Commercializing In-Home Supportive Technolgy for Dementia Caregivers

摘要 照顾患有阿尔茨海默氏症、相关痴呆症或轻度认知障碍的亲人是一种高度 家庭生活中有意义的一部分。然而，相关的负担和压力可能会对 护理人员的健康问题，包括精神和身体健康下降，幸福感下降和死亡率增加。 这些影响可能会影响痴呆症患者（PWD）的护理质量。经验支持的 需要采取干预措施：（a）针对性的机制和途径显示，连接麻烦的行为 对照顾者有不利影响的PWD症状;（B）对照顾者有限的时间要求低， 能源;（c）可以个性化并适应不同护理人员和残疾人的需求，因为他们的变化 随着时间的推移;（d）可以成功地传播到更大的社区环境。在此商业化 准备试点（CRP）应用，我们寻求技术援助和后期研究的支持， 在People Power Caregiver（PPCg）商业发布之前，PPCg由一个 硬件系统（传感器、监控设备、可穿戴设备）、应用程序和云服务，这些服务将联合收割机 事物（即，通过互联网自动通信的设备）技术与机器学习 在家中和云端运行的算法，为护理人员创造一个更具支持性的家庭环境 和他们照顾的人PPCg的开发得到了SBIR Fast Track奖给People Power的支持 公司和伯克利的加州大学伯克利分校心理生理学实验室（BPL）。 People Power是家庭监控和物联网技术领域屡获殊荣的领导者。 近20年来，BPL一直从事残疾人及其护理人员的基础和应用研究。 CRP的资金将使我们能够通过支持三个具体目标成功地将PPCg商业化： 目标1：增加PPCg的可及性。我们将开发新版本的PPCg，并进行随机 在服务不足人群中进行的对照试验（RCT），评估对护理人员健康、福祉和 农村家庭（研究1）和西班牙语家庭（研究2）的用户满意度。 目标2：增加对可穿戴设备的PPCg支持。我们将使用两种可穿戴设备评估PPCg， 监测PWD运动和位置，分析CareActive手表数据（研究3），作为改善 警告令人担忧的事件（例如，流浪），并进行了一项关于Apple Watch的RCT（研究4）， 确定对护理人员健康、幸福和用户满意度的影响。 目标3：为PPCg商业化做好人民力量准备。为人民力量的商业化做好准备 PPCg成功后，我们将：（a）增加讲西班牙语的客户服务人员;（B）增加知识产权 通过提交5项非临时PPCg专利申请来保护;以及（c）与为大型企业提供服务的公司合作 老年客户的数量（例如，电信公司和公用事业）并且具有深厚的高级护理专业知识（例如， 专业护理机构）销售和分销PPCg。

Abstract Caring for a loved one with Alzheimer’s disease, related dementias, or mild cognitive impairment is a highly meaningful part of family life. However, the associated burden and strain can have adverse effects on caregivers including declines in mental and physical health, reduced well-being, and increased mortality. These effects can compromise care quality for people with dementia (PWD). Empirically-supported interventions are needed that: (a) target mechanisms and pathways shown to connect troublesome behavioral symptoms in PWD with adverse effects in caregivers; (b) make low demands on caregivers’ limited time and energy; (c) can be personalized and adapted to the needs of different caregivers and PWDs as they change over time; and (d) can be disseminated successfully into larger community settings. In this Commercialization Readiness Pilot (CRP) application, we seek support for technical assistance and late stage research and development activities prior to the commercial launch of People Power Caregiver (PPCg). PPCg consists of a hardware system (sensors, monitoring devices, wearables), apps, and cloud services that combine Internet-of- Things (i.e., devices that communicate automatically over the internet) technologies with machine learning algorithms that run in the home and in the cloud to create a more supportive home environment for caregivers and people in their care. PPCg was developed with support from an SBIR Fast Track award to People Power Company and the Berkeley Psychophysiology Laboratory (BPL) at the University of California, Berkeley. People Power is an award-winning, established leader in home monitoring and Internet-of-Things technology. BPL has been engaged in basic and applied research with PWDs and their caregivers for almost 20 years. CRP funding would enable us to commercialize PPCg successfully by supporting three specific aims: Aim 1: Increase PPCg accessibility. We will develop new versions of PPCg and conduct randomized controlled trials (RCTs) in underserved populations that evaluate effects on caregiver health, well-being, and user satisfaction in rural homes (Study 1) and Spanish language homes (Study 2). Aim 2: Increase PPCg support for wearable devices. We will evaluate PPCg with two wearable devices that monitor PWD movement and location, analyzing CareActive watch data (Study 3) as a way of improving alerting of worrisome events (e.g., wandering), and conducting an RCT with Apple watches (Study 4) to determine effects on caregiver health, well-being, and user satisfaction. Aim 3: Readying People Power for commercializing PPCg. To prepare People Power to commercialize PPCg successfully, we will: (a) add Spanish-speaking customer service staff; (b) increase intellectual property protection by filing 5 non-provisional PPCg patent applications; and (c) partner with companies that serve large numbers of older customers (e.g., telecom companies and utilities) and have deep senior care expertise (e.g., professional caregiver agencies) to market and distribute PPCg.