Plans4Care: Personalized Dementia Care On-Demand

Plans4Care：按需个性化痴呆症护理

• 批准号: 10758864
• 负责人: Eric Jutkowitz
• 金额: $ 50万
• 依托单位: PLANS4CARE INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10758864
• 关键词: Accident and Emergency department; Address; Age; Algorithms; Alzheimer' s Disease; Alzheimer' s disease caregiver; Alzheimer' s disease related dementia; Caregiver support; Caregiver well-being; Caregivers; Caring; Cellular Phone; Clinical; Clinical Protocols; Coin; Communication; Complex; Computer software; Computers; Databases; Daughter; Dementia; Disease; Education; Effectiveness; Elderly; Enrollment; Environment; Ethnic Origin; Evaluation; Family; Family Caregiver; Fathers; Feedback; Focus Groups; Friends; Geography; Healthcare Systems; Home environment; Hospitalization; Intervention; Lead; Letters; Libraries; Link; Maps; Marketing; Measures; Modification; Monitor; Nursing Homes; Personal Satisfaction; Persons; Phase; Primary Care; Provider; Race; Randomized, Controlled Trials; Risk; Small Business Innovation Research Grant; Sorting; Specialist; Stress; Survey Methodology; Symptoms; Tablets; Technology; Testing; Time; Training; United States National Institutes of Health; accountable care organization; acute care; burnout; care costs; commercialization; dashboard; dementia care; digital healthcare; digital platform; evidence base; family support; health care service utilization; healthy aging; improved; interest; learning materials; novel; personalized care; primary care practice; primary care provider; programs; prototype; randomized trial; response; standardize measure; telephone session; tool; usability

PROJECT ABSTRACT Although >11 million family/friends are caregivers to >6 million people with Alzheimer's Disease (AD) and AD- Related Dementias (AD/ADRD), they do not typically receive personalized education, strategies and support to manage their own wellbeing and complex dementia-related symptoms. Lack of personalized care contributes to $321 billion annually in AD/ADRD care costs. In response, our company, Plans4Care, Inc, proposes a Fast- Track SBIR (PAS-22-196) to build and test a digital platform that delivers personalized care plans to caregivers on a smartphone, tablet or computer. To generate a personalized care plan, caregivers select a care challenge (from >50) they seek to address, and respond to brief, easy-to-answer questions (assessment). A novel clinical algorithm, developed by Plans4Care, maps the challenge and assessment results to the company’s database of >1,000 evidence-based strategies. A resultant personalized care plan contains education about the care challenge and specific strategies modifying the environment, communications, tasks, and/or activities. Caregivers also have access to trained dementia specialists (care advisors) for one-on-one tele-support as needed. Phase I will develop and evaluate a prototype. Phase I specific aims include: Aim 1: Develop a clickable prototype with clinical algorithms that map 5 common care challenges to brief assessments and evidence-based strategies to generate tailored care plans; and Aim 2: Determine feasibility (able to use platform to identify challenge/generate care plan), acceptability (appeal, appropriateness), and usability (able to navigate), using focus group and survey methodologies involving validated measures with 25 diverse caregivers (racially, ethnically, age, relationship, geography). At the conclusion of Phase I, quantitative milestones (go-no go) to transition to Phase II are: 1) 25 caregivers enrolled; 2) 75% complete assigned Plans4Care task: onboard, identify care challenge, generate care plan (feasibility); 3) 75% rate Plans4Care acceptable; and 4) 75% rate navigation easy-to-use (usability). During Phase II, we will ascertain if embedding Plans4Care into large geriatric primary care practices (part of accountable care organizations) results in improved caregiver wellbeing and reduced acute care utilization by people with AD/ADRD, and a commercially viable product. Phase II specific aims include: Aim 3: Incorporate Phase I feasibility feedback to complete the build out of the platform to address all 50+ care challenges, and develop our solution into a commercial product; and Aim 4: Conduct a two-group randomized controlled trial (n=160) to evaluate if Plans4Care improves diverse caregivers’ wellbeing and reduces acute care utilization of people with dementia. This aim will formally provide evidence for the platform and its implementation in primary care/ACOs. Our company was competitively selected to participate in the NIA Healthy Aging Start-Up Bootcamp. The commercialization potential of an easy-to-use tool providing personalized care that is integrated into ACOs is unique and desperately needed in the marketplace.

项目摘要 尽管超过 1100 万家人/朋友照顾着超过 600 万阿尔茨海默病 (AD) 患者和 AD- 相关痴呆症 (AD/ADRD)，他们通常不会接受个性化教育、策略和支持 管理自己的健康和复杂的痴呆相关症状。缺乏个性化护理会导致 每年 AD/ADRD 护理费用高达 3210 亿美元。作为回应，我们公司 Plans4Care, Inc 提出了快速- 跟踪 SBIR (PAS-22-196) 以构建和测试向护理人员提供个性化护理计划的数字平台 在智能手机、平板电脑或电脑上。为了制定个性化护理计划，护理人员选择护理挑战 （超过 50 人）他们寻求解决并回答简短、易于回答的问题（评估）。一种新颖的临床 Plans4Care 开发的算法将挑战和评估结果映射到公司的数据库 超过 1,000 种基于证据的策略。由此产生的个性化护理计划包含有关护理的教育 改变环境、沟通、任务和/或活动的挑战和具体策略。 护理人员还可以获得经过培训的痴呆症专家（护理顾问）的一对一远程支持，例如 需要。第一阶段将开发和评估原型。第一阶段的具体目标包括： 目标 1：开发 可点击的原型，具有临床算法，可将 5 种常见护理挑战映射到简短的评估和 基于证据的策略来制定量身定制的护理计划；目标 2：确定可行性（能够使用 平台来识别挑战/生成护理计划）、可接受性（吸引力、适当性）和可用性（能够 导航），使用焦点小组和调查方法，涉及 25 个不同的验证措施 照顾者（种族、民族、年龄、关系、地理位置）。在第一阶段结束时，定量 过渡到第二阶段的里程碑（进行或不进行）是： 1) 25 名护理人员注册； 2) 完成分配的 75% Plans4Care 任务：入职，识别护理挑战，制定护理计划（可行性）； 3) 75% 利率 Plans4Care 可以接受； 4) 75% 的导航易于使用（可用性）。在第二阶段，我们将确定是否嵌入 Plans4Care 进入大型老年初级保健实践（责任护理组织的一部分）导致 改善护理人员的福祉并减少 AD/ADRD 患者的急性护理利用率，以及商业化 可行的产品。第二阶段的具体目标包括： 目标 3：纳入第一阶段可行性反馈以完成 构建该平台以解决所有 50 多个护理挑战，并将我们的解决方案开发为商业解决方案 产品;目标 4：进行两组随机对照试验 (n=160)，以评估 Plans4Care 是否有效 改善不同护理人员的福祉并减少痴呆症患者的急性护理利用率。这个目标 将正式为该平台及其在初级保健/ACO 中的实施提供证据。我们公司是 竞争性地选择参加 NIA 健康老龄化初创企业训练营。商业化 集成到 ACO 中的易于使用的提供个性化护理的工具的潜力是独一无二的， 市场迫切需要。