Mobile Technologies Assisting Patients & Family Caregivers in Healthy Living

描述（由申请人提供）：本研究测试了移动的技术如何参与并增强家庭的健康生活，并减轻家庭医疗保健负担（PAR-11-020）。专业人员通过XOOM-EVO运动视频和照片快照对患者进行实时家庭观察，将能够早期发现通常致命的血流脓毒症感染和终身每日家庭肠外营养（HPN）静脉（IV）输注的家庭管理的其他严重并发症。每年花费数百万美元用于与复杂的家庭护理相关的健康状况不佳，以及我们国家最昂贵但可预防的IV败血症诊断，这是NIH研究的前25名。该项目将确定移动的技术访问我们的循证干预措施的成本效益（基于互联网的逐步家庭护理算法，视频场景说明复杂的HPN家庭护理IV程序和自动提示和激励游戏支持家庭的健康生活活动）。此外，我们的XOOM-EVO系统（一个低成本的集成系统，使用摩托罗拉XOOM内置摄像头电脑平板电脑和EVO移动的智能手机）使用我们的多点单元或“桥”技术，用于家庭和多个专业人员之间的同时互动，以及同行支持小组。具体目的是测试通过XOOM移动的平板电脑和EVO移动的手机提供的FamHomeCare对80名HPN患者及其护理人员的影响：（a）健康状况和生活质量;（B）健康生活活动的使用;（c）IV感染;（d）护理人员负担;（e）疲劳;（e）健康状况和生活质量;（f）健康状况和健康状况;（f）健康状况和并且还使用数据包络分析（DEA）的创新计量经济学效率统计将确定XOOM-EVO系统相对于患者的亲自健康服务的成本。嵌套线性混合模型分析用于检验随时间变化的效应。此外，“虚拟护士关怀”的新概念通过电脑平板电脑远程医疗、互联网和智能手机，从远处评估受试者（患者和护理人员）的“被关怀”感。该项目将对以下方面产生持续影响：（a）生物技术，通过计算移动的系统与所使用的现场保健服务的成本效益，转化可靠的“最佳做法”技术;（B）临床医生和行政人员，提供新的远程护理干预措施。本研究将获得关于复杂慢性病的移动的管理的新知识，使用经过科学验证的移动的访问互联网家庭护理算法的集成系统;通过与多个专业人员和小组同行会话的桥接传输，在家中与患者及其家庭护理人员进行照片和视频预约。

DESCRIPTION (provided by applicant): This study tests how mobile technologies engage and empower families in healthy living and reduce their home healthcare burden (PAR-11-020). Professionals' real-time home observation of patients via XOOM-EVO motion video and photograph snapshots will provide early detection of the often fatal blood stream sepsis infections and other serious complications of home management of life-long daily home parenteral nutrition (HPN) intravenous (IV) infusions. Millions of dollars are spent annually on poor health associated with complex home-caregiving and on our nation's most costly but preventable diagnosis of IV sepsis, a top 25 NIH research priority. This project will determine the cost-efficiency of mobile technology access to our evidence-based interventions (internet based step-by-step home-caregiving algorithms, video scenes illustrating complex HPN home-care IV procedures and automated prompts and motivating games support families' healthy living activities). Also our XOOM-EVO system (a low cost integrated system using the Motorola XOOM built-in camera computer tablet and the EVO mobile smart phone) uses our multi-point unit or "bridge" technology for simultaneous interactions among the family at home and multiple professionals and for peer support groups. Specific aims are to test the effects of the FamHomeCare delivered via XOOM mobile tablet PC & EVO mobile phone with 80 HPN patients and on their caregivers: (a) health status and quality of life; (b) use of healthy living activities; (c) IV infections; (d) caregiver burden; (e) fatigue; and also use of the innovative econometric efficiency statistics of Data Envelopment Analysis (DEA) will determine the XOOM-EVO system costs, relative to patients' in-person health services. Nested linear mixed model analyses are used to test effects over time. Also, the novel concept of "Virtual Nurse Caring" evaluates subjects' (patients and caregivers) sense of being "cared for" from a distance via computer tablet telehealth, internet and smart phones. This project will have a sustained impact on: (a) biotechnology, by translating reliable "best practices" technology by calculating the cost efficiency of mobile system in ratio to in-person health services used; and (b) clinicians and administrators, by providing new distance care interventions. This study will gain new knowledge about mobile management of complex chronic conditions using an integrated system with scientifically validated mobile access to internet home-care algorithms; photographs and video appointments to and from patients and their family caregivers at home via bridged transmissions with multiple professionals and group peer sessions.