Scalable Intervention Technology for Older Adults
-
Upload
casala-centre -
Category
Health & Medicine
-
view
382 -
download
0
description
Transcript of Scalable Intervention Technology for Older Adults
![Page 1: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/1.jpg)
Scalable Intervention Technology
for Older Adults in the Home
Holly Jimison, PhD
Department of Medical Informatics, OHSU
Funding: National Science Foundation, National Institute on Aging,
Alzheimer’s Association, and the Intel Corporation
![Page 2: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/2.jpg)
Scalable Approach to Delivering Interventions to the Home
Remote, just-in-time, continuous care
Incorporate principles of health behavior
change
Optimal use of lower cost personnel
Integrate family & informal caregivers into the
health care team (untapped resource)
Platform for testing sustained interventions in
the home
![Page 3: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/3.jpg)
Home Monitoring Data
![Page 4: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/4.jpg)
Platform to Deliver a Scalable Coaching Intervention to the Home
System to facilitate a single coach in
managing a large number of clients
Semi-automated tailored messaging based on
home monitoring and self-report data
User assessment user model tailored
data sharing, action plan, coaching messages
Multiple modules – not single condition or
approach
![Page 5: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/5.jpg)
Modular Software for Multiple Protocols
Cognitive Exercise (computer game format)
Novelty exercise
Physical Exercise
Sleep Management
Socialization
Medication Management
Mood Management
![Page 6: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/6.jpg)
Participant Home Page
Participant home page
• Messages from coach
• Featured story
• Weekly goals
– Activities
– Surveys
• Access modules
– Physical Activity
– Sleep
– Socialization
– Novelty Mental Exercises
– Cognitive Games
• Coaching Process
• Participant Materials
6
![Page 7: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/7.jpg)
• Messages from Coach
Coach Messaging
7
• Messages to Coach
![Page 8: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/8.jpg)
Physical Activity Module
8
![Page 9: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/9.jpg)
Physical Activity Module-continued
9
![Page 10: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/10.jpg)
Sleep Module
10
![Page 11: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/11.jpg)
Socialization Module
11
![Page 12: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/12.jpg)
Socialization Protocols for Cognitive Health
Web cams and Skype software given to
participants and their remote family partner
Frequent spontaneous use among participants
![Page 13: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/13.jpg)
Cognitive Computer Games - embedded monitoring algorithms
![Page 14: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/14.jpg)
Health Coaching Platform Architecture
![Page 15: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/15.jpg)
Health Coaching Platform Architecture
Family Interface
• Safety monitoring
• Soft alerts
•Team-based care
• Socialization
![Page 16: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/16.jpg)
ORCATECH 16
In-Home Cognitive Health Coaching Studies
Needs Assessment
Coach Messaging Study
Ongoing Usability Testing
Feedback on Cognitive Games and Novelty Exercise
Current Coaching Study
20 participants in the ORCATECH Living Lab
20 additional participants from larger monitoring study
Average age 78.3 ± 7.8 years
70% female
![Page 17: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/17.jpg)
Lessons Learned: Important Software Issues
User centered design – ease of use
Inference algorithms for assessing patient state and
context
Sophisticated User Models
Privacy / Security – tailored privacy models for
the sharing of home monitoring data
User models for tailoring interventions and
coaching messages
• Intelligent Interoperability
![Page 18: Scalable Intervention Technology for Older Adults](https://reader033.fdocuments.us/reader033/viewer/2022051818/549a1dd7ac795987318b4eba/html5/thumbnails/18.jpg)
Summary: Benefits of Technology for Remote Coaching
Scalable approach to delivering interventions to the
home
Extends the reach of lower cost professionals
Community-based culturally-specific coach
Timely and continuous
Aim to keep people independent ( QoL & costs)
Integrates untapped resource of family and informal
caregivers into the care team
Tailors interventions to individuals
Integrates health and wellness interventions