crossover design to assess changes in reading function and/or psychosocial status among LV patients who receive the SAR intervention developed in Aim 1 for a period of 8-weeks at home compared to a control group who does not receive any intervention. After the initial 8-week evaluation period, the controls will crossover to receive the SAR for 12-weeks. Outcome measures administered on a monthly basis throughout the six-month study period will provide periodic estimates of effect size to assess for meaningful trends. We also aim to utilize data from Bluetooth beacon sensor stickers attached to the hand-held portion of magnifiers during the study period to quantify the frequency and duration of magnifier use, in order to assess behavior change in response to the SAR. This work will evaluate the preliminary efficacy of the SAR intervention for LVR involving magnifiers and refine the modifications to the SAR, in order to plan future larger-scale clinical trial protocols.

项目概要或摘要 放大设备在阅读和日常任务中的成功应用取决于它们的性能 弱视 (LV) 人士的正确使用可能需要多次培训。相关障碍 交通、地理和/或合并症常常限制左心室患者参加多项诊室培训的能力 作为低视力康复 (LVR) 一部分的课程，通过放大设备增强视觉功能。一个 有前途的解决方案是通过负担得起的机构提供实时放大镜培训和激励支持 社交辅助机器人（SAR）为家中的左心室患者提供帮助。我们建议调整和部署特别行政区以促进 通过提供动力和强化技能来优化使用放大镜和长期参与 家。 SAR 旨在帮助提高左心室患者的阅读效率，减少他们的挫败感，并 鼓励在更多任务和/或持续时间内使用放大设备，从而最大限度地减少 丢弃放大镜装置的可能性。 具体来说，我们建议定制 SAR 交互和数据收集功能，以便与 新收到手持式放大镜用于近距离阅读任务的成年人。我们会得到LV的反馈 在加州大学洛杉矶分校视力康复中心就诊的患者，以帮助指导整个治疗过程中的修改 发展过程。我们将为特区创造新的对话和对话，并增加以下能力： 记录、存储和转发音频/视频，以记录左心室患者使用放大镜执行阅读任务的情况。 特区将就使用放大镜进行对话，并使用平板电脑屏幕征求意见 患者输入并显示基本教学视频。特区将利用励志对话加强 通过促进接受、坚持和技能强化来提高患者对放大镜的使用。继此 开发 SAR 以支持使用放大镜进行阅读，我们将评估患者结果的变化 在家庭部署 LVR SAR 后。我们将使用一项小规模随机对照试验 交叉设计评估左心室患者阅读功能和/或社会心理状态的变化 与对照组相比，在家接受目标 1 中制定的 SAR 干预措施 8 周 谁没有接受任何干预。在最初的 8 周评估期之后，控制将交叉到 收到为期 12 周的 SAR。在六个月内每月进行一次结果衡量 研究期间将提供效应大小的定期估计，以评估有意义的趋势。我们还旨在利用 研究期间贴在放大镜手持部分的蓝牙信标传感器贴纸的数据 量化放大镜使用频率和持续时间的周期，以评估响应中的行为变化 到特别行政区。这项工作将评估涉及放大镜的 SAR 干预对 LVR 的初步效果 并对SAR进行细化修改，以规划未来更大规模的临床试验方案。