Proact Inc

CUSTOMIZABLE TRAINING SOFTWARE FOR PROFESSIONAL ALZHEIMER DIRECT CARE PROVIDERS - CUSTOMIZABLE TRAINING SOFTWARE FOR PROFESSIONAL ALZHEIMER DIRECT CARE PROVIDERS PROJECT SUMMARY/ABSTRACT - PROACTIVE MEMORY SERVICES, INC. NEW STRATEGIES ARE URGENTLY NEEDED TO IMPROVE ALZHEIMER’S DISEASE AND RELATED DEMENTIAS (AD/RD) TRAINING FOR 4.6 MILLION PROFESSIONAL DIRECT CARE PROVIDERS THAT ASSIST 8.3 MILLION OLDER ADULTS IN THE US. ASSISTED LIVING FACILITIES (ALF) AND PERSONAL CARE AGENCIES (PCA) ARE THE LARGEST AND FASTEST GROWING SEGMENTS OF THE LONG- TERM CARE INDUSTRY, BUT WHERE THERE ALSO ARE CONCERNS ABOUT MINIMAL PRACTICE STANDARDS, TRAINING, AND OVERSIGHT. CURRENT TRAINING OPTIONS LACK CUSTOMIZATION AND FLEXIBILITY TO ADDRESS THE DIVERSE BACKGROUNDS OF PROVIDERS AND THEIR INDIVIDUAL LEARNING STYLES. INADEQUATE TRAINING CAUSES UNDUE STRESS, A LACK OF EMPATHY, WORK DISSATISFACTION, JOB TURNOVER AND HIGHER TRAINING COSTS. PROACTIVE MEMORY SERVICES, INC. WILL TEST A REVOLUTIONARY NEW STRATEGY THAT TRANSFORMS OCCASIONAL, EPISODIC AD/RD TRAINING TO CONTINUOUSLY ACCESSIBLE TRAINING USING MOBILE SOFTWARE. WE HYPOTHESIZE THAT ADVANTAGES OF INDIVIDUALLY CUSTOMIZED TRAINING, INCREASED ON-JOB SUPPORT AND SUPERVISION, AND EFFICIENT DOCUMENTATION WILL LEAD TO ADOPTION OF THIS NEW APPROACH. IN PHASE I WE WILL EVALUATE TRAINING NEEDS AND PREFERENCES IN SEMI-STRUCTURED INTERVIEWS, FOCUS GROUPS AND SURVEYS WITH 10 DIRECT CARE PROVIDERS AND ADMINISTRATORS IN 4 ALF AND PCA ORGANIZATIONS TO GUIDE THE DEVELOPMENT OF PROTOTYPE PROFESSIONAL TRAINING SOFTWARE BASED ON OUR COMMERCIAL MOBILE SOFTWARE FOR FAMILY CAREGIVERS, MEMORYCAREPARTNER©. MODIFICATIONS OF OUR SOFTWARE PLATFORM WILL CONSISTENTLY DIRECT LEARNERS TO PRE- PROGRAMMED TRAINING PATHWAYS, INDIVIDUALLY TAILORED TO ROLE, LEVEL OF TRAINING, CARE SETTING, STATE AND ORGANIZATION AND ALLOW PERSONAL TRACKING OF TRAINING PROGRESS. LEARNERS CAN EXPLORE TEXT AND AUDIOVISUAL CONTENT TO FIT INDIVIDUAL LEARNING STYLES. THE FLEXIBLE FORMAT ADAPTS TO DIVERSE LEARNER ABILITIES AND IRREGULAR WORK SCHEDULES. IN PHASE II WE WILL EVALUATE EDUCATIONAL OUTCOMES AND SUSTAINED ENGAGEMENT WHEN USING OUR PROTOTYPE TRAINING SOFTWARE THROUGH SERVER DATA, USER AND ADMINISTRATOR ONLINE FEEDBACK, FOCUS GROUPS AND INTERVIEWS. OUR FINDINGS IN FOUR SUCCESSIVE GROUPS OF 10 DIRECT CARE TRAINEES WILL BE USED TO DEVELOP ITERATIVE CODE SPRINTS TO MODIFY OUR TRAINING SOFTWARE AND OPTIMIZE OBSERVED USER EXPERIENCE AND EDUCATIONAL ACHIEVEMENT. MAXIMIZING VALUE ALSO WILL BE ACHIEVED THROUGH IMPROVED DOCUMENTATION OF REGULATORY TRAINING REQUIREMENTS AND THE LIKELIHOOD OF ORGANIZATION ADOPTION AND COMMERCIAL POTENTIAL OF THIS NEW TRAINING STRATEGY. OUR ULTIMATE GOAL IS TO USE OUR PROACTIVE AND PREVENTATIVE FOCUS TO FACILITATE EVIDENCE-BASED COLLABORATIVE AND PERSON-CENTERED CARE TO THUS IMPROVE THE QUALITY OF PROFESSIONAL DIRECT CARE FOR THE GROWING NUMBER OF AMERICANS FACING AD/RD.

MEMORY CARE PARTNER

A NON-PHARMACOLOGICAL MULTI-MODAL THERAPY TO IMPROVE SLEEP AND COGNITION AND REDUCE MILD COGNITIVE IMPAIRMENT RISK

PROJECT LANKFORD

SELF-EMPOWERMENT AND ENGAGEMENT TO RESOURCES (SEER) - TITLE: FY 2023 MINORITY AIDS INITIATIVE: THE SUBSTANCE USE AND HUMAN IMMUNODEFICIENCY VIRUS PREVENTION NAVIGATOR PROGRAM FOR RACIAL/ETHNIC MINORITIES. PROJECT PERIOD START: SEPTEMBER 30, 2023. PROACTIVE COMMUNITY SERVICES (PCS) WILL IMPLEMENT THE SELF-EMPOWERMENT THROUGH ENGAGEMENT WITH RESOURCES (SEER) PROGRAM WITH DIRECT SERVICE PARTNERS (DSP): SOUTH SUBURBAN COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, KIRBY REHABILITATION, CHICAGOLAND INFECTIOUS DISEASE, SAJ FAMILY PRACTICE, AND THE PCS GREATER METROPOLITAN AREA PROVIDERS (GMAP), A CADRE OF MEDICAL PSYCHOSOCIAL AND ESSENTIAL SERVICE PROVIDERS. THE PROGRAM WILL PROVIDE PREVENTION AND CARE SERVICES TO POPULATIONS AT HIGH-RISK FOR SUBSTANCE USE DISORDERS (SUDS) AND HIV INFECTION. THE PROGRAM TARGETS ETHNIC AND RACIAL COMMUNITIES RESIDING IN COOK COUNTY, ILLINOIS AGES 18+, WITH A FOCUS ON TRANSGENDER, CISGENDER, AND GENDER NONCONFORMING (GNC) AFRICAN AMERICAN MEN AND WOMEN. THE PROGRAM WILL USE A SYNDEMIC APPROACH TO INCREASE ENGAGEMENT WITH RESOURCES AND REDUCE SUDS, HIV, VIRAL HEPATITIS, AND OTHER BLOOD-BORNE DISEASES, WHICH ARE DISPROPORTIONATELY HIGH AMONG AFRICAN AMERICANS IN COOK COUNTY, ESPECIALLY IN THE COMMUNITIES OF MEN WHO HAVE SEX WITH MEN (MSM) AKA SAME-GENDER LOVING MEN (SGLM), AND WOMEN -CISGENDER AND TRANSGENDER, THESE COMMUNITIES HAVE BEEN HISTORICALLY MARGINALIZED AND SYSTEMATICALLY EXPERIENCE GREATER OBSTACLES ACCESSING MEDICAL, MENTAL HEALTH TREATMENT, OR CARE SERVICES BASED ON RACE, AGE, GEOGRAPHIC LOCATION, SOCIOECONOMIC STATUS, JUSTICE INVOLVEMENT, SEXUAL ORIENTATION, OR GENDER IDENTITY. SEER DIRECT SERVICE PARTNERS (DSP) WILL COORDINATE SUBSTANCE USE, MENTAL HEALTH, AND MEDICAL SERVICES TO ANNUALLY PROVIDE 500 BLACK INTERGENERATIONAL MEN AND WOMEN -CIS-GENDER OR TRANSGENDER, AND GENDER NONCONFORMING (GNC) INDIVIDUALS WITH HIV, HCV, AND STI TESTING/SCREENING SERVICES, INCLUDING HEALTH EDUCATION, SCREENINGS AND ASSESSMENT, HARM REDUCTION, TREATMENT AND SUPPORTIVE SERVICES, AND SAFER SEX AND SAFER CONSUMPTION BIOMEDICAL TOOLS. DURING YEAR ONE, SEER PARTNERS WILL FOCUS ON COMMUNITIES IN THE SOUTH AND SOUTHWEST DISTRICTS, AND IN SUBSEQUENT YEARS, THE PROGRAM WILL REPLICATE YEAR ONE BEST PRACTICES TO EXPAND AND SERVE UNDERSERVED COUNTY COMMUNITIES, ESPECIALLY PERSONS WITH LIMITED ENGLISH PROFICIENCY. INDIVIDUALS AT THE INTERSECTIONS OF SYSTEMIC RACISM, MEDICAL SYNDEMIC, AND SUDS REQUIRE SERVICES TAILORED TO THEIR UNIQUE PHYSICAL, MENTAL, AND SOCIAL NEEDS. SEER PARTNERS WILL COLLABORATE WITH INTERDISCIPLINARY MEMBERS OF THE PCS GREATER METROPOLITAN AREA PROVIDERS (GMAP) TO PROVIDE CULTURALLY COMPETENT, CLIENT-CENTERED SERVICES USING COMMUNITY OUTREACH, PEER SUPPORT SPECIALISTS, AND WRAP (WELLNESS RECOVERY ACTION PLANNING). THE GOALS OF THE SEER INCLUDE FACILITATING ENTRY INTO TREATMENT AND CARE FOR THOSE WITH OR AT RISK FOR HIV, HCV, STIS, AND SUDS BY ANNUALLY SERVING 500 UNDUPLICATED COOK COUNTY RESIDENTS: DISSEMINATING EDUCATIONAL MATERIALS, PROVIDING HIV, STI, AND HCV SCREENINGS, LINKING TO PRE-EXPOSURE PROPHYLAXIS (PREP) OR NPEP (250 TOTAL) TREATMENT: OUTPATIENT AND RESIDENTIAL DRUG TREATMENT TO 21 PARTICIPANTS THE FIRST YEAR AND 26 PARTICIPANTS EACH YEAR THEREAFTER (125 TOTAL); GROUP LEVEL INTERVENTION TO 25 PARTICIPANTS THE FIRST YEAR AND 50 PARTICIPANTS EACH YEAR THEREAFTER (225 TOTAL); AND THE GMAP NETWORK FOR MEDICAL PSYCHOSOCIAL AND ESSENTIAL SERVICES (600 TOTAL); AND RETAINING CLIENTS IN CARE. THE LONG-TERM COMMUNITY IMPACT IS DECREASING SUBSTANCE USE, RISKY SEXUAL BEHAVIORS, AND MENTAL HEALTH PROBLEMS; AND INCREASING ADHERENCE TO TREATMENT PROTOCOLS AND MEDICATIONS; AND IMPROVING QUALITY OF LIFE-RELATED TO HOME, HEALTH, COMMUNITY, ECONOMIC STABILITY, AND PURPOSE. SEER PARTNERS WILL EMPLOY A COMPREHENSIVE STRATEGY OF ENGAGEMENT, EDUCATION, ASSESSMENT, AND EVIDENCE-BASED PRACTICES, INCLUDING INDIVIDUAL AND GROUP-LEVEL INTERVENTIONS, INDIVIDUALIZED CLIENT SERVICE PLANS, AND LINKAGES TO TREATMENT AND CARE.

AN INTERNET OF THINGS AUTOMATED COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA THAT IMPROVES COGNITION IN OLDER ADULTS - ABSTRACT AND SUMMARY WE WILL ADDRESS THE PUBLIC HEALTH ISSUES OF INSOMNIA AND ALZHEIMER’S DISEASE (AD), WHICH COSTS THE US HEALTHCARE SYSTEM >$400 BILLION/YEAR, WITH AN ADDITIONAL ~$411 BILLION/YEAR COST IN LOST PRODUCTIVITY. DUE TO THE STRONG ROLE THAT SLEEP DEPRIVATION AND INSUFFICIENT SLOW WAVE SLEEP (SWS) PLAY IN CONVERSION TO MILD COGNITIVE IMPAIRMENT (MCI) AND AD, THE PROPOSED BUSINESS DEVELOPMENT RESEARCH WILL ADDRESS BOTH PUBLIC HEALTH ISSUES. PREVIOUSLY, WE SHOWED THAT OUR PATENTED TECHNOLOGY COULD ACCURATELY MEASURE SLEEP STAGES; AND WE SUCCESSFULLY COMPLETED A RANDOMIZED CONTROLLED TRIAL (RCT) ON 60–90-YEAR OLD’S (N = 54) SHOWING THAT WE COULD AUGMENT CONVENTIONAL COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBTI). OUR TECHNOLOGY RESULTED IN MORE REMISSION TO INSOMNIA THAN CONVENTIONAL CARE WHEN ADMINISTERED BY A CLINICIAN. WE ARE NOW SEEKING FUNDING TO CONDUCT A VALIDATION STUDY OF A FULLY AUTOMATED VERSION OF THE TECHNOLOGY THAT INCREASES ADHERENCE TO CBTI AND IS APPLICABLE TO AN OLDER AND/OR NON-ADHERENT POPULATION. CALLED SLEEPSPACE AI, THE NEW SYSTEM WILL IMPROVE ADHERENCE TO CBTI USING CUES DELIVERED VIA AN UNLOCKED SMART PHONE, SMART LIGHT BULBS, AND SOUNDS EMITTED FROM THE PHONE. IT WILL ALSO PROVIDE PERSONALIZED FEEDBACK BASED ON USER DATA TO AUGMENT RECOMMENDED SLEEP SCHEDULES, BE EASILY ACCESSIBLE TO DELIVER WEEKLY INTERACTIVE MODULES WITH A CUSTOMIZED AI AVATAR, WILL BE FULLY CONTROLLABLE VIA VOICE COMMANDS, AND UNIQUELY, IT WILL FOCUS ON IMPROVING SLEEP QUALITY AND SLEEP AMOUNT. WE WILL DEMONSTRATE THE TECHNOLOGY’S FEASIBILITY AT IMPROVING SLEEP QUALITY AND COGNITION USING A LARGER SAMPLE SIZE AND UPGRADED STUDY DESIGN THAT INCLUDES SOUND AND LIGHT SHAM CONDITIONS AND ACTIVE CONTROLS FROM THE MARKET LEADER IN DIGITAL THERAPEUTICS. WE WILL INTERNALLY TEST THIS MODIFIED SYSTEM AND SEEK PRE-SUBMISSION FEEDBACK FROM THE FDA (SPECIFIC AIM 1). WE WILL THEN CONDUCT AN RCT ON 180 PARTICIPANTS AGED 65+ YEARS OLD WHO SELF-REPORT MODERATE TO SEVERE INSOMNIA BASED ON AN INSOMNIA SEVERITY INDEX (ISI) SCORE >= 15. PARTICIPANTS WILL COMMIT TO ENGAGE IN AN 11-WEEK STUDY THAT WILL INCLUDE ONE-WEEK BASELINE WHERE SLEEP AND COGNITION ARE EVALUATED, FOLLOWED BY RANDOM ASSIGNMENT TO SIX-WEEKS OF: 1) SLEEPSPACE AI, 2) COMPETITOR DIGITAL THERAPEUTIC (I.E. SOMRYST), AND 3) SLEEP HYGIENE CONTROL. (SPECIFIC AIM 2). TREATMENT WILL BE FOLLOWED BY A ONE-WEEK AND FOUR-WEEK ASSESSMENT OF SLEEP AND COGNITION. WE HYPOTHESIZE THAT SLEEPSPACE AI WILL BE SUPERIOR TO THE LEADING COMPETITOR AND SLEEP HYGIENE CONTROL, AS MEASURED BY THE ISI (PRIMARY OUTCOME). WE ALSO HYPOTHESIZE THAT IT WILL BE SUPERIOR TO BOTH CONDITIONS ON SLEEP QUALITY (SWS), SLEEP AMOUNT, SURVEY ASSESSMENTS OF COGNITION, AND OBJECTIVE MEASURES OF COGNITION (SECONDARY OUTCOMES). A MORE EFFECTIVE, FULLY AUTOMATED, DIGITAL CBTI THAT INTEGRATES WITH IOT DEVICES WILL RESULT IN A SAFE, EASY-TO-USE, EFFECTIVE, AND AFFORDABLE TREATMENT FOR INSOMNIA THAT COULD IMPROVE COGNITION IN OLDER ADULTS. IF PROVEN EFFECTIVE IN THE PLANNED STUDY, THIS SCALABLE TECHNOLOGY CAN SERVE AS A PRIMARY PREVENTION STRATEGY FOR MCI/ADRD, WITH THE POTENTIAL TO BE GENERALIZED TO AN MCI POPULATION THAT MAY TYPICALLY STRUGGLE WITH FOLLOWING CUMBERSOME CBTI DIRECTIVES.

THE MEMORY CARE NAVIGATOR: A PROACTIVE GUIDE

PROJECT AIMS TO PROVIDE 30 FEMALE ENTREPRENEURS WITH SKILLS, RESOURCES AND NETWORKS NEEDED TO START AND SCALE SUCCESSFUL BUSINESS, SPECIFICALLY FOCUSING ON WOMEN IN TECHNOLOGY.