The HOPE App Diversity Supplement: An Immersive Telehealth Solution for Older Adults with Diabetes

HOPE 应用程序多样性补充：针对患有糖尿病的老年人的沉浸式远程医疗解决方案

• 批准号: 10748978
• 负责人: Suzanne Mitchell
• 金额: $ 10.04万
• 依托单位: SEE YOURSELF HEALTH, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10748978
• 关键词: Active Learning; Adherence; Adult; Affect; Aging; Attention; Behavior; Blood Glucose; Businesses; COVID-19; COVID-19 pandemic; COVID-19 patient; Caring; Chronic Disease; Clinical; Clinical Trials; Cognitive; Communication; Complex; Computer software; Coronavirus; Diabetes Mellitus; Disease Management; Education; Educational Technology; Effectiveness; Elderly; Enrollment; Ensure; Epidemic; Face; Fostering; Funding; Goals; Health; Health Benefit; Health Care Costs; Health Services; Health Technology; Health behavior; Health behavior and outcomes; Health behavior change; Health system; Healthcare; Hospitalization; Hospitals; Impaired cognition; Internet; Intervention; Learning; Length of Stay; Life Style; Marketing; Medication Management; Mental Depression; Minority Women; Modeling; New York; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Patient Outcomes Assessments; Patients; Persons; Phase; Physical Function; Physically Challenged; Play; Prediabetes syndrome; Predictive Analytics; Reporting; Research; Running; SARS-CoV-2 exposure; Self Care; Self Management; Small Business Innovation Research Grant; Social Network; Social isolation; Social support; Special Supplemental Nutrition Program for Women, Infants, and Children; Stress; Surveys; Technology; Telecommunications; Testing; Time; United States National Institutes of Health; Validation; Video Games; Visit; Woman; brain health; cloud based; cognitive function; commercialization; comorbidity; coping; cost; cost effective; depressive symptoms; design; diabetes control; diabetes distress; diabetes management; diabetes self-management; dietary; digital; digital health; educational atmosphere; evidence base; experience; feasibility testing; fitness; handheld mobile device; health application; health care availability; health management; health plan; health service use; healthy lifestyle; high risk; human old age (65+); improved; mobile application; mortality risk; new technology; pandemic disease; patient engagement; patient population; patient retention; peer support; physical conditioning; population health; programs; prototype; skills; social; telehealth; tool; usability; user centered design; virtual platform; virtual reality; virtual world

Project Abstract Type 2 diabetes (T2DM) is an epidemic. An estimated 34 million people in the US have T2DM and 84 million have pre-diabetes - nearly half of whom are adults 65+ yo, putting many older adults at higher risk of unhealthy aging and cognitive decline. A healthy lifestyle can treat and even reverse T2DM. But making lifestyle changes is hard and many people fail, contributing to $327B in US healthcare costs. Diabetes group visits (DGV) and diabetes self- management education and support (DSME/S) help people with T2DM to learn and sustain complex disease management skills. Yet, access to DSME/S is limited such participation in DSME/S programs is reportedly as low as 7% among adults with T2DM. New technologies supporting DSME/S programs are emerging, but most fail to meet the unique needs of older adults with limited technology fluency, creating a new digital divide. See Yourself Health (SYH) aims to bridge this digital health gap for older adults with a newly designed immersive learning and telehealth application – the HOPE App – designed to deliver high-impact, high engagement diabetes care and DSME/S tailored for older adults with diabetes. Advancements in virtual reality software, new cloud gaming technology and user interface design have enabled our team to envision a new telehealth and immersive learning environment to support chronic disease self-management needs of older adults with diabetes. We use virtual reality, telecommunication technology and social gaming strategies to offer real-time peer support, care coaching, and 28 modules of live-action experiential learning programs to help participants master complex diabetes self-management skills. In our Phase I SBIR project, we reached the following milestones: prototyped the HOPE App platform with cloud access and new navigation and communication features; completed usability testing (SUS = 71) with 20 target users and feasibility testing (100% participation) of the HOPE App platform; developed new DSME content for older adults. In Phase II, we will further develop the HOPE App patient engagement and population health management features and capabilities and then assess its efficacy in a fully powered clinical trial. Specific Aim 1: Develop the HOPE App’s state-of-the-art immersive patient engagement experience with automated onboarding, social networking and gamified DSME/S features to support long-term patient retention. Specific Aim 2: Develop the HOPE App’s predictive analytic capabilities for population health management. Specific Aim 3: Clinical validation of the HOPE App intervention on six-month clinical outcomes (A1c), patient reported outcomes (diabetes distress) and engagement (patient retention, adherence to DSME/S). SYH has assembled an expert business team to sell the HOPE APP to our target customer, health care payors. The HOPE APP offers a simple, high impact, highly engaging, immersive telehealth experience with the potential to become a ubiquitous diabetes management tool to transform diabetes patients into high performing drivers of their own care.

项目摘要 2型糖尿病（T2 DM）是一种流行病。据估计，美国有3400万人患有T2 DM 8400万人患有糖尿病前期，其中近一半是65岁以上的成年人， 成年人面临更高的不健康衰老和认知能力下降的风险。健康的生活方式可以治疗和 甚至逆转T2 DM。但是改变生活方式是很困难的，许多人失败了， 3270亿美元的美国医疗保健费用。糖尿病小组访视（DGV）和糖尿病自我管理 教育和支持（DSME/S）帮助T2 DM患者了解和维持复杂的疾病 管理能力然而，获得DSME/S的机会有限， 据报道，在T2 DM成人中低至7%。支持DSME/S的新技术 计划正在出现，但大多数未能满足老年人的独特需求， 技术流畅，创造了新的数字鸿沟。See Yourself Health（SYH）旨在弥合这一点 通过新设计的沉浸式学习和远程医疗，为老年人提供数字健康差距 应用程序-HOPE应用程序-旨在提供高影响力，高参与度的糖尿病护理 和为老年糖尿病患者量身定制的DSME/S。 虚拟现实软件、新的云游戏技术和用户界面的进步 设计使我们的团队能够设想一个新的远程医疗和沉浸式学习环境 支持老年糖尿病患者的慢性病自我管理需求。我们使用虚拟 现实、电信技术和社交游戏策略， 支持，护理指导和28个真人体验式学习计划模块，以帮助 参与者掌握复杂的糖尿病自我管理技能。在第一阶段SBIR项目中，我们 实现了以下里程碑：通过云访问建立HOPE App平台原型， 新的导航和通信功能;完成可用性测试（SUS = 71），20 HOPE App平台的目标用户和可行性测试（100%参与）;开发 为老年人提供新的DSME内容。在第二阶段，我们将进一步开发HOPE App患者 参与和人口健康管理的特点和能力，然后评估其 在一个完全有效的临床试验中的疗效。 具体目标1：开发HOPE App最先进的沉浸式患者参与 具有自动化入职、社交网络和游戏化DSME/S功能的经验， 支持长期患者保留。 具体目标2：开发HOPE App的人口健康预测分析功能 管理 具体目标3：HOPE App干预对6个月临床结局的临床验证 (A1c)患者报告的结果（糖尿病痛苦）和参与（患者保留， DSME/S）。SYH已经组建了一个专业的业务团队，将HOPE APP销售给 我们的目标客户，医疗保健支付者。 HOPE APP提供了一种简单、高影响力、高参与度、身临其境的远程医疗体验 有可能成为一种无处不在的糖尿病管理工具， 患者成为他们自己护理的高性能驱动程序。