Dance4Healing: a feasibility study to reduce health disparity and increase engagement of an intergenerational telehealth program for minority diabetes patients and their care partners.

Dance4Healing：一项可行性研究，旨在减少少数族裔糖尿病患者及其护理伙伴的健康差距并提高代际远程医疗计划的参与度。

• 批准号: 10604415
• 负责人: Amy chunmei Li
• 金额: $ 25.96万
• 依托单位: DANCE4HEALING, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-26 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10604415
• 关键词: Accounting; Adopted; Affect; Aging; Algorithms; American; American Heart Association; Anxiety; Arts; Asian population; Awareness; Behavior; Behavioral; Behavioral Sciences; Biological; Biometry; Biosensor; Cancer Patient; Cardiovascular Diseases; Cardiovascular system; Caring; Centers for Disease Control and Prevention (U.S.); Cessation of life; Collection; Communities; Computer Vision Systems; Dance Therapy; Dancing; Data; Data Collection; Data Reporting; Diabetes Mellitus; Elderly; Environment; Ethnic Origin; Exercise; Feasibility Studies; Feedback; Felis catus; Habits; Health; Health Disparities Research; Health behavior; Healthcare Systems; Home; Hour; Individual; Institutes; Intervention; Interview; Language; Life Style; Malignant Neoplasms; Measures; Mental Depression; Methods; Minority; Movement; Multicenter Trials; Music; National Institute on Minority Health and Health Disparities; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Pain; Participant; Patient Self-Report; Patients; Persons; Phase; Protocols documentation; Race; Recommendation; Recording of previous events; Reduce health disparities; Reporting; Research; Safety; Science; Scientist; Small Business Innovation Research Grant; Supportive care; System; Technology; Testing; Translations; Update; Vision; Voice; Weight; Work; artificial intelligence algorithm; base; built environment; cardiovascular health; commercialization; cost; data integration; design; diabetic; exercise program; experience; feasibility testing; fitness; health disparity; improved; innovation; insight; intergenerational; mindfulness; minority communities; minority health; minority health disparity; mortality; multidisciplinary; novel; patient mobility; phase 1 study; preference; professor; programs; promoter; recruit; remote patient monitoring; social; social culture; success; telehealth; tool; usability

PROJECT SUMMARY/ABSTRACT 34.2 M Americans with Diabetes Mellitus (DM) cost $327 B in 2018 1-2 . 68% of them will die from cardiovascular disease 3 . CDC reported that DM disproportionately affects minorities. Partnering with Dr. Palaniappan, who has pioneered research on health disparities and exercise/dance intervention for DM patients, this innovation will expand the research field and have a broader impact on minority health. Currently, there is a lack of data on effective lifestyle recommendations for normal-weight diabetics (NWD), accounting for 1 in 5 Type II DM patients. NWD is especially prevalent in Asian populations and the elderly, facing higher mortality rates than obese diabetics 4 . Research shows dance improves DM and reduces cardiovascular deaths by 46%. 5 . These interventions, however, are only available in person. There are many exercise programs and live video tools, but they rarely cater to an individual’s mobility and accessibility needs. Hence, there is an unmet need for an easy-to-adopt telehealth platform enticing patients to dance from home. Guided by The NIMHD Minority Health and Health Disparities Research Framework, this project will study the effects of multiple races/ethnicities factors on health behaviors, and develop a culturally sensitive novel habit-building algorithm using Creative Arts Therapy (CAT: Music, Dance, Arts) for remote activity engagement systems with multilevel tracking and effective behavior prompts. Dance4Healing’s (D4H) proprietary personalization will tailor to users’ needs/desires, and find compatible buddies to build lasting habits with pre-recorded and live video classes (think YouTube + Zoom + eHarmony for health buddies). This feasibility study will partner with Stanford professors and the Institute on Aging to develop a groundbreaking smart platform integrating biosensors and a Telehealth Live Video Platform (TLVP). Our multidisciplinary team of experts in diabetes and cardiovascular health, biotracking, behavioral sciences, dance therapy, and data/AI science will pursue the following aims: AIM 1: User research on tailoring D4H TLVP to varied mobility, accessibility needs, potential language barriers, integrating cultural awareness, and identifying effective behavior prompts. Milestones: 12 qualitative 1-hour user interviews for feedback on the current program and UI design. AIM 2: Build and test the feasibility of biosensor integration (Garmin vivosmart® 4, Omron Scale) through an 8-week Mindful Movement telehealth program. Milestones: Successful use of platform biosensors by at least 80% of participants. AIM 3: Develop a novel AI algorithm aligned with NIMHD Research Framework with multilevel tracking and test its feasibility in personalized recommendations and buddy matching tailored to preferences, abilities, and needs. Milestones: 1) Develop data collection and integration methods for preference data, self-reported data with EHR data. 2) Develop an AI algorithm based on this data. Success of this project will lay the groundwork for Phase II for a multicenter trial with American Heart Association, and improve QoL for 34.2 M diabetic Americans, furthering D4H’s vision to become an experience leader bridging art and health.

项目摘要/摘要 34.2 m的美国人有糖尿病（DM）在2018年售价327 B $ 1-2。其中68％的人死于心血管疾病3。CDC报告说，DM不成比例地影响少数群体。与Palanippan博士合作，他对DM患者的健康差异和运动/舞蹈干预的研究开创性，这项创新将扩大研究领域，并对少数民族健康产生更大的影响。目前，缺乏关于正常体重糖尿病患者（NWD）有效生活方式建议的数据，占5型DM患者中的1个。与肥胖糖尿病患者相比，NWD在亚洲人群中尤其普遍，面临更高的死亡率。研究表明，舞蹈改善了DM并将心血管死亡减少46％。 5。但是，这些干预措施只能亲自提供。有许多锻炼程序和实时视频工具，但它们很少满足个人的移动性和可访问性需求。因此，需要一个易于使用的远程医疗平台吸引患者在家跳舞。在NIMHD少数群体健康和健康差异的指导下，该项目将研究多种种族/民族因素对健康行为的影响，并使用创意艺术治疗（CAT：音乐，音乐，舞蹈，艺术）对具有多领域的远程活动系统的文化敏感的新型习惯建立算法（CAT：音乐，音乐，舞蹈，舞蹈，艺术）的影响。 Dance4Healing的（D4H）专有个性化将根据用户的需求/欲望量身定制，并找到兼容的伙伴，通过预先录制和现场直播的视频课程养成持久的习惯（想想YouTube + Zoom + Zoom + Eharmony for Health Buddies）。这项可行性研究将与斯坦福教授和老化研究所合作，以开发一个集成生物传感器和远程医疗实时视频平台（TLVP）的开创性智能平台。我们在糖尿病和心血管健康，生物折磨，行为科学，舞蹈疗法和数据/AI科学方面的多学科专家团队将追求以下目标：目标1：量身定制D4H TLVP的用户研究以不同的方式进行移动性，可访问性，潜在的语言障碍，潜在的语言障碍，潜在的语言障碍，整合文化认识和识别有效的行为提示和有效的行为提示和有效的行为提示。里程碑：12个定性1小时用户访谈，以进行当前程序和UI设计的反馈。 AIM 2：通过为期8周的正念运动远程医疗计划构建和测试生物传感器集成（GarminVivosmart®4，Omron量表）的可行性。里程碑：至少80％的参与者成功使用了平台生物传感器。 AIM 3：开发一种与NIMHD研究框架对齐的新型AI算法，并通过多级跟踪来测试其在个性化建议中的可行性，并在个性化的建议和伙伴匹配下量身定制了针对偏好，能力和需求的匹配。里程碑：1）开发数据收集和集成方法，用于偏好数据，使用EHR数据自我报告的数据。 2）基于此数据开发AI算法。该项目的成功将为与美国心脏协会进行多中心试验的第二阶段奠定基础，并改善34.2 M糖尿病美国人的QOL，进一步发展D4H的愿景，成为体验领导者弥合艺术和健康。