Novel multi-sensing seat cover system for prevention of sitting-related pressure injuries in individuals with Alzheimer's disease or related dementias

新型多传感座椅套系统，用于预防阿尔茨海默病或相关痴呆症患者因坐姿而造成的压力损伤

• 批准号: 10602865
• 负责人: Tamara Vos-Draper
• 金额: $ 49.65万
• 依托单位: ADAPT DESIGN WORKS, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-15 至 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10602865
• 关键词: Access to Information; Address; Adult; Affect; Aging; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Artificial Intelligence; Awareness; Businesses; Caregivers; Caring; Cessation of life; Clinical; Cloud Computing; Cognitive; Communities; Computer software; Data; Detection; Development; Early Diagnosis; Elderly; Electronics; Emerging Technologies; Engineering; Equipment; European; Feedback; Focus Groups; Goals; Guidelines; Health Care Costs; Home; Humidity; Impairment; Individual; Industry; Institution; Laboratories; Left; Length of Stay; Mechanics; Medical Device; Medical center; Methods; Microclimate; Minnesota; Monitor; Movement; Pain; Performance; Persons; Phase; Physiological; Population; Positioning Attribute; Prevalence; Prevention; Property; Quality of life; Research; Research Design; Resolution; Risk; Risk Factors; Science; Series; Surface; Surveys; Symptoms; System; Technology; Temperature; Testing; Therapeutic; Time; Translating; United States; Universities; Update; Weight; Wheelchairs; Work; cohort; commercialization; cost; decubitus ulcer; design; disability; experience; fall risk; high risk; improved; individualized feedback; information display; injury prevention; innovation; manufacturability; meetings; member; mobile computing; novel; performance tests; pressure; prevent; prototype; research clinical testing; risk mitigation; sensor; sensor technology; usability

ABSTRACT The long-term objective of this project is to create a sensor-based monitoring technology for use by caregivers, clinicians, and individuals living with Alzheimer’s disease or Alzheimer’s disease related dementia (AD/ADRD) to mitigate the risk of pressure injuries related to prolonged sitting. Pressure injury prevalence is disproportionately high in the aging AD/ADRD population due to physiological, cognitive, and mobility changes that lead to increased sitting time and reduced awareness of risk factors. Impact on the AD/ADRD population is devastating because it leads to pain that often is untreated, hospital stays which further reduce function, increase likelihood of needing additional care support, and earlier death than those who do not experience a pressure injury. This project specifically addresses external risk factors of pressure, shear, movement, and microclimate at the sitting surface by providing feedback to the caregiver in real-time from a multi-sensing system embedded in a seat cover. These factors can’t be readily “seen” by the caregiver and apathy may prevent someone with AD/ADRD from seeking assistance to mitigate a problem, the feedback will increase caregiver awareness so that they can take action before pressure injuries appear. While sensors exist to detect moisture or fall risk, none continuously detect and display meaningful data to the caregiver about pressure, shear, movement or microclimate factors directly between the person and their sitting surface. The goal of this project is to engage with caregivers of individuals with AD/ADRD and stakeholders who are experts in sensor technology, pressure injury prevention, and medical device innovation to design an acceptable, usable, and feasible multi-sensing seat cover and associated software integration. The research design uses mixed methods and includes the use of a survey, a series of focus groups with caregivers who have had experience with pressure injuries in the AD/ADRD population, and usability assessments. An expert stakeholder design review team will meet throughout the project to review user requirements from caregivers and build a comprehensive set of design requirements. Prototype development of the multi-sensor technology will occur throughout the project with consideration of caregiver and stakeholder requirement feedback. The resulting proof-of-concept multi-sensing seat cover and updated user-facing software will undergo initial performance testing for accuracy, durability, and validity. This project is based on the premise that by providing day-long meaningful detail about the conditions directly between a person with AD/ADRD and their sitting surface, caregivers will have access to information that currently does not exist, and they can then take appropriate therapeutic action to mitigate risks. This system has the potential to reduce pressure injury prevalence therapeutically through awareness, early detection, and risk mitigation.

抽象的 该项目的长期目标是创建一种基于传感器的监测技术，供护理人员使用， 追随者以及患有阿尔茨海默病或阿尔茨海默病相关痴呆症 (AD/ADRD) 的个人 降低与久坐相关的压力性损伤的风险。 由于生理、认知和行动能力的变化，老年 AD/ADRD 人群的 AD/ADRD 比例异常高 导致久坐时间增加和对危险因素的认识降低对 AD/ADRD 人群的影响。 具有毁灭性，因为它会导致经常得不到治疗的疼痛、住院，从而进一步削弱功能， 与那些没有经历过护理支持的人相比，需要额外护理支持的可能性增加，并且死亡更早 该项目专门针对压力、剪切力、运动和压力损伤等外部风险因素。 通过多传感向护理人员实时提供反馈，调节坐面的微气候 护理人员不易“看到”这些因素，并且可能会表现出冷漠。 阻止 AD/ADRD 患者寻求帮助来缓解问题，反馈将会增加 护理人员的意识，以便他们可以在压力损伤出现之前采取行动，同时存在传感器来检测。 潮湿或跌倒风险，持续没有人检测并向护理人员显示有关压力的有意义的数据， 人与其坐垫表面之间直接存在的剪切力、运动或微气候因素。 该项目的目的是与 AD/ADRD 患者的护理人员以及传感器专家的利益相关者进行合作 技术、压力损伤预防和医疗设备创新，设计出可接受的、可用的和 可能的多传感座套和相关软件集成的研究设计采用混合。 方法，包括使用调查、一系列焦点小组以及有经验的护理人员 AD/ADRD 人群的压力损伤以及专家利益相关者设计。 审查小组将在整个项目期间召开会议，审查护理人员的用户需求，并建立一个 多传感器技术的原型开发将会出现。 在整个项目中，考虑到护理人员和利益相关者的要求反馈。 概念验证多传感座套和更新的面向用户的软件将进行初步性能测试 该项目的前提是提供一整天的准确性、耐久性和有效性。 有关 AD/ADRD 患者与其坐垫表面之间直接状况的有意义的详细信息， 护理人员将能够访问当前不存在的信息，然后他们可以采取适当的措施 该系统有可能降低压力损伤的发生率。 通过认识、早期发现和降低风险进行治疗。