Development of an application ("app") for training and assessment of home modification installations for aging in place

开发一个应用程序（“应用程序”），用于培训和评估居家养老改造安装

• 批准号: 10156237
• 负责人: Louis Tenenbaum
• 金额: $ 25.18万
• 依托单位: HOMESRENEWED VENTURES LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-02-01 至 2022-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10156237
• 关键词: Age; Aging; American; Applications Grants; Augmented Reality; Bathing; Caregivers; Caring; Client; Contractor; Custom; Data Collection; Decision Making; Development; Documentation; Duct (organ) structure; Effectiveness; Elderly; Elements; Ensure; Feedback; Floor; Focus Groups; Goals; Growth; Health; Healthcare; Home; Home Care Services; Housing; Individual; Industry; Instruction; Intervention; Joints; Lighting; Location; Medicaid; Medicare; Modification; Nature; Outcome; Phase; Policies; Positioning Attribute; Process; Property; Public Policy; Quality of life; Ramp; Risk; Safety; Shapes; Site; Small Business Innovation Research Grant; Specific qualifier value; Surveys; Testing; Thinking; Training; Universities; Variant; Washington; Work; aging in place; base; clinical practice; commercialization; cost effectiveness; design; experience; falls; feasibility testing; hazard; improved; innovation; iterative design; mobile application; programs; prototype; residence; response; tool; usability; waiver

ABSTRACT Improper installation of a grab bar can be a greater risk to seniors’ safety than one that is not there at all. In this Phase I SBIR proposal, Homes Renewed Ventures, LLC (HRV, Washington, DC) creates an interactive mobile application (APP) will captures site specific inputs from a licensed contractor (contractor) to generate customized guidance and instructions for the proper specification, placement and installation of grab bars including photo documentation of each critical step of the process which can be used to verify compliance with the instructions. The goal is to help Americans age in their homes safely and healthily, reducing health care spending and supporting independence and quality of life. The Joint Center for Housing Studies (JCHS) of Harvard University has observed not only that retrofitting older housing with accessibility features (e.g., grab bars, stair rails, curbless showers, ramps, improved lighting, non-slip flooring) will be a growth market for the remodeling industry; but that less than 5% of homes have significant accessibility features today. The largest number of falls occur in the home - specifically in the bathroom. Loss of independence in toileting is a trigger of a move from the home to a higher level of care. As a result, bathroom safety and independence are the #1 priority for home modifications (“HM”). While there are few rigorous studies to demonstrate the cost-effectiveness of HMs , they are supported by public policy, clinical practice and a large number of studies that have shown their effectiveness as part of a multifactorial intervention to promote aging in place. Proper specification and installation of grab bars are critical to the safety and health of seniors. Grab bars can be easily purchased, are relatively inexpensive and can be installed in most dwellings. However, installing grab bars can be a challenge due to the many variables. Yet there is a lack of information readily available. Typically, this industry relies on complicated drawings, permits and trained inspectors to verify that work is done properly. The HRV APP will automate the design process to determine appropriate grab bar specifications (e.g., size, shape, location, fastener type) in existing residential bathrooms, and use photo documentation to automate verification and inspection after installation. In Aim 1 HRV will obtain feedback from an Expert Panel and survey responses from 100 contractors. In Aim 2 the survey results will be used to build a prototype APP. In Aim 3 the prototype will be tested with two contractor focus groups to determine feasibility, usefulness and utility of the APP to ensure the safety and health of individuals aging in place. The HRV APP will provide an effective process to ensure the proper specification, installation and verification of grab bars installed in residences.

抽象的 与根本没有扶手的情况相比，扶手安装不当对老年人的安全造成的风险更大。 在第一阶段 SBIR 提案中，Homes Renewed Ventures, LLC（HRV，华盛顿特区）创建了一个 交互式移动应用程序（APP）将捕获来自许可承包商的现场特定输入 （承包商）生成定制的指导和说明，以正确规范、放置和 安装扶手，包括过程中每个关键步骤的照片记录，可以 用于验证是否符合说明。目标是帮助美国人在家中安全养老 和健康，减少医疗保健支出并支持独立性和生活质量。联合 哈佛大学住房研究中心（JCHS）观察到，改造旧房不仅 具有无障碍设施的住房（例如扶手、楼梯扶手、无路缘淋浴间、坡道、改进的照明、 防滑地板）将成为改造行业的一个增长市场；但只有不到 5% 的家庭拥有 当今重要的辅助功​​能。最多的跌倒发生在家里——特别是在 浴室。失去如厕独立性是从家庭转移到更高级别护理的触发因素。 因此，浴室的安全性和独立性是家居改造（“HM”）的第一要务。 虽然很少有严格的研究来证明 HM 的成本效益，但它们得到了以下机构的支持： 公共政策、临床实践和大量研究表明其作为一部分的有效性 促进就地老龄化的多因素干预。抓斗的正确规格和安装 酒吧对于老年人的安全和健康至关重要。 扶手很容易购买，价格相对便宜，并且可以安装在大多数住宅中。 然而，由于存在许多变数，安装扶手可能是一项挑战。然而还缺乏 信息容易获得。通常，该行业依赖于复杂的图纸、许可证和经过培训的 检查员核实工作是否正确完成。 HRV APP 将使设计过程自动化 确定现有的适当的扶手规格（例如尺寸、形状、位置、紧固件类型） 住宅浴室，并在使用后使用照片文档自动验证和检查 安装。在目标 1 中，HRV 将获取专家小组的反馈以及 100 名受访者的调查回复 承包商。在目标 2 中，调查结果将用于构建原型 APP。在目标 3 中，原型将 由两个承包商焦点小组进行测试，以确定 APP 的可行性、实用性和实用性 确保就地养老人员的安全和健康。 HRV APP将提供有效的流程 确保住宅内安装的扶手的规格、安装和验证正确。