The purpose of this study is to assess the feasibility of implementing the virtual assistant devices into the daily routine of participants and their caregivers,to measure social determinants of health,depression,cognitive impairment,nutritional and functional status in the cognitively impaired participants
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
53
Participants will receive meals delivered to them by the Meals oN wheels(MOW) program for 6 weeks.
For the second 6 weeks, participants will continue to have meal deliveries and will now have the AES 8 device which can be used by the cognitively impaired participant and their caregiver. AES 8 devices will be installed in participant's homes by the study team and participants will be given basic instructions on using the device as well as a one-page handout that will include instructions on how to use and maintain privacy with their device. The study staff will continue to call twice a week to ask the 5 questions. At the end of the 6 weeks, a study team member will make an in-person visit to the participants' homes to measure FFP, MHS, CES-D, MOCA, ADL/IADLs, NSI, ZCBI, and TAM.
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Feasibility as measured by the technology acceptance measure (TAM)
The TAM has 4 questions each one with five answer choices ranging form Strongly Agree to Strongly Disagree
Time frame: 12 weeks from baseline
Feasibility as measured by the technology acceptance measure (TAM)
The TAM has 4 questions each one with five answer choices ranging form Strongly Agree to Strongly Disagree
Time frame: 18 weeks from baseline
Change in social determinants of health as measured by the the Mental Health Screening/Assessment (MHS)
Time frame: Baseline,18 weeks
Change in Depression as measured by the Center for Epidemiologic Studies Depression Scale (CES-D)
The scale consists of 20 questions and each is scored from 0-4,a higher number indicating more depression
Time frame: Baseline,18 weeks
Change in cognitive impairment as measured by the Montreal Cognitive Assessment (MOCA)
Total score on the Montreal Cognitive Assessment (MoCA) range from 0 to 30, with a higher score indicating a better outcome.
Time frame: Baseline,18 weeks
Change in nutritional status as measured by the Nutrition Screening Initiative (NSI)
Time frame: Baseline,18 weeks
Change in Caregiver burden as measured by the Zarit Caregiver Burden Interview (ZCBI)
The ZCBI has 22 questions with a score ranging from 0-88, a higher score indicating more burden
Time frame: Baseline,18 weeks
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In the third 6 weeks, the participants will continue to have meal deliveries and the AES 8 will be upgraded to provide an active intervention by asking the twice a week 5 questions through the device. The questions should be answered by the cognitively impaired older adult using the device, though the caregiver can still use the device for other basic services. The participant will be able to answer the questions verbally or by touch screen options displayed on the device.At the end of the 6 weeks, a study team member will make an in-person visit to the participants' homes to measure FFP, MHS, CES-D, MOCA, ADL/IADLs, NSI, ZCBI, and TAM.