Scalable Intervention Technology for Older Adults in the Home Holly Jimison, PhD Department of Medical Informatics, OHSUFunding: National Science Foundation, National Institute on Aging,Alzheimer’s Association, and the Intel Corporation
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
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
Health Coaching Platform Architecture Family Interface• Safety monitoring • Soft alerts •Team-based care • Socialization
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% femaleORCATECH 16
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
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
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