SilverBills: A Legal, Technical and Financial Tool for Aging LGBTQ+ Individuals with Impaired Cognition.

SilverBills：针对认知受损的老年 LGBTQ 个体的法律、技术和财务工具。

• 批准号: 10600935
• 负责人: Eric Chess
• 金额: $ 140.59万
• 依托单位: SILVERBILLS INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10600935
• 关键词: Address; Adult; Advocacy; Age; Aging; Algorithms; Alzheimer' s disease related dementia; Alzheimer' s disease risk; American; Artificial Intelligence; Budgets; Competence; Computer software; Detection; Disadvantaged; Discrimination; Economics; Elderly; Face; Fostering; Fraud; Fright; Gender; Gender Identity; Goals; Health Personnel; Housing; Human Subject Research; Impaired cognition; Individual; Language; Lawyers; Legal; Lesbian Gay Bisexual Transgender Queer; Letters; Mental Health; Occupational activity of managing finances; Pattern; Personal Satisfaction; Phase; Population; Protocols documentation; Research Personnel; Retirement; Risk; Savings; Services; Sex Orientation; Sexual and Gender Minorities; Small Business Innovation Research Grant; Stigmatization; Technical Degree; Technical Expertise; Technology; Time; Training; United States; Validation; Workplace; aged; cohort; design; digital; experience; federal poverty level; financial exploitation; human old age (65+); improved; innovation; insight; prevent; recruit; social health determinants; tool; transmission process

ABSTRACT Age is the greatest risk factor for Alzheimer’s disease and related dementia (AD/ADRD) and an estimated 2.7 million LGBTQ+ Americans are older adults. LGBTQ+ older adults face discrimination and persecution throughout their lives, with only some recent legal protections for their sexual orientation and/or gender identification statuses in the United States. LGBTQ+ individuals with cognitive impairment are disproportionately impacted by their illness because of their sexual/gender minority status, which may cause an LGBTQ+ older adult to delay or avoid seeing a healthcare provider altogether due to fear of sexual orientation/gender identity discrimination. The economic stability of LGBTQ+ individuals is threatened due to the stigmatization and discrimination they have faced because of their sexual orientation/gender identification throughout their lives, which has impeded their ability to save and accumulate wealth; almost one third (32%) of LGBTQ+ adults aged 50 and older live on 200% of the Federal Poverty Level or less, in contrast to only 26% of non-LGBTQ+ older adults aged 65 and older. There are technology products that help foster economic wellbeing through tools that facilitate bill management and budgeting; however, these products often require a high degree of technical expertise and provide an insufficient degree of personal support to address the needs of those with cognitive impairment who identify as LGBTQ+. This application addresses the lack of financial management and legal support for older LGBTQ+ individuals with cognitive impairment, because SilverBills will develop and add features to its product that will help prevent fraud, encourage savings, and provide support for legal matters including legal claim support and obtaining powers of attorney. The goal of this project is to improve the financial wellbeing of older LGBTQ+ individuals with cognitive impairment through SilverBills V. 3 financial and legal management tool. The objective of this Direct to Phase II SBIR proposal is to develop an application for older LGBTQ+ individuals with cognitive impairment and assess financial wellbeing and mental health in LGBTQ+ individuals with cognitive impairment. This proposal aims to 1) to develop features in the SilverBills application to prevent fraud and promote savings for LGBTQ+ individuals with cognitive impairment, 2) to develop interactive features that support legal matters for LGBTQ+ individuals with cognitive impairment, and 3) to evaluate the impact of the SilverBills V3 on the financial wellbeing and mental health of aging LGBTQ+ individuals with cognitive impairment. The team will develop SilverBills V3 and support the rigorous scientific validation, which will provide evidence of innovation and provide technological tools for financial and legal management for older LGBTQ+ individuals with cognitive impairment.

抽象的 年龄是阿尔茨海默病和相关痴呆 (AD/ADRD) 的最大危险因素，估计为 2.7 数百万 LGBTQ+ 美国人是老年人，面临歧视和迫害。 在他们的一生中，只有一些最近对其性取向和/或性别的法律保护 在美国，患有认知障碍的 LGBTQ+ 个体的身份状况是： 由于他们的性/性别少数地位，他们受到疾病的影响不成比例，这可能会导致 LGBTQ+ 老年人因害怕性行为而延迟或完全避免去看医疗保健提供者 LGBTQ+ 个体的经济稳定性受到威胁。 他们因性取向/性别认同而面临的污名和歧视 在他们的一生中，这阻碍了他们储蓄和积累财富的能力； 50 岁及以上 LGBTQ+ 成年人的生活水平为联邦贫困线的 200% 或更低，而这一比例仅为 26% 65 岁及以上的非 LGBTQ+ 老年人中有一些技术产品有助于促进经济发展。 通过促进账单管理和预算的工具来实现福祉；然而，这些产品通常需要 技术专业知识水平较高，但提供的个人支持不足以满足需求 患有认知障碍的 LGBTQ+ 人群 此应用程序解决了经济困难的问题。 为患有认知障碍的老年 LGBTQ+ 人士提供管理和法律支持，因为 SilverBills 将 为其产品开发和添加有助于防止欺诈、鼓励储蓄并提供支持的功能 法律事务，包括法律索赔支持和获得授权书。该项目的目标是： 通过 SilverBills V.3 改善患有认知障碍的老年 LGBTQ+ 个体的财务状况 该 Direct to Phase II SBIR 提案的目标是开发一个财务和法律管理工具。 为患有认知障碍的老年 LGBTQ+ 人士申请并评估其财务状况和心理状况 该提案旨在 1) 开发具有认知障碍的 LGBTQ+ 个体的健康特征。 SilverBills 应用程序可防止欺诈并促进有认知障碍的 LGBTQ+ 个人的储蓄， 2) 开发互动功能，为患有认知障碍的 LGBTQ+ 个人提供法律事务支持， 3) 评估 SilverBills V3 对老年 LGBTQ+ 的财务状况和心理健康的影响 该团队将开发 SilverBills V3 并支持严格的科学依据。 验证，这将为创新提供证据，并为金融和法律提供技术工具 对患有认知障碍的老年 LGBTQ+ 个体进行管理。