1. 1 A Proactive Health Monitoring Intervention for Dementia Caregivers: The eNeighbor® JOSEPH E. GAUGLER, PH.D. ASSOCIATE PROFESSOR, MCKNIGHT PRESIDENTIAL FELLOW SCHOOL OF NURSING, CENTER ON AGING UNIVERSITY OF MINNESOTA

2. ACKNOWLEDGEMENTS The Lutheran Home Association Healthsense, Inc. George Demiris, PhD Kathleen Buckwalter, PhD Bonnie Westra, PhD

3. SPECIFIC AIMS Provide an overview of a proposed research study: An evaluation of eNeighbor® for family caregivers of persons with Alzheimer’s disease or a related dementia (ADRD)

4. SPECIFIC AIMS OF PROPOSAL To determine if use of the remote sensor technology increases ADRD caregiver self-efficacy and sense of competence, decreases caregiver distress, and delays or reduces negative health transitions and service utilization among persons with ADRD over an 18-month period.

5. SPECIFIC AIMS OF PROPOSAL To “embed” evaluation components During the randomized controlled evaluation through the administration of open-ended survey items to all ADRD caregivers in the eNeighbor® treatment condition every 6 months to examine the utility of the remote health monitoring technology; and At the conclusion of the 18-month evaluation by purposively sampling 20 ADRD caregivers who reported the greatest rate of decrease in subjective stress during the use of eNeighbor® and 20 ADRD caregivers who reported the greatest rate of increase in subjective stress to participate in semi-structured interviews. Will help to determine how and why the health monitoring intervention is effective

6. BACKGROUND The challenge of ADRD caregiving The potential of technology for ADRD caregivers Conceptualization Shared Decision Making model Stress Process model Innovation Alignment with models of chronic disease care Mixed methods

7. PRELIMINARY STUDIES/RESEARCH TEAM ADRD caregiver interventions Joseph E. Gaugler, PhD Kathleen Buckwalter, PhD Health informatics and technology George Demiris, PhD The Lutheran Home Association Jennifer Kinney, PhD Established research infrastructure The University of Minnesota Caregiver Registry Bonnie Westra, PhD and Carolyn Garcia, PhD

8. INTERVENTION PROCEDURES Initial home visit and needs assessment Varying broadband internet availability Heterogeneous home environments Caregiver eligibility criteria Speak English Be 21 years of age and over; Self-identify as primary caregiver A willingness to use eNeighbor® Care recipient eligibility criteria English speaking Physician diagnosis of ADRD Not currently receiving care or case management services 65 years of age and over

10. 10 CONTACT INFORMATION: JOSEPH E. GAUGLER, PH.D. Associate Professor, McKnight Presidential Fellow School of Nursing, Center on Aging 6-153 Weaver-Densford Hall Phone: 612-626-2485 Email: gaug0015@umn.edugaug0015@umn.edu