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）：基于传感器的技术远程运作且无创，可以帮助家庭护理人员监测患有阿尔茨海默氏病或​​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房屋（例如床，药柜或冰箱门，厕所和客厅）的遥控传感器组合。这样的传感器可以立即传达与家庭护理人员和护理专业人员（例如护士护理经理）的ADRD人员预期阈值以外的任何功能。远程健康监测技术（例如Eneighbor）的目标是防止健康转变（例如跌倒或流浪事件），因此比目前交付给ADRD患者的家庭护理人员的许多临床方案提供了更积极的干预模型。在过去的5年中，位于明尼苏达州贝勒平原的非营利长期护理提供商路德教会协会在整个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年的示威项目的目的是建立在路德教会家庭协会的工作基础上，并进行嵌入式实验混合方法评估，以确定伊内格堡技术在改善社区及其家庭护理人员中居住的人的结果方面的疗效。 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对ADRD患者的负面健康转变（跌落，流浪事件）和服务利用率（住院治疗，住院）的负面健康转变或减少； d）更大的成本效益； 2）通过“嵌入式”定性数据收集组件成功使用了eneighbor的成功利用，以及为什么这种健康监测技术使ADRD及其家庭护理人员有益； 3）在整个为期5年的示范项目中，每季度与利益相关者吸引利益相关者，以增强照顾ADRD患者的家庭健康监测技术的效用。我们预计，该项目的成功完成将使Eneighbor定位为一种创新的，以利益相关者为中心的选择，为在其社区中有ADRD的人的家庭护理人员提供强有力的支持。