ICU-CARE: An interactive mobile app to enhance the efficiency of daily informal caregiving in the intensive care unit

项目摘要 积极让非正式护理人员参与重症监护床边的直接患者护理 ICU有潜力改善患者、非正式护理人员和医疗保健系统 成果。实践指南呼吁将非正式照顾者作为积极参与者， 合作伙伴在ICU护理，但有一个关键的，未满足的需要，开发工具，有效地 使护理人员安全有效地参与。我们的解决方案，ICU-CARE采用 以用户为中心的设计，为非正式照顾者提供：1）虚拟旅游和教育特定 2）交互式教育模块，教护理人员如何评估 用循证非药物治疗ICU患者的常见症状 干预措施，以及3）一个供护理人员记录和跟踪其贡献的电子平台 病人护理。这个STTR项目的长期目标是将一个易于使用的 移动的应用程序，提高了日常非正式沟通的效率， 症状管理决策，并加强患者之间的临床沟通， 护理人员和ICU的医疗保健提供者。第一阶段，我们将修改和优化ICU- 通过分析ICU-CARE alpha版本当前用户的数据，确定 图形用户界面和教育内容的基本元素。我们将用我们 创建一个beta版本。对于目标2，我们将把ICU-护理与我们的电子 通过创建应用程序编程接口（API）来实现健康记录（EHR）系统。最后在 目标3，我们将招募一个有目的的样本ICU非正式照顾者和ICU护士， 参与任务驱动的模拟，以评估初步的可用性，可行性， ICU-CARE的可接受性，以及在EHR测试中验证我们的API连接 环境在第二阶段，该团队将进行一项完全有效的两组可行性随机化研究， ICU-CARE与注意力控制的对照试验，随访1个月。结果从这个 试验将进一步确定应用程序的可行性和可接受性以及测试效果。的 商业机会在于成为解决患者症状的护理标准 以及提高500多万ICU非正式咨询的有效性 患者和护理人员每年在美国。

PROJECT SUMMARY Actively involving informal caregivers in direct patient care at the bedside in the intensive care unit (ICU) has the potential to improve patient, informal caregiver, and health care system outcomes. Practice guidelines call for the liberal inclusion of informal caregivers as active partners in ICU care, but there is a critical, unmet need to develop tools that effectively operationalize safe and effective caregiver involvement. Our solution, ICU-CARE employs a user-centered design, providing informal caregivers with: 1) a virtual tour and education specific to the ICU environment, 2) interactive educational modules that teach caregivers how to assess and manage common symptoms of ICU patients with evidenced-based nonpharmacologic interventions, and 3) an electronic platform for caregivers to record and track their contributions to patient care. The long-term goal of this STTR project is to commercialize an easy-to-use mobile application that improves the efficiency of day-to-day informal caregiving, facilitates symptom management decisions, and enhances clinical communication among patients, caregivers, and health care providers in the ICU. In Phase I, we will revise and optimize ICU- CARE (Aim 1) by analyzing data from current users of the ICU-CARE alpha version to identify the essential elements of the graphical user interface and educational content. We will use our findings to create a beta version. For Aim 2, we will integrate ICU-CARE with our electronic health record (EHR) system by creating an application programing interface (API). Finally, in Aim 3, we will recruit a purposeful sample of ICU informal caregivers and ICU nurses to participate in task-driven simulations to evaluate preliminary usability, feasibility, and acceptability of ICU-CARE, as well as validate our API connection within an EHR test environment. In Phase II, the team will conduct a fully powered two-group feasibility randomized controlled trial of ICU-CARE versus attention control with a 1-month follow-up. Results from this trial will further determine the app’s feasibility and acceptability as well as test efficacy. The commercial opportunity lies in becoming the standard of care for addressing patients’ symptom needs as well as improving the effectiveness of informal caregiving for over 5 million ICU patients and caregivers per year in the United States.