A novel computer-based functional skills assessment and training program

一种新颖的基于计算机的功能技能评估和培训计划

• 批准号: 9407540
• 负责人: SARA J CZAJA
• 金额: $ 22.5万
• 依托单位: I-FUNCTION, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9407540
• 关键词: Activities of Daily Living; Address; Adult; Aged, 80 and over; Aging; Area; Clinical; Cognition; Cognition Disorders; Cognitive; Cognitive remediation; Communication; Computers; Data; Dementia; Diagnostic; Educational Intervention; Elderly; Goals; Health; Healthcare; Home environment; Impaired cognition; Impairment; Independent Living; Individual; Intervention; Lead; Learning; Maintenance; Measures; Medication Management; Minority; Neurobehavioral Manifestations; Neuropsychological Tests; Occupational activity of managing finances; Outcome; Outcome Measure; Performance; Persons; Pharmacology; Phase; Pilot Projects; Population; Population Dynamics; Population Heterogeneity; Protocols documentation; Randomized; Reporting; Risk; Role playing therapy; Sampling; Schizophrenia; Self Efficacy; Services; Specificity; System; Tablets; Task Performances; Technology; Testing; Time; Training; Training Programs; Transferable Skills; Work; age related; aged; base; cognitive ability; cognitive change; cognitive performance; cognitive rehabilitation; cognitive training; cost; design; dosage; ethnic diversity; experience; functional decline; functional gain; improved; improved functioning; indexing; informant; interest; low socioeconomic status; mild cognitive impairment; new technology; novel; phase 1 study; prevent; programs; skills; skills training; social; standard measure; tool; trend; usability

Abstract People with cognitive impairments such as those with dementia or Mild Cognitive Impairment (MCI), often experience difficulty performing everyday routine activities, particularly those involving technology as it generally involves new learning. Further, normative age-related changes in cognition often lead to performance deficits on previously learned skills and also impede new learning, such as learning to use new technology systems, which are ubiquitous in today's technology driven world. This is of great concern given the aging of the population, the increasing number of older adults with cognitive impairments, and the continual deployment of new technologies in everyday contexts. Currently, there is a vast interest in developing tools to detect the earliest manifestations of cognitive and functional decline and in developing efficacious pharmacological and non-pharmacological interventions for those who are experiencing or at risk for cognitive and functional problems. The proposed Phase 1 study will refine and evaluate a novel integrated computer-based functional skills assessment and training (FST) program that provides training on everyday tasks critical to independent living (e.g., financial and medication management). The tasks in the program are veridical representations of everyday activities and real world systems and the training is tailored to the unique needs of an individual via the assessment component. The sample will include 75 non-impaired older adults and 75 adults with MCI, who will be randomly assigned to the FST condition, a cognitive rehabilitation training (CRT) condition or a combined FST/CRT condition. This design will allow us to examine the specificity of effects and examine the benefits of direct functional skill training relative to CRT on functional skills (FS) and cognitive outcomes and to determine if CRT provides a priming effect that further enhances the benefits of FST. Outcome measures will include objective measures of cognitive and functional abilities, self and informant reports of everyday task performance, and measures of self-efficacy and the acceptability and usability of the program. We will also gather data on the maintenance of training gains over time. The overall objective of the proposed Phase 1 study is to develop an integrated commercially available technology-based functional skills assessment and training program that can be deployed on a variety of technology platforms such as tablets or PCs and used in a variety of settings (e.g., clinical settings, home environments) with diverse adult populations. Ultimately our long term goal is to develop a product that can help prevent and treat functional declines and maintain the cognitive health and functional independence of older adults.

摘要 患有认知障碍的人，如痴呆症或轻度认知障碍（MCI），通常 在日常活动中遇到困难，特别是那些涉及技术的活动， 一般都涉及新的学习。此外，认知的规范性年龄相关变化通常会导致表现 以前学到的技能的缺陷，也阻碍了新的学习，如学习使用新技术， 系统，这是无处不在的，在今天的技术驱动的世界。这是一个非常令人关注的问题， 人口，越来越多的老年人有认知障碍，以及不断部署 新技术在日常生活中的应用。目前，人们对开发用于检测 认知和功能下降的最早表现，以及开发有效的药理学和 对于那些正在经历或有认知和功能障碍风险的人， 问题拟议的1期研究将完善和评估一种新的基于计算机的综合功能 技能评估和培训（FST）计划，提供对独立的关键日常任务的培训 生活（例如，财务和药物管理）。程序中的任务是 日常活动和真实的世界系统，培训是针对个人的独特需求，通过 评估的组成部分。样本将包括75名未受损的老年人和75名患有MCI的成年人，他们 将被随机分配到FST条件、认知康复训练（CRT）条件或 FST/CRT组合条件。这种设计将使我们能够检查效果的特异性，并检查 直接功能技能培训相对于CRT对功能技能（FS）和认知结果的益处， 确定CRT是否提供了进一步增强FST益处的启动效应。结局指标将 包括认知和功能能力客观测量，日常任务的自我和信息报告 绩效、自我效能的衡量标准以及该计划的可接受性和可用性。我们还将 收集关于长期保持训练成果的数据。拟议第一阶段的总体目标 这项研究的目的是开发一种基于商业技术的综合职能技能评估， 培训计划，可以部署在各种技术平台上，如平板电脑或PC，并用于 各种设置（例如，临床环境、家庭环境）与不同的成年人群。最终我们的 长期目标是开发一种产品，可以帮助预防和治疗功能下降，并保持 老年人的认知健康和功能独立性。