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Transforming Hospitalizations of Autistic Adolescents via a Novel ABA Telehealth Platform

通过新型 ABA 远程医疗平台改变自闭症青少年的住院治疗

基本信息

批准号：
10760972
负责人：
Ronald Oberleitner
金额：
$ 74.08万
依托单位：
CARING TECHNOLOGIES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-05 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10760972
关键词：
Adoption Behavior Behavioral Caregivers Caring Child Clinical Communication Communities Cost Analysis Custom Data Evaluation Family Feedback Geographic Locations Guidelines Health Insurance Portability and Accountability Act Health system Home Hospitalization Hospitals Human Hybrids Instruction Insurance Claim Review Intelligence Intervention Length Measures Mediating Medical Medical Staff Medicine Outcome Parents Patients Pattern Persons Phase Positioning Attribute Process Provider Report (document)Research Resource-limited setting Resources Sampling Schools Security Sedation procedure Services Structure System Technology Testing Time Videoconferencing Work adolescent with autism spectrum disorder applied behavior analysis autistic children care providers care systems clinical decision support commercialization design digital health experience feasibility testing hospital care hospital readmission improved individuals with autism spectrum disorder innovation novel prototype recruit restraint satisfaction skills success support tools telehealth telehealth systems trend usability

项目摘要

PROJECT SUMMARY There is an increasing trend for children with ASD with primary behavioral challenges to be hospitalized in medical facilities because accessible behavioral support resources are not available in local communities. Unfortunately, most community-based hospitals are not well equipped to meet optimal behavioral care with families consequently experiencing prolonged/protracted hospitalizations where behaviors may not be adequately treated and could potentially worsen. Further, the specific inability to adequately respond to challenging behaviors may limit the ability of children to be accepted into step-down facilities or return home safely and contribute to extremely stressful aspects of care. Prolonged hospitalizations also result in significant negative financial return for hospitals (un/under-reimbursement). In prior work, deploying a specialized brief Applied Behavioral Analysis (ABA) assessment and intervention explicitly designed for use during hospitalizations demonstrated improvements in challenging behaviors, decreases in restraint and staffing, and high levels of family satisfaction. Unfortunately, community access to this type of intervention is extremely limited by geographic location and provider availability. Appropriate telehealth and digital health systems that can facilitate tele-mediated support may hold great potential for increasing the availability of such care to children, families, and the providers and hospitals responsible for their care. While many technologies for real- time video conferencing are available (e.g. zoom), in order to be able to accurately support understanding of precursors and the context of key behaviors technologies capable of supporting intelligent surveillance, data- flagging, and efficient communication of key behaviors across human support teams (both expert and non- expert) over substantial periods of time (including when experts are not present) are needed to enable meaningful telemediated ABA service. The current project creates and tests the potential clinical value of an innovative telehealth platform to facilitate appropriate, efficacious ABA tele-assessment and intervention for adolescents with ASD displaying challenging behaviors during hospitalizations and post-discharge transition. In the first phase of this work, we propose co-design of the novel system with key stakeholders and feasibility testing to demonstrate both technical capacity and potential clinical value. In the second phase of this work, we hone the systems commercial value and conduct a rigorous trial to demonstrate clinical utility and financial return for children, families, systems of care, and payers.

项目总结