Beacon Sensors and Telerehabilitation to Assess and Improve use of Devices (BeST-AID) for Low Vision

用于评估和改善低视力设备使用的信标传感器和远程康复 (BeST-AID)

• 批准号: 10736559
• 负责人: AVA K BITTNER
• 金额: $ 42.69万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10736559
• 关键词: Activities of Daily Living; Address; Adherence; Agreement; Awareness; Bluetooth; Caring; Cellular Phone; Clinical; Computer software; Consult; Data; Devices; Effectiveness; Electronics; Enrollment; Equipment and supply inventories; Evaluation; Eyeglasses; Frequencies; Funding; Geography; Goals; Health; Health Services; Health Services Accessibility; Home; Humidity; Individual; Intervention; Learning; Low Prevalence; Measures; Methods; Modality; Monitor; Motion; Office Visits; Optics; Outcome; Participant; Patient-Focused Outcomes; Patients; Pattern; Persons; Positioning Attribute; Procedures; Provider; Quality of life; Questionnaires; Randomized; Randomized, Controlled Trials; Reading; Records; Rehabilitation therapy; Reporting; Research; Resources; Services; Site; Speech; System; Tablets; Technology; Temperature; Testing; Text; Time; Training; Transportation; Validation; Videoconferencing; Vision; Visual; Visual Acuity; Visual Aid; Visual impairment; Work; acceptability and feasibility; active control group; barrier to care; clinical practice; design; diaries; digital; environmental change; follow-up; improved; improved outcome; interest; mobile application; novel; patient population; portability; primary outcome; reading ability; recruit; rehabilitation service; rehabilitation strategy; remote assessment; remote control; remote delivery; satisfaction; sensor; service delivery; telehealth; telerehabilitation; time use; treatment as usual; virtual platform; vision aid; vision rehabilitation

Project Summary or Abstract The successful application of magnification devices for reading and daily tasks is predicated on their correct use by individuals with low vision (LV). Barriers related to transportation, geography, and/or health-related concerns often limit LV patients’ ability to attend several in-office training sessions as part of low vision rehabilitation (LVR) to optimize visual function with magnification devices. A promising solution is real-time videoconferencing to provide telerehabilitation, involving remotely delivered LVR services by a LVR provider in-office to a patient at home. Telerehabilitation for LV appears to be feasible and acceptable by both patients and LVR providers, with preliminary evidence that its efficacy for enhancing reading ability may be similar to in-office LVR. However, it has not yet been fully demonstrated whether telerehabilitation is at least as effective as in-office usual care for LV follow-ups. This would be critical information for LV providers for reassurance that either modality is acceptable. Another key issue in LVR is the need for an effective system to continually assess how patients are functioning at home. Ideally this would involve a non-invasive, efficient method to assess when magnifier device abandonment occurs, so that a timely telerehabilitation session can be initiated. Bluetooth low energy (BLE) beacon sensors attached to the handles of magnifiers can collect longitudinal data regarding environmental changes, which might serve as a helpful indicator of magnifier use patterns by LV patients at home. Specifically, we propose to conduct a randomized non-inferiority trial of the potential for telerehabilitation to enhance visual ability by providing remotely-delivered LVR training to use magnification devices and/or visual assistive mobile apps in comparison to in-office usual care LVR. This will provide an evidence basis for whether the effects of two interventions are not clinically and statistically different from each other. This is important to determine if a novel service delivery mode (i.e., telerehabilitation), that might be safer, more resource efficient, convenient, may improve adherence and/or access to care, is at least as effective as a more established approach (i.e., in-office) with proven effectiveness. We aim to show how telehealth services can be made readily accessible to those with LV, as well as the value of annual follow-ups via telerehabilitation. We will determine whether BLE beacon sensor data are valid indicators of hand-held optical magnifier usage by LV patients at home. We anticipate that beacon sensors attached to hand-held optical magnifiers will measure increased temperature and/or humidity when motion is detected. Beacon sensor data will determine if it is feasible to remotely assess when magnifiers are used or abandoned, and if their frequency of use changes following telerehabilitation or in-office LVR. We envision that telerehabilitation can improve patient outcomes as an alternative, effective method for the provision of follow-up LV services. This is a high priority given the increasing prevalence of LV, paucity of LV providers, and barriers to care. Beacon sensors are a novel solution for monitoring LV patients beyond the clinical office visit, which could enhance patient management with timely LV services and evaluation of LV device use.

项目摘要或摘要 放大镜在阅读和日常任务中的成功应用取决于它们的正确使用 低视力者(LV)。与交通、地理和/或健康相关的问题有关的障碍 作为低视力康复(LVR)的一部分，经常限制LV患者参加几次办公室培训课程的能力 使用放大镜优化视觉功能。一个有前途的解决方案是实时视频会议，以 提供远程康复，包括由LVR提供商在办公室内远程向患者提供LVR服务，地址为 回家。LV的远程康复似乎是可行的，患者和LVR提供者都可以接受， 初步证据表明，它增强阅读能力的效果可能类似于办公室内的LVR。然而，它 还没有完全证明远程康复是否至少和办公室日常护理一样有效 LV随访。这将是LV提供商的关键信息，以确保任一模式 可以接受。LVR的另一个关键问题是需要一个有效的系统来持续评估患者的情况 在家中发挥作用。理想情况下，这将包括一种非侵入性的、有效的方法来评估放大镜设备 遗弃发生，以便可以启动及时的远程康复会话。蓝牙低能耗(BLE) 安装在放大镜手柄上的信标传感器可以收集有关环境的纵向数据 变化，这可能是一个有用的指标，放大镜使用模式的LV患者在家里。 具体地说，我们建议对远程康复的可能性进行一项随机的非自卑试验。 通过远程提供使用放大设备和/或视觉设备的LVR培训来增强视觉能力 与办公室日常护理LVR相比，辅助移动应用程序。这将为是否 两种干预措施的效果在临床和统计学上并无不同。这一点很重要 确定一种新的服务提供模式(即远程康复)，它可能更安全、更资源高效、 方便，可能会改善依从性和/或获得护理的机会，至少与更成熟的 已证明有效的方法(即在办公室内)。我们的目标是展示如何方便地提供远程医疗服务 LV患者可获得的信息，以及通过远程康复获得的年度随访的价值。我们将决定 BLE信标传感器数据是否为LV患者使用手持光学放大镜的有效指标 回家。我们预计，安装在手持光学放大镜上的信标传感器的测量结果将会增加 检测到运动时的温度和/或湿度。信标传感器数据将决定是否可行 远程评估放大镜何时被使用或废弃，以及它们的使用频率是否发生变化 远程康复或办公室内左肺复苏术。 我们设想远程康复可以改善患者的预后，作为一种替代的、有效的方法 提供后续的LV服务。鉴于LV的患病率越来越高，LV的稀缺性，这是一个高度优先的问题 提供者，以及护理的障碍。信标传感器是一种超越临床监测LV患者的新解决方案 办公室访问，这可以通过及时的LV服务和评估LV设备的使用来加强患者管理。