Autonomous Navigating Telepresence Robot for Alleviating Loneliness and Engaging Nursing Home Residents with and without Dementia

自主导航远程呈现机器人可缓解孤独感并吸引患有或未患有痴呆症的疗养院居民

• 批准号: 10255485
• 负责人: Yuval Malinsky
• 金额: $ 50万
• 依托单位: VIGOROUS MIND, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-15 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10255485
• 关键词: Address; Alzheimer' s Disease; Alzheimer' s disease related dementia; Boredom; Brain; Businesses; COVID-19; Caregivers; Caring; Cessation of life; Charge; Chronic Disease; Collaborations; Communication; Confusion; Consent; Control Groups; Coronary heart disease; Data; Dementia; Deterioration; Diagnosis; Disinfection; Elderly; Exercise; Family; Family member; Feasibility Studies; Funding; Goals; Grant; Health; Health Insurance Portability and Accountability Act; Home; Homes for the Aged; Impaired cognition; Industry; Internet; Intervention; Intervention Studies; Link; Location; Loneliness; Long-Term Care; Measures; Mental Depression; Mind; Modeling; Moods; Music; Nursing Homes; Older Population; Online Systems; Phase; Pilot Projects; Population; Preparation; Procedures; Protocols documentation; Quality of life; Research Personnel; Risk; Robot; Schedule; Scheduling and Staffing; Secure; Small Business Innovation Research Grant; Social isolation; Socialization; Stroke; System; Tablets; Technology; Test Result; Testing; Time; Training; Travel; Videoconferencing; Visit; Work; base; cognitive function; commercialization; dashboard; depressive symptoms; feasibility testing; group intervention; improved; infection risk; intervention participants; loved ones; meetings; phase II trial; preference; primary outcome; satisfaction; social engagement; success; telepresence; usability; virtual; virtual visit; web site

1R43AG073001-01 Malinksy, Yuval ABSTRACT Social isolation has been an emerging critical challenge in the care of older adults in nursing homes where residents engage for an average of just 12 minutes per day with an activity director, a situation further exacerbated by Covid-19. Social isolation has detrimental effects on health as evidenced by the fact that 48.7% of nursing home residents have an active depression diagnosis. Loneliness is associated with increased depressive symptoms, risk for coronary heart disease and stroke, and is a key predictor of depression, health deterioration, and death in older adults. Greater loneliness is associated with lower cognitive function. Prior to COVID-19, 50.4% of nursing home residents were diagnosed with Alzheimer’s disease or Alzheimer’s disease related dementias. Socialization has been shown to reduce chronic disease, depression, slow down cognitive decline, and to improve quality of life in older adults. At the same time that the older population is growing rapidly in the U.S., there is a growing shortage in caregivers and staff in nursing homes and the staff are overworked. Recent attempts to address the loneliness problem by providing tablets to nursing homes through the Care Act have caused the already understaffed nursing homes’ extra work since residents cannot figure out how to use the tablets on their own. Scheduling staff for setting up the tablets and facilitating communication for the residents at their rooms when families want to virtually meet, present another challenge. The proposed project aims to integrate an affordable autonomous navigating telepresence robot with proven web-based scheduling and communications (Zoom) systems and a proven activities platform for seniors. The Vigorous Mind (“VM”) activities platform has been used successfully in dozens of senior living facilities and nursing homes for more than nine years. We will test the feasibility of implementing the integrated system at two nursing homes to address both social isolation and engagement as well as eliminating the need for staff to handle scheduling and to be present with residents with Alzheimer’s disease and other dementias or without in performing the virtual visits. The system will allow families to schedule virtual visits through the nursing homes’ website and the robot will autonomously navigate its way to the resident’s room at the scheduled time. The family member will be seen by the resident on the robot screen and the robot will move into the room where the resident and the family member will socialize and engage in VM activities. At the end of the virtual visit the robot will autonomously navigate its way to the disinfection station, be disinfected and charge its battery. The feasibility test will last three months and we shall collect data about user satisfaction with the sessions, with the technology and resident engagement. We will collect preliminary data on the success of the system in alleviating loneliness and improving mood among older adult residents of a nursing home in preparation for a larger and longer PHASE II SBIR. If successful, this technology could be an affordable solution for addressing loneliness and social isolation in long-term care and senior living facilities and in homes of older adults who live with caregivers, and at the same time save caregivers time and give them some respite.

1R43AG073001-01 尤瓦尔·马林斯基 抽象的 社会隔离已成为疗养院老年人护理中面临的一个新的严峻挑战，疗养院的居民平均每天与活动主管接触的时间只有 12 分钟，而 Covid-19 进一步加剧了这种情况，社会隔离对健康产生了不利影响。 48.7% 的疗养院居民有积极的抑郁症诊断，孤独感与抑郁症状、冠心病和中风风险增加有关，并且是老年人抑郁、健康恶化和死亡的关键预测因素。 .更大在 COVID-19 之前，50.4% 的疗养院居民被诊断患有阿尔茨海默病或阿尔茨海默病相关的痴呆症，社交化已被证明可以减少慢性疾病、抑郁症、减缓认知能力下降并改善。老年人的生活质量在美国老年人口迅速增长的同时，疗养院的护理人员和工作人员日益短缺，而且工作人员过度劳累。 最近通过《护理法案》向疗养院提供平板电脑来解决孤独问题的尝试，给本已人手不足的疗养院带来了额外的工作，因为居民不知道如何自行使用平板电脑来安排工作人员设置平板电脑和提供便利。当家人想要虚拟见面时，居民在房间里的沟通是另一个挑战。 拟议项目旨在将经济实惠的自主导航远程呈现机器人与经过验证的基于网络的调度和通信（Zoom）系统以及经过验证的老年人活动平台“Vigorous Mind”（“VM”）活动平台已在数十名老年人中成功使用。我们将测试在两个疗养院实施集成系统的可行性，以解决社会隔离和参与问题，并消除工作人员处理日程安排和与居民在一起的需要。阿尔茨海默病和其他疾病该系统将允许家庭通过疗养院的网站安排虚拟访问，机器人将在预定时间自动导航到居民的房间。在机器人屏幕上，机器人将进入居民和家庭成员进行社交和参与虚拟活动的房间。虚拟访问结束时，机器人将自动导航到消毒站，进行消毒和充电。其电池的可行性测试将持续三年。我们将收集有关用户对会议、技术和居民参与度的满意度的数据。我们将收集有关该系统在缓解疗养院老年居民的孤独感和改善情绪方面是否成功的初步数据，为更大规模的会议做好准备。和更长的第二阶段 SBIR。 如果成功，这项技术可能成为一种经济实惠的解决方案，用于解决长期护理和老年生活设施以及与护理人员住在一起的老年人家中的孤独和社会孤立问题，同时节省护理人员的时间并让他们得到一些喘息的机会。