Variable prompting technology for improving the ADL task performance of older adu

描述（由申请人提供）：老年人口（65岁以上）是美国人口中增长最快的部分，预计在未来20年内将从美国人口的12%增长到21% 1。随着人们寿命的延长，阿尔茨海默病和痴呆症等使人衰弱的疾病的患病率也将增加。与痴呆症相关的认知能力下降往往导致日常生活活动功能受损，由此增加的健康和社会支持服务负担目前在美国每年接近1000亿美元。1为了尽量减少对人类支持服务的需求，已经有研究调查使用辅助技术来支持独立。这些系统通常包括传感器和/或视频监控技术，以远程监控老年人的健康和行为。然而，现有的技术仍然无法检测到所需的提示量，并以一种尊重的、非侵入性的方式为日常生活活动提供指导。根据NIA的任务和研究重点，crecreateability Concepts, Inc. （CCI）将生产SMART（传感器监测和敏锐识别技术）提示系统。第一阶段的假设是，变量提示技术可以成功地帮助有认知障碍的个体完成与adl相关的任务。CCI将用于验证这一假设的具体目标是：1)：设计和开发计算机视觉，并集成和测试原型子系统，以支持试点研究；2)使用试点研究，确定变量提示是否会改善老年痴呆症患者的功能性任务表现。在第一阶段结束时，CCI将获得一项有60名参与者的试点研究的数据，以支持这样一个前提：当人类管理员根据参与者的任务表现评估他们的需求并向参与者提供正确的细节水平时，患有痴呆症的老年人可以独立完成不同复杂性的任务。由于被压抑的需求和具有成本效益的产品，市场接受度预计会很高。

DESCRIPTION (provided by applicant): The older adult population (65+) is the fastest growing segment of the American population and is expected to grow from 12% to 21% of the US population over the next 20 years 1. As people live longer, the prevalence of debilitating, diseases such as Alzheimer's disease and dementia will also increase. The cognitive decline associated with dementia often leads to impaired functioning with activities of daily living (ADL) with a resultant increased burden for health and social support services currently approaches $100 billion annually in the United States.1 Attempts to minimize the demand for human support services have resulted in research investigating the use of assistive technology to support independence. These systems generally incorporate sensors and/or video surveillance techniques to remotely monitor the health and behavior of seniors. However, this population is still underserved by existing technology's ability to detect the required amount of prompting needed and provide coaching on activities of daily living in a respectful, non-invasive manner. Consistent with NIA's mission and research priorities, CreateAbility Concepts, Inc.'s (CCI) will produce the SMART (Sensor Monitoring and Acuity Recognition Technology) prompt system. The hypothesis for Phase I is that variable prompting technology can successfully aid in the completion of tasks associated with ADLs for individuals with cognitive impairments. The Specific Aims CCI will use to test this hypothesis are: 1): Design and develop the computer vision and integrate and test the prototype subsystems to support the pilot study, and 2) Using a pilot study, determine whether variable prompting will improve the functional task performance for older adults with dementia. At the conclusion of Phase I, CCI will have data from a pilot study with 60 participants to support the premise that older adults with dementia can independently complete tasks of varying complexities when a human administrator assesses their need based on the participant's task performance and supplies the correct level of detail to the participant. Market acceptance is expected to be high due to the pent up demand and cost- effective offering. PUBLIC HEALTH RELEVANCE: In this SBIR project, CreateAbility Concepts, Inc. will develop technology to support and improve quality of life, well-being, and the ability of older adults to live independently and safely at home. SMART-prompt will detect and monitor an individual's task performance throughout the day and deliver person-centered prompting instructions to complete activities of daily living.