The BRAIN App: Building Relationships using Artificial Intelligence and Nostalgia

项目摘要/摘要 目前有580万美国人患有痴呆症，如果没有重大突破，这一数字将 到2040年翻一番，达到1160万(Gaugler等人，2019年)。痴呆症通过损害人的功能来干扰人的功能 记忆、推理、判断、语言、启蒙和社会化，导致了许多不幸的结果，包括 社会孤立/退缩(Semple等人，1982；Alexander&Geschind，1984；Liu，Gauthier，&Gauthier，1991，Social CARE研究所，2019年)。痴呆症还与各种反应行为有关，如徘徊、重复 提问、焦虑、激动、攻击性和冷漠(Cummings，1997；Hay等人，2003；Lazarus等人，1987)。 痴呆症护理三合会--痴呆症患者(PWD)、专业护理的反应行为与功能障碍 合作伙伴(CP)和家庭成员(FM)-密不可分。响应性行为的出现可能会导致干扰 三合会的功能。相反，功能不佳的三合会会导致反应行为。因此，迫切需要 在三合会内部保持积极的人际关系和高质量的生活质量，以减少反应行为。一种方法 认知刺激疗法(CST)已经证明了生活质量和人际关系的改善。在临床试验期间 对CST的认知和生活质量都有改善，但CST的潜在大规模影响受到了低 坚持，完成试验的比例不到40%(Rai等人，2018年)。对CST依从性较低的一个可能原因是 依赖通用和/或非数字工具(例如DVD、棋盘游戏等)为干预提供便利。有了这一点 请记住，拟议的第一阶段研究将涉及创建和测试名为“Building”的应用程序的Alpha版本 使用人工智能和怀旧的关系“或大脑。Brain App将是有史以来第一款人工应用程序 为PWD注入智能的CST应用程序。该应用程序有两个主要目标：(1)促进护理人员之间的积极关系 三合会，以及(2)提高生活质量，同时减少PWD的反应行为。这款应用程序的上市版本将 由六个主要组成部分组成，每个组成部分都有不同的用途，面向不同的用户。这个 提出的项目有以下具体目标：(1)。创建一个Alpha版本的应用程序，其中将包括六个主要 组件(生活故事分析器、团队领导仪表板、CP仪表板、派驻视图、CP培训仪表板、 管理仪表板)，外加一个仅在第一阶段需要的组件(播放列表与仪表板匹配)；(2)检查 应用程序对残障人士和专业护理合作伙伴(CPS)敬业度/影响的影响；(3)检查满意度和 该应用程序易于使用，适用于残疾人和专业CP。(4)考察APP对企业性质的影响 PWD与CPS之间的关系。该第一阶段项目将为第二阶段项目奠定基础：(1) 将根据第一阶段的经验教训创建改进的应用程序；(2)将使用人工智能来推荐以下活动 PWD；(3)将策划和创建更多内容；(4)将进行大样本交叉试验；(5) 我们会研究在较长时间内实施干预措施的效果；及。(六)我们会研究 APP对反应行为和生活质量的影响(对于PWD)以及负担和压力(对于CPS)。

PROJECT SUMMARY/ABSTRACT There are currently 5.8 million Americans living with dementia and, without significant breakthroughs, this figure will double to 11.6 million by 2040 (Gaugler, et al., 2019). Dementia interferes with a person’s ability to function by impairing memory, reasoning, judgment, language, initiation, and socialization, leading to many unfortunate outcomes, including social isolation / withdrawal (Semple, et al., 1982; Alexander & Geschwind, 1984; Liu, Gauthier, & Gauthier, 1991, Social Care Institute, 2019). Dementia is also associated with a variety of responsive behaviors, such as wandering, repetitive questioning, anxiety, agitation, aggression, and apathy (Cummings, 1997; Hay, et al., 2003; Lazarus, et al., 1987) . Responsive behaviors and dysfunction of the dementia care triad—i.e., the person with dementia (PWD), professional Care Partner (CP), and Family Member (FM)—are inexorably linked. Emergence of responsive behaviors can lead to disruption of the triad’s function. Conversely, poorly functioning triads can lead to responsive behaviors. Thus, it is imperative to maintain positive relationships and a high quality of life (QoL) within the triad to reduce responsive behaviors. One approach that has demonstrated improvements in QoL and relationships is Cognitive Stimulation Therapy (CST). While clinical trials on CST have shown improvement of cognition and QoL, the potential large-scale impact of CST has been hampered by low adherence, with less than 40% completing trials (Rai, et al, 2018). One likely reason for the low adherence to CST is the reliance on generic and/or non-digital tools (e.g., DVDs, board games, etc.) in facilitating the intervention. With this in mind, the proposed Phase 1 study will involve the creation and testing of an Alpha version of an app called “Building Relationships using Artificial Intelligence and Nostalgia” or BRAIN. The BRAIN App will be the first -ever artificial intelligence infused CST app for PWD. The app has two main goals: (1) to foster positive relationships between the care triad, and (2) to promote QoL while reducing responsive behaviors in PWD. The market-ready version of the app will consist of six main components, each of which will serve a different purpose and be intended for different users. The proposed project has the following Specific Aims: (1). Create an Alpha version of the app, which will include the six main components (Life Story Profiler, Team Leader Dashboard, CP Dashboard, Resident View, CP Training Dashboard, Admin Dashboard), plus one component that will be needed only for Phase 1 (Playlist Matching Dashboard); (2) Examine the app’s impact on engagement/affect for both PWD and professional Care Partners (CPs); (3) Examine satisfaction and ease of use of the app for both PWD and professional CPs. (4) Examine the impact of the app on the nature of the relationship between the PWD and CPs. This Phase 1 project will lay the groundwork for a Phase 2 project in which: (1) an improved app would be created, based upon lessons learned in Phase 1; (2) AI will be used to recommend activities for PWD; (3) additional content will be curated and created; (4) a crossover trial with a large sample will be conducted; (5) we will examine the effects of implementing the intervention over a longer period of time; and (6) we will examine the impact of the app on responsive behaviors and QoL (for PWD) and burden and stress (for CPs).