Night Alert Prompting System

夜间警报提示系统

• 批准号: 6949502
• 负责人: Meredeth A Rowe
• 金额: $ 6.7万
• 依托单位: AMRON CORPORATION
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-05-01 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6949502
• 关键词: bioengineering /biomedical engineering; biomedical equipment development; body movement; caregivers; clinical research; cognition disorders; dementia; human subject; injury prevention; microprocessor /microchip; patient monitoring device; patient oriented research; safety equipment; sleep; stress

DESCRIPTION (provided by applicant): The long-term aim of this program of research is to develop a Night Alert Prompting System (NAPS) that can be used by caregivers of home-dwelling cognitively impaired (CI) individuals to prevent nighttime injuries and unattended exits, improve caregiver sleep, reduce caregiver worry, and thereby delay institutionalization of the CI individuals. The primary function of NAPS is to notify the caregiver of the whereabouts of the CI individual in the home and to raise an alarm if the individual is in a potentially dangerous situation. This function is particularly important during the night when caregivers worry that they may sleep through potentially unsafe nighttime activity. The goal of Phase II of this project is to integrate the NAPS functionality into a microprocessor-based home security system and perform rigorous testing on reliability and clinical outcomes. The specific aims include making the necessary modifications to an existing home security control panel, developing a reliable bed-occupancy sensor, and developing a reliable method of data retrieval from the control panel for testing. In-home reliability testing of the modified system will be conducted. In addition, a pretest-posttest control group design will be used to evaluate the effect of NAPS on clinical outcomes, which include caregiver sleep, caregiver worry about nighttime activity, injuries to the CI individual, and unattended activity of the CI individual (particularly unattended exits from the home). The impact of NAPS on intent to place the CI individual in a nursing home will also be evaluated. Nighttime activity is a significant problem for home-dwelling CI individuals and their caregivers. The deleterious effects of nighttime activity on caregivers' sleep patterns and on their ability to continue to provide care, unfortunately lead to nursing home admission of the care recipient. The NAPS may be one means to delay institutionalization of the CI person, saving families and taxpayers large amounts of money.

描述（由申请人提供）：本研究项目的长期目标是开发夜间警报提示系统（NAPS），供居家认知障碍患者的护理人员使用，以防止夜间伤害和无人看管的出口，改善护理人员的睡眠，减少护理人员的担忧，从而推迟认知障碍患者的制度化。nap的主要功能是通知护理人员CI患者在家中的位置，并在患者处于潜在危险情况时发出警报。这个功能在夜间尤其重要，因为照顾者担心他们可能会在夜间活动中睡着。该项目第二阶段的目标是将nap功能集成到基于微处理器的家庭安全系统中，并对可靠性和临床结果进行严格的测试。具体目标包括对现有的家庭安全控制面板进行必要的修改，开发可靠的床位占用传感器，以及开发从控制面板检索数据的可靠方法以进行测试。将对改进后的系统进行家庭可靠性测试。此外，测试前-测试后控制组设计将用于评估nap对临床结果的影响，包括照顾者睡眠、照顾者对夜间活动的担忧、CI个体的伤害以及CI个体的无人看管活动（特别是无人看管的离家）。nap对将CI个体安置在养老院的意图的影响也将被评估。夜间活动对居家CI患者及其照护者来说是一个重大问题。夜间活动对照顾者的睡眠模式和他们继续提供照顾的能力的有害影响，不幸地导致被照顾者进入养老院。nap可能是延迟CI人制度化的一种手段，为家庭和纳税人节省大量资金。

项目成果

Sleep pattern differences between older adult dementia caregivers and older adult noncaregivers using objective and subjective measures.

使用客观和主观测量，老年痴呆症照顾者和老年人非照顾者之间的睡眠模式差异。

• 发表时间: 2008
• 期刊: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
• 作者: Rowe,MeredethA;McCrae,ChristinaS;Campbell,JudyM;Benito,AndreaPe;Cheng,Jing
• 通讯作者: Cheng,Jing

Injuries and unattended home exits in persons with dementia: a 12-month prospective study.

• DOI: 10.1177/1533317508323138
• 发表时间: 2010-02
• 期刊: American journal of Alzheimer's disease and other dementias
• 作者: Rowe MA;Ahn H;Benito AP;Stone H;Wilson A;Kairalla J
• 通讯作者: Kairalla J

Improving caregivers' well-being by using technology to manage nighttime activity in persons with dementia.

利用技术管理痴呆症患者的夜间活动，改善护理人员的福祉。

• DOI: 10.3928/19404921-20090101-10
• 发表时间: 2009
• 期刊: Research in gerontological nursing
• 影响因子: 1.6
• 作者: Spring,HeatherJ;Rowe,MeredethA;Kelly,Annette
• 通讯作者: Kelly,Annette