Digital Tools to Support Healthcare Decision Making

Официальное название

Technology Tools for Cognitive Support for Health Management Activities for Aging Adults With and Without Mild Cognitive Impairment (Research Project 3)

Обзор

The goal for this project is to support the cognitive components of older adults' health-management activities through development of digital assistant technology tools tailored to three exemplar healthcare management task activities: accessing support services, managing healthcare finances, and using the health-management tools provided by Medicare.gov. This project will leverage the machine-intelligence expertise of our collaborators and our experience in developing and evaluating technologies for supporting the health and wellbeing needs of older adults to harness technology to provide cognitive support to aging adults, including those with Mild Cognitive Impairment (MCI) and lower SES.

Подробное описание

The overarching goal of the project is to enable diverse older adults, including those of lower SES or with cognitive impairments (e.g., MCI), to achieve their health goals by supporting the cognitive components of health-management activities, through development of digital assistant technology tools. Tool development will be guided by an understanding of the preferences, needs, and cognitive capabilities and limitations of older adults. Each of the CREATE sites will lead efforts. CREATE resources will be used to maximal potential through utilization of the machine learning and artificial intelligence expertise of our partners at the WCM site for support of the development of digital assistant technology tools for medicare. Importantly, data collection related to development and evaluation of the tools for each of the task activities will occur at all sites to maximize the design of the cognitive support tools and the generalizability of the findings.

Clinical Trial, the primary objective is focused on evaluating the feasibility, acceptability and usability of the SideKick digital support tool (adapted for this study for Medicare) with a diverse sample of adults age 60+ with and without a cognitive impairment. This is a feasibility trial. The study design is a pilot RCT. Following a baseline assessment, participants will be randomized into a Medicare.gov Condition or the SideKick condition. Participants will complete a series of queries related to Medicare enrollment and plan selection (that vary in complexity) using medicare.gov or Sidekick. Their performance and perceptions (e.g., challenges, usability, usefulness, etc.) will be evaluated upon completion of the queries.

This clinical trial was originally registered as part of NCT05811338.

Вмешательства

• Поведенческое Project 3, Phase 2: Clinical Trial
  A digital support tool (adapted for this study for Medicare) with a diverse sample of adults age 60+ with and without a cognitive impairment.

Первичные конечные точки

• Project 3, Phase 2: Mean Perceived System Usefulness [Срок оценки: Immediately following completion of the task performance session]
• Project 3, Phase 2: Sum of Performance Accuracy [Срок оценки: Immediately following completion of the task performance session]

Критерии участия

Критерии включения

• Some internet proficiency is required; participants will need to answer Yes to the following:
• Can you use the Internet to access a website, for example, amazon.com?
• Can you use search engines like Google to search for information on the Internet?
• English speaking.
• 6th grade literacy.
• Aged 60 or older.
• TICS-m with a score between 22-37 for MCI and >37 for normal.
• Able to read from a newspaper.

Критерии исключения

• blindness
• deafness (inability to engage in telephone screening due to hearing difficulties)
• terminal illness
• severe motor impairments (e.g., severe tremors or debilitating arthritis in the hands),
• TICS-m <22.
• All Phase 1 study participants (interview and observational study): have you ever participated in a study that interviewed you about your experience with Medicare or asked you to search for Medicare information?

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

США · 3 центра

• Florida State University — Tallahassee
• University of Illinois Urbana-Champaign — Champaign
• Weill Cornell Medicine — New York

Идентификаторы

NCT: NCT07485725 · 23-01025559-03 · P01AG073090-01A1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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