Automated IADL Sensing to Refine Measurement of Older Adult Daily Activity
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Efficiency of IADL Performance
研究概览
简要总结
The instrumental activities of daily living (IADL) refer to complex daily activities required for adult independence, such as preparing a meal or taking medications. This study will assess the efficacy of sensing technologies (smartwatch, computer vision, eye tracking) for recognizing IADL activities in naturalistic settings and score performance relative to ratings from occupational therapists. If successful in assessing the efficiency of IADL, the sensing technologies will be a valuable addition to geriatric assessment.
详细描述
With declines in motor and cognitive function, even older adults living independently may be less efficient in performing daily activities, such as cooking and light housekeeping, which may signal an impending need for caregiver support and healthcare services. Clinicians currently lack automated tools for detecting early declines in daily activity. This research will assess the utility of motion sensors and computer vision assessment in detecting early deficits in the instrumental activities of daily living (IADL), in this case structured cooking and cleaning tasks performed in a standardized kitchen. Older adults with normal cognitive status and those with mild cognitive impairment will be recruited from a research registry to assess differences in performance.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 75 Years 至 —（Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Participant in University of Pittsburgh Pepper Center research registry
- •Residing in community
- •Meets criteria for normal cognition or mild cognitive impairment on telephone screening (Memory Impairment Screen >= 5)
- •Daily, independent performance of cooking and light cleaning tasks
排除标准
- •Inability to provide informed consent
- •Meets criteria for possible dementia (Memory Impairment Screen <= 4)
- •Reports difficulty with activities of daily living (dressing, feeding oneself, using toilet, bathing)
- •Uses mobility assistance device for indoor ambulation
- •Medical conditions that may interfere with participation (e.g., severe untreated psychiatric disorders, unstable cardiovascular conditions, Parkinson's disease)
- •Current participation in other interventional studies or clinical trials.
研究组 & 干预措施
Older adults with mild cognitive impairment
Memory Impairment Screen >= 5 and MOCA < 26
Older adults with normal cognition
Memory Impairment Screen >= 5 and MOCA >= 26
结局指标
主要结局
Efficiency of IADL Performance
时间窗: 15-minute telephone screening, 90-minute in-person assessment
Machine learning composite based on candidate sensing metrics, such as time to complete each element of kitchen task, pacing of activity, corrections, repetition of movement, adjustments of posture, and need to review directions.
次要结局
- Concordance with Occupational Therapist Rating(One 90-min in-person assessment)
研究者
Andrea Rosso
Associate Professor
University of Pittsburgh