SBIR Phase I: The integration of smart wearables in the telehealth management workflow

这项小企业创新研究（SBIR）第一阶段项目的更广泛影响/商业潜力是设计一个以护理为中心的数字健康平台，用于帕金森病患者的远程症状监测。帕金森病是一种进行性神经系统疾病，影响各种运动和活动能力、睡眠质量、情绪和行为健康等因素，症状有个体表现。目前全世界大约有1000万人患有帕金森病。仅在美国，帕金森氏症的总经济负担就约为519亿美元。医患沟通是一项重大挑战。该项目提出了一个数字健康平台，提供一个对患者友好的机制，用于向护理团队报告日常生活中的症状和经验。这个小企业创新研究（SBIR）第一阶段项目将设计和试点一个可互操作的数字健康框架，其总体目标是解决远程症状监测的挑战。神经科医生对病人的自我报告（纸质日志）缺乏信心，因为他们容易产生偏见和多报/少报。本研究将探索将常用的智能可穿戴设备（如智能手表和智能戒指）整合到数字健康平台中，提供症状监测服务。一个关键的技术挑战是使可穿戴设备在电子健康记录（EHR）标准内的集成具有互操作性。另一个重点是为临床监督和决策确定适当的数据报告和呈现。该项目将在帕金森氏症患者和临床医生中试点数字健康平台，以衡量可行性和绩效，并评估其规模潜力。该奖项反映了美国国家科学基金会的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

The broader impact/commercial potential of this Small Business Innovation Research (SBIR) Phase I project is to design a care-centered digital health platform for remote symptom monitoring of Parkinson’s Disease patients. Parkinson’s is a progressive neurological disorder affecting various movement and mobility, sleep quality, emotional and behavioral health, and other factors, with symptoms manifesting individually. Approximately 10 million people around the world currently live with Parkinson’s Disease. The total economic burden of Parkinson’s is roughly $51.9 Billion in the U.S. alone. Patient-provider communication is a significant challenge. This project proposes a digital health platform offering a patient-friendly mechanism for reporting symptoms and experiences in daily-life settings to the care team. This Small Business Innovation Research (SBIR) Phase I project will design and pilot an interoperable digital health framework with an overarching objective to address the challenges of remote symptom monitoring. Neurologists have insufficient confidence in the patient-generated self-reports (paper-based logs) as they can be prone to biases and over-/under-reporting. This research will explore integrating commonly used smart wearables (such as smartwatches and smart finger rings) into a digital health platform to offer symptom monitoring services. A key technical challenge is to make the integration of wearables interoperable within the standards of electronic health records (EHR). Another focus is to identify appropriate data reporting and presentation for clinical oversight and decision-making. The project will pilot the digital health platform on patients with Parkinson’s and clinicians to measure feasibility and performance and to evaluate its potential to scale.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.