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&gt；1100万家庭/朋友是600万阿尔茨海默病(AD)患者和AD患者的照顾者。 相关痴呆症(AD/ADRD)，他们通常不会接受个性化的教育、战略和支持 管理自己的健康和复杂的痴呆症相关症状。缺乏个性化护理是原因之一 到每年3,210亿美元的AD/ADRD护理费用。作为回应，我们公司Plans4Care，Inc.提出了一项快速- 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。为了生成个性化护理计划，护理人员选择护理挑战 (来自&gt；50)他们寻求解决并回答简短、易于回答的问题(评估)。一种新的临床应用 由Plans4Care开发的算法将挑战和评估结果映射到公司的数据库 1,000种基于证据的战略。由此产生的个性化护理计划包含有关护理的教育 挑战和修改环境、通信、任务和/或活动的具体战略。 照顾者还可以获得训练有素的痴呆症专家(护理顾问)的一对一远程支持 需要的。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：制定 带有临床算法的可点击原型，可将5个常见护理挑战映射到简要评估和 基于证据的战略，以生成量身定制的护理计划；和目标2：确定可行性(能够使用 确定挑战/生成护理计划的平台)、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种不同的有效衡量标准 照顾者(种族、民族、年龄、关系、地理)。在第一阶段结束时，量化 过渡到第二阶段的里程碑(通过-不通过)是：1)注册25名护理员；2)完成75%的分配 计划4护理任务：入职，确定护理挑战，制定护理计划(可行性)；3)75%的计划4护理 可接受；以及4)75%的导航易用性(可用性)。在第二阶段，我们将确定是否嵌入 将护理纳入大型老年初级保健实践(负责任的护理组织的一部分)的结果是 改善照顾者福祉，降低AD/ADRD患者的急性护理利用率，并在商业上 可行的产品。第二阶段的具体目标包括：目标3：将第一阶段的可行性反馈纳入完成 构建平台以应对所有50多项护理挑战，并将我们的解决方案开发为商业解决方案 目标4：进行两组随机对照试验(n=160)，以评估是否有Plans4Care 改善不同照顾者的福祉，减少痴呆症患者的急性护理利用率。这一目标 将正式为该平台及其在初级保健/初级保健中心的实施提供证据。我们的公司是 竞争被选中参加NIA健康老龄化初创企业训练营。商业化 集成到ACOS中的提供个性化护理的易于使用的工具的潜力是独一无二的 市场上迫切需要的。