EXTENDING INDEPENDENCE AND QUALITY OF LIFE FOR PEOPLE WITH ALZHEIMER'S DISEASE OR DEMENTIA THROUGH TELEHEALTH PROGRAM DELIVERY

通过远程医疗计划的实施，提高阿尔茨海默病或痴呆症患者的独立性和生活质量

• 批准号: 10204865
• 负责人: Deborah E. Barnes
• 金额: $ 100.34万
• 依托单位: TOGETHER SENIOR HEALTH, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10204865
• 关键词: Alzheimer' s Disease; Alzheimer' s disease caregiver; American; Behavior Therapy; Behavioral; California; Caregivers; Caring; Child; Client; Clinical Trials; Cognitive; Communities; Control Groups; Couples; Dementia; Development; Devices; Disease; Dose; Education; Elements; Emotional; Environment; Evidence based program; Feedback; Friends; Geriatrics; Goals; Grant; Growth; Health; Home; Human; Integrative Medicine; Intervention Studies; Logistics; Measures; Memory Loss; Methods; Mission; Modeling; Parents; Participant; Personal Satisfaction; Persons; Pharmaceutical Preparations; Phase; Preparation; Prevalence; Psychology; Public Health; Qualitative Methods; Quality of life; Randomized Controlled Trials; Reporting; Research Personnel; Research Proposals; San Francisco; Small Business Innovation Research Grant; Social Problems; Social isolation; Symptoms; Teacher Professional Development; Technology; Testing; Thinking; Training Programs; Training Support; Transportation; Triad Acrylic Resin; Underserved Population; Universities; Vulnerable Populations; Waiting Lists; base; cohort; commercialization; design; digital; distraction; evidence base; experience; improved; innovation; innovative technologies; instructor; live stream; mild cognitive impairment; novel strategies; online delivery; programs; prototype; remote delivery; response; side effect; social; telehealth; tool; user-friendly; virtual; web portal; web site

Mission Statement: Together Senior Health, Inc. (TOGETHER), is committed to helping people living with Alzheimer’s Disease and Related Disorders (ADRD) and their caregivers maximize quality of life by delivering livestreaming, evidence-based, virtual group programs to them in their homes. Significance: There are currently 5.8 million people in the U.S. living with ADRD and more than 16 million unpaid caregivers. Current ADRD medications help with some symptoms but do not change the disease course and are often stopped due to side effects. In addition, most evidence-based behavioral interventions—such as our in-person Moving Together program—are not widely available to people in their local communities. Innovation: TOGETHER is bridging this gap by using human centered design principles—in which the user is involved with all phases of design and testing—to develop and test an innovative, user-friendly platform for delivering livestreaming virtual group programs to people with ADRD and caregivers in their homes. Investigators: TOGETHER’s CEO and PI of this application has expertise in human centered design and successfully led our Phase I Small Business Innovation Research (SBIR) grant. Coinvestigators and consultants bring expertise in clinical trials, integrative health, behavioral psychology, geriatrics, qualitative methods, technology and education. Approach: Phase I Progress. Our Phase I SBIR enabled us to develop and demonstrate proof-of-concept for our unique approach to livestreaming virtual group program delivery. We have completed or exceeded all of our milestones, which included: 1) creating the platform in partnership with graduates of our in-person program; 2) pilot-testing the platform in a naïve group of users and 3) refining the platform in preparation for Phase II. The response has been exceptional, with participants highlighting many physical, social, emotional, and logistical benefits. Phase II Aims: The primary goals of this SBIR Phase II grant are to: 1) determine whether livestreaming virtual group delivery of the Moving Together program improves quality of life in people with mild ADRD and caregivers, including exploration of potential mechanisms of action; 2) refine the platform for people with mild cognitive impairment to expand our target audience; and 3) develop an instructor training program to meet the needs of a larger client base. Environment: TOGETHER’S corporate office is in San Francisco, which offers a rich environment for developing and testing innovative technology-based solutions to challenging social problems and is enhanced by involvement of investigators at the University of California, San Francisco (UCSF) and San Francisco VA. Commercialization Plan: After completion of Phase II, we will be prepared to commercialize TOGETHER’s telehealth platform, initially using a client pay model, with clear plans for growth and expansion. Summary: TOGETHER’s innovative approach to livestreaming virtual group delivery of evidence-based programs for people with ADRD and caregivers in their homes offers tremendous potential to increase access and improve quality of life in this vulnerable and under-served population.

使命宣言：Together Senior Health， Inc. （Together）致力于帮助老年人

项目成果

Adaptation of an In-Person Mind-Body Movement Program for People with Cognitive Impairment or Dementia and Care Partners for Online Delivery: Feasibility, Satisfaction and Participant-Reported Outcomes.

• DOI: 10.1177/27536130231202989
• 发表时间: 2023-01
• 期刊: Global advances in integrative medicine and health
• 作者: Nicosia, Francesca M.;Lee, Jennifer A.;Chesney, Margaret A.;Benjamin, Cynthia;Lee, Amanda N.;Mehling, Wolf;Sudore, Rebecca L.;Barnes, Deborah E.
• 通讯作者: Barnes, Deborah E.