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 放大设备在阅读和日常工作中的成功应用取决于其正确使用 低视力（LV）患者。与交通、地理和/或健康相关问题有关的障碍 通常限制LV患者参加作为低视力康复（LVR）的一部分的几次办公室培训课程的能力 用放大装置来优化视觉功能一个很有前途的解决方案是实时视频会议， 提供远程康复，包括由LVR提供者在办公室向患者远程递送LVR服务， 回家LV的远程康复似乎是可行的，并且患者和LVR提供者都可以接受， 初步证据表明，其增强阅读能力的功效可能与办公室LVR相似。但 尚未完全证明远程康复是否至少与办公室常规护理一样有效。 LV随访。这对于LV提供者来说是至关重要的信息，以确保任何一种方式都是 可以接受的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 在家工作。理想情况下，这将涉及一种非侵入性的，有效的方法来评估何时放大器设备 发生放弃，以便可以启动及时的远程康复会话。低功耗蓝牙（BLE） 连接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，这可能作为一个有用的指标放大镜使用模式的LV患者在家里。 具体来说，我们建议进行一项远程康复潜力的随机非劣效性试验， 通过提供远程LVR培训来使用放大设备和/或视觉， 辅助移动的应用程序与办公室常规护理LVR相比。这将为我们提供一个证据基础， 两种干预措施的效果在临床上和统计学上没有差异。这一点很重要 确定新的服务递送模式（即，远程康复），这可能是更安全，更有效的资源， 方便，可以提高依从性和/或获得护理，至少与更成熟的 方法（即，在办公室），并证明有效性。我们的目标是展示远程医疗服务如何能够很容易地 可访问的LV，以及通过远程康复每年随访的价值。我们将确定 BLE信标传感器数据是否是LV患者使用手持式光学放大器的有效指标， 回家我们预计，信标传感器连接到手持光学放大器将测量增加 温度和/或湿度。信标传感器数据将确定是否可行， 远程评估何时使用或放弃放大镜，以及它们的使用频率是否随 远程康复或在办公室LVR。 我们设想，远程康复可以改善患者的结果，作为一种替代的，有效的方法， 提供后续LV服务。鉴于LV的患病率日益增加，LV的缺乏，这是一个高度优先事项 提供者和护理障碍。Beacon传感器是一种新型的解决方案，用于监测LV患者， 办公室就诊，这可以通过及时的LV服务和LV设备使用评估来加强患者管理。