A Proactive Health Monitoring Intervention for Dementia Caregivers: The eNeighbor

针对痴呆症护理人员的主动健康监测干预措施：eNeighbor

• 批准号: 8664511
• 负责人: JOSEPH E. GAUGLER
• 金额: $ 24.42万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-01 至 2019-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8664511
• 关键词: Proactive; Health; Monitoring; Intervention; Dementia

DESCRIPTION (provided by applicant): Sensor-based technologies that operate remotely and are non-invasive could assist family caregivers monitor the daily function of persons with Alzheimer's disease or a related dementia (ADRD). For example, the eNeighbor technology platform includes a combination of remote sensors that are located in key areas of a person with ADRD's home (e.g., bed, medicine cabinet or refrigerator doors, toilet, and living rooms). Such sensors can immediately communicate any function that is outside of an expected threshold for the person with ADRD to both a family caregiver and a care professional (e.g., nurse care manager). The goal of remote health monitoring technology such as eNeighbor is to prevent negative health transitions such as falls or wandering events, and thus provides a more proactive intervention model than many clinical protocols that are currently delivered to family caregivers of persons with ADRD. The Lutheran Home Association, a non-profit long-term care provider located in Belle Plaine, Minnesota, has deployed eNeighbor in residential and home settings throughout Minnesota and Wisconsin over the past 5 years. The objective of this 5-year demonstration project is to build on the work of The Lutheran Home Association and conduct an embedded experimental mixed methods evaluation to determine the efficacy of the eNeighbor technology in improving outcomes among persons with ADRD living in the community and their family caregivers. The Specific Aims are as follows: 1) To compare 100 ADRD caregivers randomly assigned to an attention control with 100 ADRD caregivers who utilize eNeighbor over an 18-month period to determine if the use of the remote sensor technology results in a) significant (p < .05) increases in caregiver self-efficacy and sense of competence, b) significant decreases in caregiver distress (subjective stress, depressive symptoms), c) significant delays of or reductions in negative health transitions (falls, wandering events) and service utilization (residential care placement, hospitalizations) for persons with ADRD; and d) greater cost- effectiveness; 2) To determine through "embedded" qualitative data collection components how eNeighbor is successfully utilized and why this health monitoring technology benefits persons with ADRD and their family caregivers; and 3) To engage stakeholders on a quarterly basis throughout this 5-year demonstration project in order to enhance the utility of health monitoring technology for families who care for persons with ADRD. We anticipate that the successful completion of the project aims will position the eNeighbor as an innovative, stakeholder-centric option that offers robust support for family caregivers of persons with ADRD in their communities.

描述（由申请人提供）：远程操作且非侵入性的基于传感器的技术可以帮助家庭护理人员监测阿尔茨海默病或相关痴呆症（ADRD）患者的日常功能。例如，eNeighbor 技术平台包括位于 ADRD 患者家中关键区域（例如床、药柜或冰箱门、卫生间和客厅）的远程传感器组合。此类传感器可以立即将 ADRD 患者超出预期阈值的任何功能立即传达给家庭护理人员和护理专业人员（例如护士护理经理）。 eNeighbor 等远程健康监测技术的目标是防止跌倒或徘徊事件等负面健康转变，从而提供比目前提供给 ADRD 患者家庭护理人员的许多临床方案更主动的干预模型。路德家庭协会是一家位于明尼苏达州贝尔普莱恩的非营利性长期护理提供商，过去 5 年在明尼苏达州和威斯康星州的住宅和家庭环境中部署了 eNeighbor。 这个为期 5 年的示范项目的目标是以路德家庭协会的工作为基础，进行嵌入式实验混合方法评估，以确定 eNeighbor 技术在改善社区 ADRD 患者及其家庭护理人员的治疗效果方面的功效。具体目标如下： 1) 将随机分配到注意力控制组的 100 名 ADRD 护理人员与在 18 个月内使用 eNeighbor 的 100 名 ADRD 护理人员进行比较，以确定使用远程传感器技术是否会导致 a) 护理人员自我效能感和能力感显着提高 (p < .05)，b) 护理人员痛苦（主观压力、抑郁症状）显着减少，c) 显着延迟 ADRD 患者的负面健康转变（跌倒、徘徊事件）和服务利用（住院护理安置、住院）或减少； d) 更高的成本效益； 2) 通过“嵌入式”定性数据收集组件确定如何成功利用 eNeighbor 以及为什么这种健康监测技术有益于 ADRD 患者及其家庭护理人员； 3) 在这个为期 5 年的示范项目中，每季度让利益相关者参与进来，以提高护理 ADRD 患者家庭的健康监测技术的实用性。我们预计，该项目目标的成功完成将使 eNeighbor 成为一种创新的、以利益相关者为中心的选择，为社区中 ADRD 患者的家庭护理人员提供强有力的支持。