Phase IIB - Smart Eyewear Assistant for the Support of Seniors and their Caregivers in the Long-term Care Setting

第二阶段 - 智能眼镜助手，为长期护理环境中的老年人及其护理人员提供支持

• 批准号: 9750599
• 负责人: Mark A Fauci
• 金额: $ 99.43万
• 依托单位: GEN-9, INC.
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9750599
• 关键词: 911 call; Address; Adoption; Bluetooth; Budgets; Car Phone; Caregivers; Caring; Certification; Child; Collaborations; Communication; Communities; Complex; Computer software; Cost Control; Custom; Development; Devices; Ear; Elderly; Emergency Situation; Evaluation; Evaluation Studies; Eyeglasses; Family; Family Caregiver; Family member; Financial Hardship; Goals; Healthcare; Home environment; Human Resources; Individual; Lead; Life Style; Location; Long-Term Care; Long-Term Care for Elderly; Longevity; Manufacturer Name; Medicare/Medicaid; Methods; Monitor; Participant; Performance; Pharmaceutical Preparations; Phase; Physiologic pulse; Pilot Projects; Population Growth; Prevention Research; Production; Quality of Care; Reporting; Research; Safety; Social Security; Social isolation; Stigmatization; Technology; Telephone; Testing; Text Messaging; Time; Universities; Vision; Voice; Wearable Computer; Work; age group; aged; base; care costs; care delivery; career; cost; cost effective; demographics; design; handheld mobile device; heart rate monitor; human very old age (85+); improved; iterative design; lens; medical schools; mobile computing; patient home care; prototype; success; tool; usability; wireless fidelity

ABSTRACT Addressing the rapidly growing need for affordable, high-quality, long-term elder care is, and will remain, one of the most daunting challenges facing healthcare over the next several decades. The costs associated with long- term care for the elderly are skyrocketing. By 2030, spending for Social Security, Medicare and Medicaid will grow to almost 60% of the federal budget, driven largely by the cost of this care. Long-term care in the home may represent a potential solution to controlling the public cost of this care. Over 90% of seniors and their families prefer long-term care in the home rather than institutional care. However, changing demographics resulting from longer lifespans and lower birthrates result in fewer children and grandchildren available to care for an increasing number of elders. Population growth among those aged 65–74 are projected to increase to 32.8 million in 2020 and 38.6 million in 2030. The number of individuals aged 75–84 is expected to reach 30.1 million by 2040 and those aged 85 and older is expected to reach 14.1 million. These demographic changes are further exacerbated by the increasing cost of home care delivery, which is disproportionately borne by family members. All of these factors can and do lead to financial hardship for the family and/or social isolation and decreasing care quality for the elder. The application of appropriate technology presents the best option to support both family and professional caregivers in providing this care while keeping costs under control. However, no technical solution can be viable without the participation of the senior receiving the care. Unfortunately, current technology tends to intimidate elders with complex screen menus, stigmatize them with inappropriate form-factor designs and/or are limited by their communication capabilities, which do not extend outside of the confines of the home when the elder is most vulnerable to emergencies. Our working hypothesis is that a cellular-connected mobile communication and monitoring tool, in the form of an ordinary-looking pair of eyeglasses and equipped with an entirely voice-activated interface can address these requirements and in so doing support both family and professional caregivers in providing this care.

摘要 满足对负担得起的、高质量的、长期的老年人护理的快速增长的需求是，并将继续是， 未来几十年医疗保健面临的最严峻挑战。与长期相关的成本- 对老年人的定期护理正在迅速增加。到2030年，社会保障，医疗保险和医疗补助的支出将 增长到联邦预算的近60%，主要是由这种护理的成本驱动的。家庭长期护理 可能是控制这种护理的公共成本的一种潜在解决方案。超过90%的老年人及其 家庭更愿意在家中接受长期护理，而不是在机构接受护理。然而，不断变化的人口结构 由于寿命延长和出生率降低，可供照顾的子女和孙辈减少， 越来越多的老年人。65 - 74岁人口的增长预计将增加到 32.8 2020年为3860万，2030年为3860万。75 - 84岁的个人数量预计将达到30.1 到2040年，85岁及以上的人口预计将达到1 410万。这些人口变化 家庭护理费用的增加进一步加剧了这一问题， 家庭成员所有这些因素都可能而且确实导致家庭经济困难和/或社会孤立 降低老年人的护理质量。 应用适当的技术是支持家庭和专业人员的最佳选择 护理人员提供这种护理，同时控制成本。然而，没有技术解决方案可以 在没有老年人参与的情况下也是可行的。不幸的是，目前的技术往往 用复杂的屏幕菜单恐吓老年人，用不适当的外形设计羞辱他们，和/或 受其通信能力的限制，当 老年人最容易受到紧急情况的影响。 我们的工作假设是，蜂窝连接的移动的通信和监控工具，以 一副看起来很普通的眼镜，配上完全声控的界面， 这些要求支持家庭和专业护理人员提供这种护理。