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

项目总结 积极让非正式照顾者在重症监护病房的床边直接护理病人 重症监护室(ICU)有可能改善患者、非正式照顾者和医疗保健系统 结果。实践指南呼吁自由地将非正式照顾者纳入为活跃的 ICU中的合作伙伴提供护理，但有一个关键的、未得到满足的需求，即开发有效地 实施安全有效的照顾者参与。我们的解决方案ICU-CARE雇佣了 以用户为中心的设计，为非正式的照顾者提供：1)虚拟旅游和特定教育 到ICU环境，2)教照顾者如何评估的互动教育模块 用循证的非药理学方法处理ICU患者的常见症状 干预措施，以及3)为照顾者记录和跟踪其贡献的电子平台 对病人的护理。这个STTR项目的长期目标是将一种易于使用的 移动应用程序可提高日常非正式护理的效率，促进 症状管理决策，并加强患者之间的临床沟通， ICU中的照顾者和卫生保健提供者。在第一阶段，我们将修改和优化ICU- CARE(目标1)通过分析来自ICU-CARE阿尔法版本的当前用户的数据来确定 图形用户界面和教育内容的基本元素。我们将使用我们的 创建测试版的调查结果。对于目标2，我们将把ICU护理与我们的电子产品相结合 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，我们将有目的地招募ICU非正式照顾者和ICU护士样本 参与任务驱动的模拟，以评估初步可用性、可行性和 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，团队将进行完全动力的两组随机可行性 ICU护理与注意力控制的对照试验，随访1个月。由此产生的结果 试验将进一步确定该应用程序的可行性和可接受性以及测试效果。这个 商机在于成为解决患者症状的标准护理 提高500多万ICU非正式护理的需求和有效性 美国每年的患者和照顾者。

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.