Auracle: An AI-Enabled Telecare System to Support the Independence and Safety of Individuals with AD/ADRD and Other Dementias

Auracle：人工智能远程护理系统，支持 AD/ADRD 和其他痴呆症患者的独立性和安全

• 批准号: 10593227
• 负责人: Mark A Fauci
• 金额: $ 126.41万
• 依托单位: GEN-9, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10593227
• 关键词: Acute; Adult; Affect; Aging; Algorithms; Alzheimer' s Disease; Alzheimer' s disease related dementia; Artificial Intelligence; Caregiver Burden; Caregiver support; Caregivers; Caring; Communication; Community Healthcare; Computer software; Country; Data; Daughter; Dementia; Detection; Developing Countries; Development; Devices; Diagnosis; Elderly; Electronics; Emotional; Evaluation; Expert Systems; Family; Family member; Financial Hardship; Healthcare Systems; Home; Housing; Impaired cognition; Individual; Institutionalization; Methods; Monitor; Personal Satisfaction; Persons; Phase; Physiological; Play; Polychlorinated Biphenyls; Population; Prevalence; Production; Quality of life; Resources; Risk Factors; Safety; Secure; Stress; System; Technology; Testing; Vascular Dementia; Vendor; Voice; Wife; Woman; aged; aging population; artificial intelligence algorithm; care recipients; caregiving; cloud based; cost; dementia caregiving; design; family caregiving; functional disability; health care delivery; improved; informal care; innovation; meter; mild cognitive impairment; mobile application; mortality; new technology; psychologic; psychosocial; response; sensor; social; symptom management; telecare; web portal

ABSTRACT Dementia rates are growing at an alarming rate in all regions of the world and are related to population aging. It is estimated that over 30 million people have dementia, with 4.6 million new cases of dementia every year - one new case every 7 seconds. The number of people affected will double every 20 years to 81.1 million by 2040. Most people with dementia live in developing countries (60% in 2001, rising to 71% by 2040). The prevalence of dementia rapidly increases from about 2-3% among those aged 70–75 years to 20–25% among those aged 85 years or more. Alzheimer’s disease (AD) is the most common type of dementia among western countries, corresponding to about 60% of cases while vascular dementia (VaD) is the second, with about 20% of all cases. Around 10% of adults over 65 develop mild cognitive impairment (MCI). MCI, while less severe than other forms of dementia, does impact everyday living and is a precursor of Alzheimer's. Dementia caregiving, perhaps more than any other type, places tremendous burdens on the physical, psychological, social, and financial wellbeing of the 4 million people providing informal care to seniors with dementia. Family caregiving, accompanied by emotional strain, was an independent risk factor for mortality among older adults. The majority of family care for older adults with dementia is carried out by either wives or daughters. Home caregiving may have negative acute effects on both psychosocial and physiological responses, especially in daughters. As functional impairment increases, during the course of AD/ADRD, caregivers require more assistance and access to resources to properly manage symptoms and, thereby, avoid an elder’s institutionalization. Greater support can also reduce the detrimental impact of stress on the caregiver. Technology that can support caregivers in monitoring the activity, safety and wellbeing of seniors with dementia in the homecare setting can significantly increase the quality of life for seniors and their family members as well as reduce costs to them and the healthcare delivery system. Unfortunately, current, outdated systems are of limited utility. We propose a technically advanced, but easy to use, low cost telecare system called Auracle. Auracle will utilize a unique combination of AI algorithms that will analyze data collected from a mesh network of innovative IoT modules placed throughout the home of the elder being monitored. This highly autonomous system combines a plug and play, compact form-factor with a voice interface. Auracle will be designed to improve the safety, quality of life and wellbeing of people with AD/ADRD or other dementias of aging and provide badly needed support to caregivers who provide their care.

摘要 痴呆症发病率在世界所有地区都以惊人的速度增长，与人口老龄化有关。 据估计，超过3000万人患有痴呆症，每年有460万新病例 - 每七秒就有一个新病例受影响的人数将每20年翻一番，到2020年达到8110万人。 2040.大多数痴呆症患者生活在发展中国家（2001年为60%，到2040年将上升至71%）。之时尚 痴呆症从70-75岁人群中的约2-3%迅速增加到85岁人群中的20-25%，或 更多.阿尔茨海默氏病（AD）是西方国家中最常见的痴呆类型，相当于约 其次是血管性痴呆（VaD），约占所有病例的20%。约10%的65岁以上的成年人 出现轻度认知障碍（MCI）。MCI虽然比其他形式的痴呆症不那么严重，但每天都有影响 是老年痴呆症的前兆 痴呆症，也许比任何其他类型的痴呆症，对身体，心理， 为老年痴呆症患者提供非正式护理的400万人的社会和经济福祉。家庭 肥胖，伴随着情绪紧张，是老年人死亡的一个独立危险因素。的 大多数老年痴呆症患者的家庭护理由妻子或女儿承担。家的味道可能 对心理社会和生理反应都有严重的负面影响，特别是对女儿。作为功能 在AD/ADRD过程中，损伤增加，护理人员需要更多的帮助和资源， 妥善处理症状，从而避免老人的机构。更大的支持也可以减少 压力对照顾者的不利影响。 技术可以支持护理人员监测老年痴呆症患者的活动，安全和健康， 家庭护理可以显著提高老年人及其家庭成员的生活质量， 他们和医疗保健系统的成本。不幸的是，目前过时的系统效用有限。我们 提出了一种技术先进，但易于使用，低成本的远程护理系统称为Auracle。奥克拉克将利用一种独特的 人工智能算法的组合，将分析从放置的创新物联网模块的网状网络收集的数据， 在被监视的老人家中。这种高度自主的系统结合了即插即用、紧凑 具有语音接口的外形尺寸。Auracle的设计将提高人们的安全、生活质量和福祉 患有AD/ADRD或其他老年痴呆症的患者，并为提供护理的护理人员提供急需的支持。