This study aims to develop and evaluate the longitudinal effectiveness of the Artificial Intelligence Family Involvement Generative Agent (AIFIGA) program in enhancing the health of nursing staff, family, and residents' health through the use of a sequential, mixed methods research design. The development of a real-time, interactive, and informative AIFIGA program that sparks innovation is necessary to achieve effective communication between families and nursing staff. In Phase I, lasting 18 months, we will develop the AIFIGA program based on triangulate research design, observation and in-depth interview understanding the daily communication experiences and expectations from both families and nursing staff perception in Nursing Homes(NHs) after COVID-19, as well as our previous years' research results. The training data for AIFIGA will be derived from the collection of communication dialogues in these qualitative data. Furthermore, the intelligence of AIFIGA will be developed using publicly available large language models (LLMs). In Phase II, spanning the next 18 months, we will evaluate the longitudinal effects of the AIFIGA program on the health of residents, families, and nursing staff, tracking changes over time (baseline, 1 month, 3 months, and 6 months). There will be two groups of participants: (a) an AIFIGA group that receives the AIFIGA program and uses it for 3 months, and (b) a control group that receives only routine care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
210
receives the Artificial Intelligence Family Involvement Generative Agent (AIFIGA) program and uses it for 3 months
Catholic Mercy Hospital Attached Nursing Home
Hsinchu, Taiwan
RECRUITINGresident health-Geriatric Depression Scale (GDS)
scale for depression( scored from 0 through to 15.Scores of 0-4 are considered normal; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.)
Time frame: baseline, 1 month, 3 months and 6 months
resident health-Activity of daily living (ADL)
assess individual's ability to perform basic self-care tasks (scored from 0 through to 100. higher scores mean more independence)
Time frame: baseline, 1 month, 3 months and 6 months
social support scale
Evaluated quantities of social support (four-point Likert scale, where higher scores indicate a greater amount of each type of social resource) \& satisfaction with social support (five-point Likert scale, where higher scores indicate greater satisfaction with social support)
Time frame: baseline
brief Center for Epidemiological Studies Depression Scale(CESD-10)
assessment for family' depressive status.(scored from 0 through to 30. Any score equal to or above 10 is considered depressed)
Time frame: baseline, 1 month, 3 months and 6 months
The General Health Questionnaire-12(GHQ-12)
assessing the mental health status of respondents. ( total score ranges from 0 to 36, Higher scores mean better mental health status outcome)
Time frame: baseline, 1 month, 3 months and 6 months
Family Meaning of Nursing-Home Visits scale
measurement of family visiting involvement meaning
Time frame: baseline, 1 month, 3 months and 6 months
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