Stretching their Reach: Robotic Support for Older Individuals with Mild Cognitive Impairment, Early Alzheimer's Dementia, and Mobility Impairments

扩大影响范围：为患有轻度认知障碍、早期阿尔茨海默氏痴呆和行动障碍的老年人提供机器人支持

• 批准号: 10602202
• 负责人: Aaron Edsinger
• 金额: $ 127.96万
• 依托单位: HELLO ROBOT INC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-15 至 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10602202
• 关键词: Age; Alzheimer' s Disease; Alzheimer' s disease related dementia; Area; Award; Caregivers; Caring; Categories; Characteristics; Clinical; Cognitive; Cues; Diagnosis; Elderly; Engineering; Environment; Evaluation; Family; Floor; Health Care Costs; Home; Home Ranges; Home environment; Human; Illinois; Impaired cognition; Impairment; Individual; Industry Standard; Instruction; Life; Marketing; Methods; Monitor; Participant; Personal Satisfaction; Persons; Phase; Procedures; Protocols documentation; Quality of life; Readiness; Research; Research Design; Research Methodology; Robot; Robotics; Rural Community; Safety; Small Business Innovation Research Grant; Stretching; Tablets; Task Performances; Technology; Testing; United States National Institutes of Health; Universities; Water; Work; arm; assistive robot; base; care burden; care recipients; commercialization; community planning; daily functioning; design; flexibility; implementation facilitators; improved; insight; iterative design; light weight; member; mild cognitive impairment; neighborhood disadvantage; new technology; recruit; remote control; remote health care; service delivery; theories; tool; usability

Abstract Assistive robots have the potential to enhance individual autonomy, reduce human burden, and lower healthcare costs associated with mild cognitive impairment (MCI), Alzheimer’s dementia (AD), and mobility impairments in older adults, family care partners, and professional caregivers. StretchTM is a robot designed to support everyday activities through use of a lightweight telescoping arm mounted on a mobile base. This Phase II SBIR proposal builds on a successful Phase I project (R43AG072982) awarded to Hello Robot and the University of Illinois Urbana-Champaign, wherein we conducted participatory design research to develop and test a suite of tasks that the Stretch assistive robot can perform to support independence, enhance safety, and improve quality of life for older adults. We identified the specific characteristics of the tasks for which older adults need support in their homes; designed end effector tools for Stretch to facilitate performance of these tasks; and designed an easy-to-use interface to control Stretch to carry out these tasks. In this Phase II proposal we partner with ClarkLindsey Life Plan Community to broaden the set of tasks Stretch can perform, focusing on two general categories of tasks (cognitive and physical) to support the needs of older adults with cognitive impairment (MCI/early AD) and/or mobility impairment. We will refine the remote control interface to be usable for professional caregivers and family care partners and develop a suite of autonomous activities that Stretch can carry out. We will explore the functional utility of Stretch in a range of home environments, including common rooms with multiple people. These efforts will yield a scalable, affordable, flexible Stretch Cognitive and Physical Assistant that can improve the quality of life for older adults with a range of cognitive and physical impairments. The research objectives will be accomplished through the following specific aims: Aim 1: Refine and broaden the functional capabilities of Stretch to support older adults with a range of cognitive impairments and physical impairments. Aim 2: Advance the design of the user interfaces for each stakeholder group: older adults with cognitive and physical impairments, professional caregivers, and family care partners. Integrate remotely initiated tasks with autonomous task performance. Aim 3: Conduct embedded evaluations in naturalistic settings. This Phase II proposal directly meets multiple aspects of the NIH PAS-19-316 to develop “New technologies for in-home use or for coordination or delivery of services to sustain in-home living for individuals with MCI or AD/ADRD;” to design “Assistive robotics technology that can support a person in order to maintain or improve her/his independence, safety, and well-being when diagnosed with AD/ADRD and alleviate the burden of care;” and to develop “Novel technologies to monitor, assist, or maintain daily functioning of older individuals with AD/ADRD and other cognitive impairments.” The Stretch Cognitive and Physical Assistant robot has tremendous potential to support everyday home activities for older adults with MCI, AD, and/or mobility impairments, providing them with autonomy and increased quality of life.

抽象的 辅助机器人具有增强个体自主性、减轻人类负担、降低成本的潜力。 与轻度认知障碍 (MCI)、阿尔茨海默氏痴呆 (AD) 和行动不便相关的医疗保健费用 老年人、家庭护理伙伴和专业护理人员的损伤。 StretchTM 是一款机器人，旨在 通过使用安装在移动底座上的轻型伸缩臂来支持日常活动。这 第二阶段 SBIR 提案建立在授予 Hello Robot 的成功第一阶段项目 (R43AG072982) 的基础上 伊利诺伊大学厄巴纳-香槟分校，我们进行了参与式设计研究来开发 并测试 Stretch 辅助机器人可以执行的一系列任务，以支持独立性、增强安全性、 并提高老年人的生活质量。我们确定了老年人所执行的任务的具体特征 成年人需要在家中的支持；为 Stretch 设计了末端执行器工具，以促进这些工具的性能 任务；并设计了一个易于使用的界面来控制 Stretch 来执行这些任务。在本次第二阶段 我们与 ClarkLindsey Life Plan Community 合作扩大 Stretch 可以执行的任务范围， 重点关注两大类任务（认知任务和身体任务），以满足老年人的需求 认知障碍（MCI/早期 AD）和/或活动障碍。我们将完善远程控制界面 可用于专业护理人员和家庭护理合作伙伴，并开发一套自主活动 Stretch 可以执行。我们将探索 Stretch 在各种家庭环境中的功能实用性， 包括多人的公共房间。这些努力将产生可扩展的、负担得起的、灵活的 Stretch 认知和身体助手，可以改善具有一系列认知能力的老年人的生活质量 和身体缺陷。研究目标将通过以下具体目标来实现： 目标 1：完善和扩展 Stretch 的功能，为老年人提供一系列支持 认知障碍和身体障碍。目标 2：推进每个项目的用户界面设计 利益相关者群体：有认知和身体障碍的老年人、专业护理人员和家人 关怀伙伴。将远程启动的任务与自主任务性能集成。目标 3：行为 在自然环境中嵌入评估。该第二阶段提案直接满足 NIH 的多个方面 PAS-19-316 开发“用于家庭使用或协调或提供服务的新技术，以维持 患有 MCI 或 AD/ADRD 的人的家庭生活；”设计“辅助机器人技术，可以支持 一个人在被诊断出患有以下疾病时，为了维持或改善她/他的独立性、安全性和福祉 AD/ADRD 并减轻护理负担；”并开发“监测、协助或维护的新技术” 患有 AD/ADRD 和其他认知障碍的老年人的日常功能。”认知伸展 物理助理机器人在支持老年人的日常家庭活动方面具有巨大的潜力 MCI、AD 和/或行动障碍，为他们提供自主权并提高生活质量。