Prototype Multimedia ADRD Falls Prevention System for Family Caregivers

面向家庭护理人员的多媒体 ADRD 跌倒预防系统原型

• 批准号: 10260652
• 负责人: VICTORIA P PANZER
• 金额: $ 24.67万
• 依托单位: BROOKSIDE RESEARCH & DEVELOPMENT COMPANY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10260652
• 关键词: Address; Aging; Algorithms; Alzheimer' s Disease; Alzheimer' s disease diagnosis; Alzheimer' s disease related dementia; Artificial Intelligence; Award; Balance training; Behavior; Behavior Therapy; Blood Vessels; California; Caregiver Burden; Caregivers; Caring; Characteristics; Clinical Trials; Clip; Code; Collaborations; Communication; Communities; Computer software; Custom; Databases; Dementia; Devices; Diagnosis; Economics; Elderly; Enrollment; Evaluation; Expenditure; Failure; Fall prevention; Family; Family Caregiver; Family health status; Foundations; Future; Gait; Goals; Health Care Costs; Home; Hospitalization; Impaired cognition; Informed Consent; Intervention; Learning; Lewy Bodies; Long-Term Care; Los Angeles; Methods; Multimedia; Outcome; Outcome Measure; Parkinson Disease; Parkinson' s Dementia; Persons; Phase; Pilot Projects; Positioning Attribute; Protocols documentation; Psychological reinforcement; Public Health; Quality of life; Randomized Controlled Clinical Trials; Reporting; Research; Self Administration; Societies; Structure; Surveys; Symptoms; System; Technology; Testing; Training; United States National Institutes of Health; Visit; Washington; behavior change; care costs; caregiver education; cost; evidence base; fall injury; fall risk; falls; follow-up; formative assessment; high risk population; improved; innovation; intelligent algorithm; meetings; member; mild cognitive impairment; novel; preservation; preventive intervention; prototype; recruit; research and development; response; strength training; support tools; tool

ABSTRACT Falls are a common and expensive problem, especially in persons with cognitive impairment due to Alzheimer’s Disease and Related Dementias (PwADRD). Fall costs are expected to reach $67.7 billion this year and add to family caregiver (CG) burden. Injurious falls are a frequent reason people are unable to remain at home, resulting in significantly increased care costs to the family and society. Most FP efforts fail to address understanding fall risks or changing behavior. In response to NIA requests for ‘Care technology to sustain in-home living, preserve function and promote effective communication’, an innovative falls prevention intervention for use by CGs of PwADRD living at home who are classified as at moderate to high fall risk for falls will be developed and tested. Goal: Develop FallScape for Dementia (FS-D), an innovative CG-provided daily treatment utilizing proprietary multimedia and behavioral intervention methods to facilitate communication and encourage FP behaviors that will reduce PwADRD falls. The rigorous Phase 1 research plan will: a) develop a FS-D prototype that includes CG training software, multimedia and support tools to customize, conduct and review progress in daily CG-provided Mm sessions; b) Perform pilot testing and c) conduct a mixed methods preliminary clinical trial. Specific Aims and milestones/deliverables are: a) Develop prototype; i. Produce multimedia assets; ii. Craft Customization; iii. Artificial Intelligence algorithms; iv. Create CG training/daily administration tools. b) Pilot test prototype. i. Recruit 12 Dyads representing PwD diagnosed with Alzheimer’s, vascular, Lewy- body and Parkinson’s disease dementias. ii. Test CG ease of use and acceptability; iii. Examine customization for CG and dementia sub-types; iv. Evaluate relevance and dyad engagement. c) Conduct Preliminary Clinical Trial. 1. Recruit and enroll 25 Dyads; 2. Provide study components: initial; one-month FS-D intervention and a Follow-up; 3. Follow Dyads for 6 months; 4. Analyze outcomes and disseminate results. FS-D will offer a rare opportunity to empower both CG and PwADRD by breaking the frustrating cycle of failure to recognize fall threats or change behavior and may mitigate CG burden. FS-D is an urgently needed falls prevention intervention for family CG use. The economic and quality of life benefits of sustaining in-home living for PwADRD by preventing falls will accrue to all stakeholders for this large, high-risk population.

跌倒是一种常见且昂贵的问题，尤其是在认知障碍患者中