Improving care for low-birth-weight infants

Researchers at UC Irvine and the Charles Drew University of Medicine & Science (CDU) will monitor the day-to-day health of low-birth-weight babies and their parents as part of a comprehensive initiative designed to combat chronic illnesses associated with low-weight births.

Gillian Hayes, UCI informatics professor, and Karen Cheng, CDU psychiatry & human behavior professor, were awarded a $480,000 grant from the Robert Wood Johnson Foundation (RWJF) to explore how recorded observations of daily living (ODLs) can be used to improve clinical care for low-weight babies.

Hayes and Cheng were among five research teams in the nation selected by RWJF through its Project HealthDesign: Rethinking the Power and Potential of Personal Health Records national program to receive two-year grants that will test how health information technology can help people become more informed patients and better healthcare consumers. The grantees will work with patients to explore how day-to-day information — such as stress levels of caregivers of premature infants and medication-taking routines of seniors at risk of cognitive decline — can be collected, interpreted and acted upon by patients as well as clinicians in real-world clinical settings.

For their project, Hayes and Cheng will use mobile technology to collect and report ODLs that can enable changes in clinical practices and alert healthcare providers earlier to potential problems. The team will develop a mobile application for parents of preterm infants, called FitBaby, which builds on Hayes’ past work with Dr. Dan Cooper, a UCI professor of pediatrics. The system enables parents to easily record ODLs on smartphones, including feeding times, weight measurements, baby’s activity and how parents deal with the stress of caring for an at-risk infant. The system also automatically tracks some observations through sensors in the environment.

“This work is particularly innovative in that we make it convenient for parents to record daily information about their babies by automatically sensing a number of important indicators,” Hayes said. “Pediatricians will have access to the information to make earlier diagnoses, which can improve the health outcomes of babies and caregivers.”

“Parent well-being is often ignored in infant care,” Cheng said. “By helping parents monitor and understand the patterns of their own emotional and physical well-being, we believe that parents will be encouraged to take better care for themselves, leading to better quality of care for the babies.”

Earlier Project HealthDesign work revealed that the data needed to inform day-to-day health decisions came less often from information contained in official medical records and more from information gained by monitoring health in everyday life. The new projects will build on that work.

“We know patients want better relationships with their clinicians and to make the most of their time during a doctor’s visit. Through Project HealthDesign, the patients and the clinicians will be working together to collect and interpret insights from the patient’s everyday life. This process will help empower people to be more informed patients and allow clinicians to determine if their care plan is working,” said Stephen Downs, S.M., assistant vice president for RWJF’s Health Group.

Since its launch in 2006, RWJF has committed $9.5 million in grants and technical assistance to the program, led by a team of experts working in health information technology and patient-centered care at the University of Wisconsin-Madison. Project HealthDesign is supported by RWJF’s Pioneer Portfolio, which funds innovative ideas and projects that can lead to significant breakthroughs in the future of health and health care.

In addition, the program provides legal and regulatory compliance support to grantees and contributes to the public discourse on the legal and regulatory aspects of capturing ODLs and integrating them into care processes. The program will develop resources around the cross-cutting issues regarding use and safe integrations of ODLs as well as specifically advise grantee teams on applicable law and regulations that may alter the consequences of data-sharing between patients and clinicians.

Hayes’ research interests are in human-computer interaction and ubiquitous computing. She studies record-keeping technologies, particularly in natural settings, such as the home. She also focuses on the application and uses of ubiquitous computing and collaborative technologies in the areas of education and healthcare.

Cheng is a social psychologist whose research focuses on the issues affecting use of computer technology in healthcare settings. Her work evaluates the efficacy of electronic versus paper-based data collection, and the acceptance of mobile health technologies among underserved populations, locally and in developing countries.

Throughout the course of the program, all grantee teams will provide frequent updates about their work through the Project HealthDesign blog and other interactive features.

About the University of California, Irvine: Founded in 1965,
UCI is a top-ranked university dedicated to research, scholarship and
community service. Led by Chancellor Michael Drake since 2005, UCI is
among the most dynamic campuses in the University of California system,
with nearly 28,000 undergraduate and graduate students, 1,100 faculty
and 9,000 staff. Orange County’s largest employer, UCI contributes an
annual economic impact of $3.9 billion. For more UCI news, visit
www.today.uci.edu.

About the Donald Bren School of Information & Computer Sciences:
The Donald Bren School of Information & Computer Sciences is the
first independent computer science school within the UC system and one
of the fastest-growing programs of its kind in the nation. Elevated
from department to school status in December 2002, information and
computer sciences at UCI is an academic community of more than 1,500
students, more than 100 full-time faculty and staff, and approximately
6,500 alumni worldwide. With experts in areas ranging from embedded
computer systems and networking to bioinformatics and the social
impacts of computing, the school ranks 15th among all public university
computer science graduate programs, according to U.S. News & World
Report.

About Charles Drew University of Medicine & Science: CDU is a
private nonprofit, nonsectarian, minority-serving medical and health
sciences institution. Located in the Watts-Willowbrook area of South
Los Angeles, CDU has graduated more than 550 medical doctors, 2,500
post-graduate physicians, more than 2,000 physician assistants and
hundreds of other health professionals. The only dually designated
Historically Black Graduate Institution and Hispanic Serving Health
Professions School in the U.S., CDU is recognized as a leader in
translational and health inequities research, specifically with respect
to heart disease, diabetes, cancer, mental health, and HIV/AIDS. The
university is among the top 7 percent of National Institutes of
Health-funded institutions and rated one of the top 50 private
universities in research in the U.S. Recently, the CDU/UCLA medical
program was named the “best performer” in the University of California
System with respect to producing outstanding underrepresented minority
physicians.

About the Robert Wood Johnson Foundation and the Pioneer Portfolio: The Robert Wood Johnson Foundation focuses on the pressing health and healthcare issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and healthcare of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. The Foundation’s Pioneer Portfolio supports innovative ideas and projects that may lead to important breakthroughs in health and health care. Projects in the Pioneer Portfolio are future-oriented and look beyond conventional thinking to explore solutions at the cutting edge of health and health care. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. Visit www.rwjf.org/pioneer.

About the University of Wisconsin: Founded in 1848, the University of Wisconsin-Madison is one of the nation’s oldest and most comprehensive public research universities, with more than 41,000 enrolled students participating in 136 undergraduate degrees, 155 master’s programs and 110 doctoral programs, and a research enterprise that generates more than $700 million in annual extramural support.

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