Assessing a Novel Virtual Environment that Primes Individuals Living with AD/ADRD to Accomplish Activities of Daily Living.

评估一种新颖的虚拟环境，该环境可以帮助 AD/ADRD 患者完成日常生活活动。

• 批准号: 10668160
• 负责人: Mandy Salomon
• 金额: $ 8.49万
• 依托单位: MENTIA DTX, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10668160
• 关键词: 3-Dimensional; Activities of Daily Living; Alzheimer' s Disease; Attention; Caregivers; Caring; Client; Communication; Data; Dementia; Ecological momentary assessment; Environment; Fostering; Health; Health Care Costs; Home; Impaired cognition; Individual; Longevity; Measures; Modality; Occupations; Outcome; Participant; Personal Satisfaction; Persons; Prevalence; Property; Quality of life; Residential Treatment; Risk; Site; Stimulus; Stress; Testing; Work; aging population; anxiety reduction; behavioral health; caregiver stress; cohort; cost; design; digital health; hands-on learning; human old age (65+); improved; member; memory care; new technology; novel; rehearsal; technology platform; virtual; virtual environment; virtual world

ABSTRACT The prevalence of Alzheimer’s disease and its related dementias (AD/ADRD) is growing due to increasing longevity and larger older-age populations. Care challenges to maintain the health and quality of life for persons living with dementia (PLWD) also creates a parallel health problem of persistent caregiver job stress leading to high staff turnover, additional risks to client and staff wellbeing, and higher operational costs. Improving the rate of completion of activities of daily living (ADL) has a known positive impact on the quality of life, health, and healthcare costs. Yet consistently completing ADLs, and without stress, remains a challenge. We hypothesize that undertaking virtual ADL activities will positively impact actual ADL activities resulting in more manageable and more efficient ADL completion, decreasing caregiver stress and improving the health, dignity, and quality of life for PLWD. Mentia is an early-stage digital health company that has developed DevaWorld™, a novel technology platform focused on improving behavioral health for people impacted by AD/ADRD. DevaWorld is unique in that it is designed for care dyads, with the PLWD being an active participant even though their cognitive decline may be severe. The platform consists of a media-rich 3D virtual home with interactive engagement stimuli that build communication within the care dyad and foster a sense of agency and identity. The proposed work aims to demonstrate tolerance and acceptance of DevaWorld and assess the impact of virtual ADL activities on both partners of the care dyad, paying particular attention to how the consistent rehearsal of ADLs inside DevaWorld by PWLD reduces caregiver stress. This work has two aims: Aim 1: Expand DevaWorld to include environments and activities most often cited as challenges to ADL completion. We hypothesize that players can prepare to perform ADLs via virtual world interactions. This aim entails co-designing settings, activities, and interactive avatar actions within DevaWorld to prime the player in selected ADLs. Aim 2: Demonstrate acceptance and feasibility of DevaWorld in a residential care setting. Qualitative assessments using ecological momentary assessments (EMAs) and quantitative measures of independence through ADL scale assessments will be used to study the impact of the cohort’s virtual ADLs on their actual ADLs (AIM 1). In this two-site study, the first outcome will be dyads’ acceptance and feasibility of DevaWorld in a real-world setting. The second outcome will measure DevaWorld’s potential for reducing anxiety within the dyad, leading to more efficient ADL completion.

摘要 阿尔茨海默病及其相关痴呆(AD/ADRD)的患病率正在增长，原因是 长寿和更多的老年人口。护理挑战，以保持健康和生活质量 痴呆症患者(PLWD)也造成持续的照顾者工作压力的平行健康问题 导致员工流失率高，客户和员工福祉面临更大风险，运营成本上升。 提高日常生活活动完成率(ADL)对提高生活质量有积极影响 生命、健康和医疗保健成本。然而，始终如一地完成ADL，而且没有压力，仍然是一个挑战。 我们假设，开展虚拟ADL活动将对实际ADL活动产生积极影响，从而导致 更易管理和更高效的ADL完成，减轻照顾者压力，改善健康， PLWD的尊严和生活质量。 METIA是一家处于早期阶段的数字健康公司，该公司开发了全新的技术平台DevaWorld™ 重点是改善受AD/ADRD影响的人的行为健康。DevaWorld的独特之处在于它是 为护理二人组设计的，PLWD是一个积极的参与者，即使他们的认知能力下降 很严重。该平台由一个富媒体的3D虚拟住宅组成，该虚拟住宅具有互动参与刺激 在关怀二人组内进行沟通，并培养一种代理感和认同感。拟议的工作旨在 展示对DevaWorld的容忍和接受，并评估虚拟ADL活动对两者的影响 护理二人组的合作伙伴，特别注意内部ADL的一致排练 PWLD的DevaWorld减少了照顾者的压力。 这项工作有两个目标： 目标1：扩展DevaWorld以包括最常被引用为ADL挑战的环境和活动 完成了。我们假设玩家可以通过虚拟世界的互动来准备执行ADL。这一目标 需要在DevaWorld中共同设计设置、活动和交互化身动作，以使玩家处于最佳状态 选定的ADL。 目标2：演示住院护理环境中DevaWorld的接受度和可行性。定性的 使用生态瞬时评估(EMAS)和独立的量化措施进行评估 通过ADL量表评估将被用来研究队列的虚拟ADL对他们的实际ADL的影响 ADLS(AIM 1)。在这两个站点的研究中，第一个结果将是DYADS对DevaWorld的接受和可行性 一个真实世界的场景。第二个结果将衡量DevaWorld在减少焦虑方面的潜力 DYAD，导致更高效的ADL完成。