Mobile and Remote Monitoring of Seating Pressure for Wheelchair Users with SCI

通过 SCI 对轮椅使用者的座压进行移动和远程监测

• 批准号: 8929433
• 负责人: MELISSA M. MORROW
• 金额: $ 23.61万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8929433
• 关键词: Adherence; Advanced Development; Affect; Algorithms; Behavior; Biofeedback; Calibration; Cellular Phone; Cessation of life; Clinic; Clinic Visits; Clinical; Computer software; Data; Decubitus ulcer; Development; Disabled Persons; Education; Ensure; Equipment; Failure; Feedback; Figs - dietary; Frequencies; Future; Goals; Health; Healthcare; Home environment; Human; Individual; Internet; Maps; Measures; Medical; Modeling; Monitor; Motion; Movement; Operating System; Outcome; Participant; Patient Education; Patient Monitoring; Patients; Performance; Positioning Attribute; Prevention; Process; Quality of life; Questionnaires; Recommendation; Recurrence; Rehabilitation therapy; Risk; Safety; Sepsis; Skin; Solid; Spinal cord injury; Sternum; Stream; System; Systems Development; Technology; Testing; Time; Translations; Treatment Cost; Ulcer; United States; Variant; Visit; Visual; Wheelchairs; Wireless Technology; base; behavior change; clinically relevant; cost; design; empowered; hazard; health care delivery; mortality; novel; pressure; prevent; prototype; public health relevance; sensor; success; tool; usability

 DESCRIPTION (provided by applicant): At any given time, 25% of the 300,000 people with spinal cord injuries (SCI) in the United States will have a pressure ulcer related to sitting, and total yearly treatment costs are estimated at a staggering $6.3 billion. With ulcer recurrence rates as high as 63% and mortality rates as high as 50% when sepsis is present; there exists a critical clinical need to target prevention of ulcer development to avert serious complications including death. Seat interface pressure mapping performed in rehabilitation clinics can effectively determine appropriate equipment and positioning in a wheelchair, but translation of the information to the daily routine is often unsuccessful. An accurate, reliable, robust, and safe personal-use seating pressure system available to wheelchair users with SCI has the potential to prevent ulcers via real-time visual biofeedback, facilitate remote monitoring of skin health, and limit unnecessary medical visits. However, cost and technical barriers have precluded their availability directly to consumers thus far. The goal of this proposed project is to further the development of our prototype personal-use seating pressure monitoring system that aims to engage, empower, and motivate individuals who use wheelchairs with an SCI to prevent seating pressure ulcers. Our prototype has overcome the software-related barriers by using a web application for Smartphone operating systems and a standard WiFi connection for data transfer, and partnership allowing use of a commercially available mass-producible pressure mat positions the end product at an affordable cost. The objective of this project is to advance the development of our system by optimizing field-based system performance (Aim 1) and determining the ability of the system to elicit an improvement in pressure relieving behaviors in wheelchair users (Aim 2). The additional development proposed will ensure that the system is successful in regards to technical features and human factors that will result in a truly useful an clinically effective personal monitoring system. The rationale for this project is based on solid evidence that when patients are engaged and empowered with the right tools, they are able to manage their health with far greater success and partner with their clinical team for positive clinical outcomes.

 描述（由适用提供）：在任何给定时间，美国300,000人中有25％的人中有25％在美国有与坐姿有关的压疮，估计总年度治疗费用为63亿美元。存在败血症时的溃疡复发率高达63％，死亡率高达50％；存在针对预防溃疡发育以避免严重并发症在内的严重并发症的关键临床需求。在康复诊所进行的座椅界面压力映射可以有效地确定适当的设备和在轮椅上的定位，但是将信息转换为日常工作通常是不成功的。准确，可靠，健壮且安全 带有SCI轮椅使用者使用的个人使用坐姿压力系统有可能通过实时视觉生物反馈来防止溃疡，支持对皮肤健康的远程监控，并限制不必要的医疗就诊。但是，到目前为止，成本和技术障碍已无法直接向消费​​者提供供应。这个拟议项目的目标是进一步开发我们的原型个人使用坐压力监测系统，该系统旨在吸引，授权和动力的个人，他们使用SCI的轮椅来防止座椅压力溃疡。我们的原型通过使用智能手机操作系统的Web应用程序以及用于数据传输的标准WiFi连接来克服与软件相关的障碍，并允许使用可承受的成本来使用最终产品的伙伴关系。该项目的目的是通过优化基于现场的系统性能（AIM 1）来推动系统的开发，并确定系统在轮椅用户中提高压力缓解行为的能力（AIM 2）。提出的额外发展将确保该系统在技术特征和人为因素方面取得成功，这将导致真正有用的临床有效的个人监测系统。该项目的基本原理是基于可靠的证据，即当患者参与并授权正确的工具时，他们能够以更大的成功来管理健康，并与临床团队合作以获得积极的临床成果。