The HOPE App: An Immersive Telehealth Solution for Older Adults with Diabetes

HOPE 应用程序：针对患有糖尿病的老年人的沉浸式远程医疗解决方案

• 批准号: 10256994
• 负责人: Suzanne Mitchell
• 金额: $ 20.43万
• 依托单位: SEE YOURSELF HEALTH, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2021-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10256994
• 关键词: Adult; Affect; Aging; Attention; Behavior; COVID-19; COVID-19 pandemic; COVID-19 patient; Caring; Chronic stress; Clinical Trials; Cognitive; Complex; Diabetes Mellitus; Disease Management; Eating; Education; Educational Technology; Elderly; Enrollment; Ensure; Epidemic; Evaluation; Exposure to; Fostering; Foundations; Goals; Health; Health Care Costs; Health Technology; Health behavior; Health behavior change; Health system; Hospitalization; Human; Hybrids; Immersion; Impaired cognition; Internet; Italy; Learning; Length of Stay; Life; Life Style; Maintenance; Medication Management; Mental Health; Methods; Minority; Modeling; New York; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Participant; Patients; Persons; Phase; Physical Function; Physical activity; Pilot Projects; Play; Prediabetes syndrome; Publications; Reporting; Research; Self Care; Self Management; Services; Social Network; Social isolation; Social support; Special Supplemental Nutrition Program for Women, Infants, and Children; Stress; Surveys; Target Populations; Technology; Testing; Time; Video Games; Visit; Woman; age group; brain health; cloud based; cognitive function; comparative effectiveness; coping; cost; design; diabetes control; diabetes self-management; dietary; digital; digital health; educational atmosphere; effectiveness study; evidence base; experience; feasibility testing; fitness; handheld mobile device; health care availability; health plan; health service use; healthy lifestyle; high risk; improved; mobile application; new technology; pandemic disease; peer support; physical conditioning; programs; simulation; skills; social; telehealth; tool; usability; user centered design; virtual platform; virtual reality; virtual world

Project Summary/Abstract: The HOPE APP: An Immersive Telehealth Solution Adapted for Older Adults Type 2 diabetes (T2DM) is an epidemic related to obesity, chronic stress, unhealthy eating and inactivity. An estimated 29 million people in the US have T2DM and 84 million have pre-diabetes - nearly half of whom are adults over 65yo, putting many older adults at higher risk of unhealthy aging and cognitive decline. A healthy lifestyle can treat and even reverse T2DM. But making lifestyle changes is hard and many people fail, contributing to $325 billion in US healthcare costs. Diabetes group visits (DGV) and diabetes self- management education and support (DSME/S) help people with T2DM learn and sustain healthy lifestyle behaviors and master complex disease management skills. Access to DSME/S is limited such that participation in DSME/S programs is as low as 7% of all adults with T2DM. New technologies supporting DSME/S programs are emerging, but most fail to meet the unique needs of older adults with limited technology fluency, creating a new digital divide. The See Yourself Health (SYH) team aims to bridge this digital health gap for older adults with a newly designed immersive learning program – the HOPE APP – designed to deliver diabetes care, DGV, and DSME/S on demand, tailored for older adults with diabetes and accessible on mobile devices commonly used by this age group. Fortunately, new cloud gaming technology and advances in user interface design will enable our team to design a new immersive learning environment tailored for mobile devices to offer DSME/S to meet the needs and capabilities of older adults. HOPE App consists of 28 actionable DSME/S modules and maintenance programming designed for a virtual world using social gaming strategies that emphasize peer support, brain health, and mastery of diabetes self-management skills to allow users to connect with others and simulate new lifestyle behaviors. Phase I Project: We aim to assess the feasibility, acceptability and usability of the newly designed See Yourself Health immersive learning DSME/S solution – the HOPE APP - tailored for older adults with diabetes featuring an adapted human interface for use with mobile device by users with low technology fluency. Specific Aim 1: We will design and build the HOPE APP with educational content, simulation experiences, and a user interface tailored for use by older adults with T2DM. Specific Aim 2: To assess the usability of the HOPE APP using the Rapid Iterative Testing and Evaluation (RITE) method with a total of 20 participants from the target population of adults 65+ with diabetes. Specific Aim 3: To test the feasibility of using the HOPE APP by SYH by older adults on mobile devices. Plan for Phase II: Once we demonstrate the feasibility of delivering the See Yourself Health DSME/S program using a cloud gaming solution, we aim to assess the effects of the platform on cognitive function, physical health, and mental health outcomes in a fully powered clinical trial.

项目摘要/摘要： HOPE APP：适合老年人的沉浸式远程医疗解决方案 2 型糖尿病 (T2DM) 是一种与肥胖、慢性压力、不健康饮食和饮食相关的流行病。 不活动。据估计，美国有 2900 万人患有 T2DM，8400 万人患有糖尿病前期——近一半 其中65岁以上的成年人，使许多老年人面临更高的不健康衰老和认知能力风险 衰退。健康的生活方式可以治疗甚至逆转 T2DM。但改变生活方式是困难的，而且很多 人们失败了，导致美国医疗保健费用高达 3250 亿美元。糖尿病小组访视 (DGV) 和糖尿病自我咨询 管理教育和支持 (DSME/S) 帮助 T2DM 患者学习和维持健康的生活方式 行为并掌握复杂的疾病管理技能。对 DSME/S 的访问受到限制，因此 所有 T2DM 成年人中参与 DSME/S 计划的比例低至 7%。新技术支撑 DSME/S 计划不断涌现，但大多数都无法满足能力有限的老年人的独特需求。 技术的流畅性，创造了新的数字鸿沟。 See Yourself Health (SYH) 团队旨在弥合这一问题 通过新设计的沉浸式学习计划——HOPE APP——缩小老年人的数字健康差距 旨在按需提供糖尿病护理、DGV 和 DSME/S，专为患有糖尿病和糖尿病的老年人量身定制 可通过该年龄段常用的移动设备访问。 幸运的是，新的云游戏技术和用户界面设计的进步将使我们能够 团队设计了一个专为移动设备量身定制的全新沉浸式学习环境，以提供 DSME/S 来满足 老年人的需求和能力。 HOPE App 由 28 个可操作的 DSME/S 模块组成 为虚拟世界设计的维护编程，使用强调同伴的社交游戏策略 支持、大脑健康和掌握糖尿病自我管理技能，使用户能够与他人联系 并模拟新的生活方式行为。第一期项目：我们的目标是评估可行性、可接受性和 新设计的 See Yourself Health 沉浸式学习 DSME/S 解决方案 – HOPE APP – 的可用性 - 专为患有糖尿病的老年人量身定制，具有适合与移动设备一起使用的人机界面 技术流畅度较低的用户。具体目标1：我们将设计并构建具有教育意义的HOPE APP 内容、模拟体验以及专为患有 T2DM 的老年人使用而定制的用户界面。具体的 目标 2：使用快速迭代测试和评估 (RITE) 评估 HOPE APP 的可用性 方法共有 20 名参与者，来自 65 岁以上患有糖尿病的成人目标人群。具体目标 3： 测试老年人在移动设备上使用SYH HOPE APP的可行性。二期计划： 一旦我们证明了使用云提供 See Yourself Health DSME/S 计划的可行性 游戏解决方案，我们的目标是评估该平台对认知功能、身体健康和 充分有力的临床试验中的心理健康结果。