Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
基本信息
- 批准号:10457324
- 负责人:
- 金额:$ 40万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-08-01 至 2025-07-31
- 项目状态:未结题
- 来源:
- 关键词:
项目摘要
PROJECT SUMMARY
AHRQ previously funded the development of Elder Tree (ET), a laptop-based eHealth system shown in a
randomized trial to improve quality of life and health factors among older adults with multiple chronic conditions
(MCCs) such as diabetes and hypertension. MCCs are pervasive and costly among older adults, reducing
quality of life and accounting for 90% of Medicare spending. Self-management can help patients control their
conditions, but these skills are rarely taught in primary care. ET provides tools and support for such self-
management and addresses the frustration, discouragement, and loneliness shared by all patients with MCCs,
regardless of specific disease. Despite positive results, though, many study participants did not use ET
extensively, a problem for all health apps. In a separate survey, we learned that more than 60% of non-users
abandoned ET because the computer was too hard to use. Voice-controlled "smart" technology may solve this
problem. Smart speakers, used by speaking and listening rather than typing and reading, avoid barriers to use
such as poor vision, tremors, and interface complexity; they have been adopted at a rate faster than the
Internet or TV, especially among older adults. Smart displays enhance the system with a visual element,
helping users remember content and creating access to media meant to be viewed.
This application proposes to test the ability of voice-activated technology to expand the implementation and
sustain the use of a proven electronic health system. Specifically, we propose to test whether older adults with
MCCs will use and benefit more from ET delivered by a smart system (speaker plus display), due to ease of
use, than from a laptop version of ET. The proposal has 2 aims: 1) develop the smart system platform (ET-SS)
and 2) test it against laptop ET (ET-LT) in a 2-arm RCT. The trial will randomize 220 patients age 65+ with 4 or
more chronic conditions to receive for 8 months either ET-LT or ET-SS. We hypothesize that:
· patients with ET-SS (vs. ET-LT) will have greater ET use and better quality of life in month 8.
· these clinical outcomes will improve: a) 30-day hospital readmissions), b) medication adherence, and c)
composite score of HbA1c, mg/dL, mmHg, FEV-1, BMI, PHQ-8, FAS-GFR, and Brief Pain Inventory.
· the amount of ET use at 4 months will mediate the effects of ET at 8 months (i.e. greater use at 4
months=greater effects at 8 months), and negative affect and Self-Determination Theory constructs of
competence, social relatedness, and intrinsic motivation will mediate the effects of ET use.
· ET-SS will have better outcomes for women and for patients with 6+ (vs. 4-5) chronic conditions.
We, the investigators who developed ET, have conducted numerous RCTs of eHealth systems and published
extensively. To our knowledge, this will be the first large RCT of a smart system as a platform to implement
and disseminate a health intervention. The result could make ET more accessible and effective for older
patients, improve their quality of life, and point the way to more impactful delivery of future eHealth innovations.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
DAVID H GUSTAFSON其他文献
DAVID H GUSTAFSON的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('DAVID H GUSTAFSON', 18)}}的其他基金
Family-focused vs. Drinker-focused Smartphone Interventions to Reduce Drinking-related Consequences of COVID-19
以家庭为中心与以饮酒者为中心的智能手机干预措施可减少与饮酒相关的 COVID-19 后果
- 批准号:
10363458 - 财政年份:2021
- 资助金额:
$ 40万 - 项目类别:
Using Smart Displays to Implement an Evidence-Based eHealth System for Older Adults with Multiple Chronic Conditions
使用智能显示器为患有多种慢性病的老年人实施循证电子医疗系统
- 批准号:
10467353 - 财政年份:2021
- 资助金额:
$ 40万 - 项目类别:
Family-focused vs. Drinker-focused Smartphone Interventions to Reduce Drinking-related Consequences of COVID-19
以家庭为中心与以饮酒者为中心的智能手机干预措施可减少与饮酒相关的 COVID-19 后果
- 批准号:
10700053 - 财政年份:2021
- 资助金额:
$ 40万 - 项目类别:
Using Smart Displays to Implement an Evidence-Based eHealth System for Older Adults with Multiple Chronic Conditions
使用智能显示器为患有多种慢性病的老年人实施循证电子医疗系统
- 批准号:
10673770 - 财政年份:2021
- 资助金额:
$ 40万 - 项目类别:
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10224617 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10024258 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10669650 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Great Lakes Node of the Drug Abuse Clinical Trials Network
药物滥用临床试验网络五大湖节点
- 批准号:
10173503 - 财政年份:2019
- 资助金额:
$ 40万 - 项目类别:
Testing of a patient-centered e-health implementation model in addiction treatment
成瘾治疗中以患者为中心的电子医疗实施模型的测试
- 批准号:
10434016 - 财政年份:2018
- 资助金额:
$ 40万 - 项目类别:
Building and pilot testing a couples-based smartphone systems to address alcohol use disorder
构建并试点测试基于情侣的智能手机系统以解决酒精使用障碍问题
- 批准号:
9770732 - 财政年份:2018
- 资助金额:
$ 40万 - 项目类别:
相似国自然基金
基于SMART技术的鳄梨叶中诱导肿瘤细胞铁死亡的先导化合物的定
向挖掘
- 批准号:
- 批准年份:2024
- 资助金额:0.0 万元
- 项目类别:省市级项目
基于“活性-代谢组-基因组-SMART”整合策略发掘老鼠簕内生放线菌新型先导化合物
- 批准号:82360696
- 批准年份:2023
- 资助金额:32 万元
- 项目类别:地区科学基金项目
特定微环境激活的mRNA翻译(SMART)系统的设计及其免疫治疗应用研究
- 批准号:22307121
- 批准年份:2023
- 资助金额:30.00 万元
- 项目类别:青年科学基金项目
基于ANDSystem与多组学的水稻和小麦胁迫响应分子调控网络及智能作物平台(Smart Crop)的构建
- 批准号:
- 批准年份:2022
- 资助金额:105 万元
- 项目类别:
基于SMART设计建立中医药随机对照试验“随证施治”决策模型的研究
- 批准号:
- 批准年份:2020
- 资助金额:52 万元
- 项目类别:面上项目
精神障碍出院患者自杀风险简短联系干预(BCIs)的实施科学研究:基于序列多次分组的随机对照试验(SMART)
- 批准号:72004140
- 批准年份:2020
- 资助金额:24.0 万元
- 项目类别:青年科学基金项目
线上强化失眠认知行为治疗(Smart-CBTI plus)对失眠障碍合并焦虑、抑郁患者的随机对照研究
- 批准号:20Y11906600
- 批准年份:2020
- 资助金额:0.0 万元
- 项目类别:省市级项目
DRiPs致病性T细胞与胰腺CUZD-1蛋白双靶向Smart-DDS诱导免疫耐受治疗1型糖尿病的研究
- 批准号:81970707
- 批准年份:2019
- 资助金额:55.0 万元
- 项目类别:面上项目
基于B-SMART的类风湿关节炎分级诊疗的药物治疗管理模式构建与评价
- 批准号:71804109
- 批准年份:2018
- 资助金额:16.5 万元
- 项目类别:青年科学基金项目
面向Smart Grid基于多反馈路径的安全无线数据收集方法研究
- 批准号:61003309
- 批准年份:2010
- 资助金额:20.0 万元
- 项目类别:青年科学基金项目
相似海外基金
Evaluation and Positive Demonstration of Flood Mitigation Functions of Irrigation Systems in Mountainous Areas Using Smart Devices
山区灌溉系统智能设备防洪功能评价与实证示范
- 批准号:
23K05466 - 财政年份:2023
- 资助金额:
$ 40万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Establishment of Optimal Route Control System for Small Unmanned Aircraft Movement using Smart Meter Wireless Devices
利用智能仪表无线设备建立小型无人机运动最优航路控制系统
- 批准号:
21K11875 - 财政年份:2021
- 资助金额:
$ 40万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Data Integration and Collection of Skilled Agricultural Producers' Knowledge and Experience by using Interactive Smart Devices
利用交互式智能设备对熟练农业生产者的知识和经验进行数据整合和收集
- 批准号:
20K11787 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Using AI and smart devices to make considered talent introductions in media through COVID and beyond
利用人工智能和智能设备在新冠疫情及其他情况下在媒体上进行深思熟虑的人才引进
- 批准号:
86719 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Collaborative R&D
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10224617 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10669650 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Using Smart Devices to Implement an Evidence-based eHealth System for Older Adults
使用智能设备为老年人实施循证电子医疗系统
- 批准号:
10024258 - 财政年份:2020
- 资助金额:
$ 40万 - 项目类别:
Development of microsurgery training system using smart devices
利用智能设备开发显微外科培训系统
- 批准号:
19K18921 - 财政年份:2019
- 资助金额:
$ 40万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
Fabrication of static / dynamic smart window by using silver nano-structure for optical devices
利用银纳米结构光学器件制造静态/动态智能窗
- 批准号:
18K04269 - 财政年份:2018
- 资助金额:
$ 40万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
TERAhertz high power LINKS using photonic devices, tube amplifiers and Smart antennas (TERALINKS)
使用光子器件、电子管放大器和智能天线的太赫兹高功率链路 (TERALINKS)
- 批准号:
EP/P016421/1 - 财政年份:2017
- 资助金额:
$ 40万 - 项目类别:
Research Grant