一项基于证据的信息技术项目,配备聊天机器人以支持痴呆症患者的照护及临床护理:CareHeroes的开发与可用性试点

An Evidence-Based IT Program With Chatbot to Support Caregiving and Clinical Care for People With Dementia: The CareHeroes Development and Usability Pilot.

作者信息

Ruggiano Nicole, Brown Ellen Leslie, Clarke Peter J, Hristidis Vagelis, Roberts Lisa, Framil Suarez Carmen Victoria, Allala Sai Chaithra, Hurley Shannon, Kopcsik Chrystine, Daquin Jane, Chevez Hamilton, Chang-Lau Raymond, Agronin Marc, Geldmacher David S

机构信息

School of Social Work, University of Alabama, Tuscaloosa, AL, United States.

Alzheimer's Disease Research Center, University of Alabama at Birmingham, Birmingham, AL, United States.

出版信息

JMIR Aging. 2024 Dec 23;7:e57308. doi: 10.2196/57308.

Abstract

BACKGROUND

There are numerous communication barriers between family caregivers and providers of people living with dementia, which can pose challenges to caregiving and clinical decision-making. To address these barriers, a new web and mobile-enabled app, called CareHeroes, was developed, which promotes the collection and secured sharing of clinical information between caregivers and providers. It also provides caregiver support and education.

OBJECTIVE

The primary study objective was to examine whether dementia caregivers would use CareHeroes as an adjunct to care and gather psychosocial data from those who used the app.

METHODS

This paper presents the implementation process used to integrate CareHeroes into clinical care at 2 memory clinics and preliminary outcome evaluation. Family caregivers receiving services at clinics were asked to use the app for a 12-month period to collect, track, and share clinical information with the care recipient's provider. They also used it to assess their own mental health symptoms. Psychosocial outcomes were assessed through telephone interviews and user data were collected by the app.

RESULTS

A total of 21 caregivers enrolled in the pilot study across the 2 memory clinics. Usage data indicated that caregivers used many of the features in the CareHeroes app, though the chatbot was the most frequently used feature. Outcome data indicated that caregivers' depression was lower at 3-month follow-up (t11=2.03, P=.03).

CONCLUSIONS

Recruitment and retention of the pilot study were impacted by COVID-19 restrictions, and therefore more testing is needed with a larger sample to determine the potential impact of CareHeroes on caregivers' mental health. Despite this limitation, the pilot study demonstrated that integrating a new supportive app for caregivers as an adjunct to clinical dementia care is feasible. Implications for future technology intervention development, implementation planning, and testing for caregivers of people living with dementia are discussed.

摘要

背景

痴呆症患者的家庭护理人员与医护人员之间存在众多沟通障碍,这可能给护理工作和临床决策带来挑战。为解决这些障碍,开发了一款名为“护理英雄”的新型网络和移动应用程序,该程序促进了护理人员与医护人员之间临床信息的收集和安全共享。它还提供护理人员支持和教育。

目的

主要研究目的是检查痴呆症护理人员是否会将“护理英雄”用作护理辅助工具,并从使用该应用程序的人员那里收集心理社会数据。

方法

本文介绍了将“护理英雄”整合到两家记忆诊所临床护理中的实施过程以及初步结果评估。要求在诊所接受服务的家庭护理人员在12个月内使用该应用程序,以收集、跟踪并与护理对象的医护人员共享临床信息。他们还使用该应用程序评估自己的心理健康症状。通过电话访谈评估心理社会结果,并由应用程序收集用户数据。

结果

两家记忆诊所共有21名护理人员参与了试点研究。使用数据表明,护理人员使用了“护理英雄”应用程序的许多功能,不过聊天机器人是使用最频繁的功能。结果数据表明,在3个月的随访中,护理人员的抑郁程度较低(t11 = 2.03,P = .03)。

结论

试点研究的招募和留存受到了新冠疫情限制的影响,因此需要用更大的样本进行更多测试,以确定“护理英雄”对护理人员心理健康的潜在影响。尽管存在这一局限性,但试点研究表明,将一款新的支持性应用程序作为痴呆症临床护理的辅助工具进行整合是可行的。文中讨论了对未来痴呆症患者护理人员技术干预开发、实施规划和测试的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f015/11684532/218cc5d90546/aging-v7-e57308-g001.jpg

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