Development of Technologies to Increase In-Seat Movement to Prevent Sitting-Acquired Pressure Injuries in Wheelchair Users

开发增加座椅内运动的技术，以防止轮椅使用者发生坐姿压力损伤

基本信息

批准号：
10289178
负责人：
M. Susan Hallbeck
金额：
$ 41.47万
依托单位：
MAYO CLINIC ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-15 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10289178
关键词：
Accelerometer Administrative Supplement Adult Alzheimer&apos s Disease Alzheimer&apos s disease care Area Assisted Living Facilities Award Behavior Caregivers Caring Cellular Phone Cessation of life Clinic Cohort Studies Dementia Development Disease Elderly Feedback Focus Groups Funding Future Goals Group Structure Guidelines Health Health Care Costs Health system High Prevalence Home Incidence Interview Lead Measurement Measures Methods Minnesota Monitor Movement Needs Assessment Pain Participant Patient Care Patients Performance Prevention Process Quality of life Risk Risk Reduction Role Sepsis Site Skin Spinal Dysraphism Spinal cord injury Surveys Symptoms System Tablets Target Populations Technology Testing Time United States National Institutes of Health Universities Weight Wheelchairs Work base cognitive disability decubitus ulcer design disability effectiveness testing empowered experience improved injury prevention mobile application new technology pressure prevent satisfaction sensor success technology development tool usability user centered design visual feedback wound healing

项目摘要

SUMMARY/ABSTRACT Adults with Alzheimer’s disease are at an increased risk of developing pressure injuries (commonly known as pressure ulcers). In a recent study by PI Sonenblum, 7% of adults with Alzheimer’s disease from a large EMR- based cohort study developed pressure injuries, and Alzheimer’s disease was the mobility related disability with the highest prevalence of pressure injuries behind spinal cord injury and spina bifida. Pressure injuries lead to high healthcare costs, further disability, decreased quality of life, pressure injury pain in older adults, and can result in death when sepsis is present. Wheelchair use is responsible for 36% to 50% of pressure injuries, and wheelchair use is common among adults with Alzheimer’s both living at home or in assisted living facilities. Further, the latest NPIAP/EPUAP guidelines highlight that older adults with Alzheimer’s disease and its related dementias continue to be under-assessed and under-treated for pressure injuries and related symptoms. Thus, there exists a need to improve the way we care for patients with Alzheimer’s disease who use wheelchairs to better prevent seating-acquired pressure injuries. A key component for the prevention of pressure injuries is minimizing prolonged pressure under the sacral, ischial, and sacrococcygeal areas through movement and shifting of the body. Our team has developed two novel technologies that provide feedback to increase body movement to prevent pressure injuries. Both systems (WiSAT and AW-Shift) utilize advanced sensors placed either under or atop a wheelchair cushion that communicate to a mobile application (app) that can be viewed by the wheelchair user and/or caregiver on a smart phone or tablet. The systems provide feedback to the user to motivate the performance of pressure relieving behaviors. Our current NIH funded project is testing the effectiveness of the two systems to improve pressure-reducing in-seat body movement in adults with spinal cord injury and related disorders. Both systems have gone through an extensive user- centered design process with wheelchair users without significant cognitive disability, and the systems have been tailored for personal use by the wheelchair user. We propose that these systems could have a significant role in improving the management the skin health of adults with Alzheimer’s disease who use or sit in wheelchairs for long periods of time. However, both systems need to be tailored to the needs of adults with Alzheimer’s disease and/or their caregivers. We propose to perform a thorough needs assessment of key stakeholders followed by a tailoring of the system to user needs. Finally, we will perform usability testing of both systems in the target population to determine the user experience and guide further development and testing.

摘要/摘要患有阿尔茨海默氏病的成年人患有压力损伤的风险增加（通常称为压疮）。在Pi Sonenblum最近的一项研究中，有7％的老年痴呆症患有大型EMR的成年人基于同类研究，研究产生了压力损伤，阿尔茨海默氏病是与流动性相关的残疾脊髓损伤和脊柱裂后，压力损伤的患病率最高。压力损伤导致高昂的医疗保健成本，进一步的残疾，降低生活质量，老年人的压力损伤，并且在存在败血症时会导致死亡。轮椅使用造成压力的36％至50％受伤和轮椅使用在成年人中很常见，而阿尔茨海默氏症则生活在家里或辅助生活中设施。此外，最新的NPIAP/EPUAP指南强调，患有阿尔茨海默氏病的老年人其相关痴呆症的评估不足，并且在压力损伤和相关的情况下进行了处理。症状。这是有必要改善我们护理阿尔茨海默氏病的患者的方式使用轮椅更好地防止座椅获得的压力损伤。预防的关键组成部分压力损伤正在最大程度地减少通过s骨，颈和s骨面积下的长时间压力身体的运动和移动。我们的团队开发了两种新颖的技术，可以向增加身体运动以防止压力损伤。这两个系统（WISAT和AW-SHIFT）都利用了高级将传感器放置在轮椅垫下方或放置在与移动应用程序（APP）通信的轮椅靠垫之下轮椅用户和/或护理人员可以在智能手机或平板电脑上查看。系统提供的向用户的反馈，以激发缓解压力行为的表现。我们目前的NIH资助项目正在测试这两个系统的有效性，以改善减压的座位运动运动脊髓损伤和相关疾病的成年人。这两个系统都经历了广泛的用户 - 与没有明显认知障碍的轮椅使用者的集中设计过程，系统具有我们建议这些系统可能具有重要的在改善管理或坐在阿尔茨海默氏病的成年人的皮肤健康方面的作用轮椅长时间。但是，这两种系统都需要根据成年人的需求量身定制阿尔茨海默氏病和/或其护理人员。我们建议对密钥进行彻底的需求评估利益相关者随后针对用户需求量身定制系统。最后，我们将进行可用性测试目标人群中的两个系统都可以确定用户体验并指导进一步的开发以及测试。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The usability of two mobile health assistive technologies for wheelchair-related in-seat movement and pressure.

DOI：
10.1177/20556683231211808
发表时间：
2023-01
期刊：
JOURNAL OF REHABILITATION AND ASSISTIVE TECHNOLOGIES ENGINEERING
影响因子：
2
作者：
Jordan, Kathleen;Vos-Draper, Tamara;Morrow, Melissa;Sonenblum, Sharon
通讯作者：
Sonenblum, Sharon

Visualization of user interactions with a pressure mapping mobile application for wheelchair users at risk for pressure injuries.

DOI：
10.1080/10400435.2020.1862938
发表时间：
2022-07-04
期刊：
Assistive technology : the official journal of RESNA
影响因子：
0
作者：
Goodwin BM;Olney CM;Ferguson JE;Hansen AH;Eddy B;Goldish G;Morrow MM;Vos-Draper TL
通讯作者：
Vos-Draper TL

Validating a wheelchair in-seat activity tracker.