Artificial Intelligence + Care Coach Intervention

The purpose of this research study is to develop and test an artificial intelligence intervention for emergency department (ED) discharge care transitions experienced by caregivers of older adults with cognitive impairment.

An anticipated 55 participants will be part of the Intervention arm participants and will engage with NeuViCare AI, including all variations of its 5 components described further below.

Intervention arm participants will engage with NeuViCare AI, including all variations of its 5 components: 1) NeuViCare Planner - enables review of ordered tests and external resources recommended by the care provider; 2) NeuViCare Task-Support Service - provides context-sensitive, personalized text-based assistance to help patients' complete care plan captured in the NeuViCare Planner; 3) NeuViCare Resource Advisor - presents trusted, unbiased advice to locate nearby resources listed within their care plan; 4) NeuViCare Advisor - educates and trains Persons Living With Dementia (PLWD) and their care partners at the moment of need; and 5) NeuViCare Community Hub - a safe virtual space which enables care partners to interact with other peer care partners to gain their experiential knowledge and emotional support.

Appropriateness is defined as the perceived fit, relevance, or compatibility of the innovation for a given setting or consumer, and/or perceived fit of the innovation to address a particular issue or problem. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased appropriateness). Administration time is 1-2 minutes. Measured by survey.

Feasibility is defined as the extent to which a new innovation can be successfully used or carried out within a given setting. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased feasibility). Administration time is 1-2 minutes. Measured by survey.

Acceptability is defined as the perception that a given innovation is agreeable, palatable, or satisfactory. The measure consists of 4 questions, with an overall score range of 4-20 (higher scores suggest increased acceptability). Administration time is 1-2 minutes. Measured by survey.

Usability encapsulates several aspects including subjective component assessments of effectiveness, efficiency, and satisfaction. The System Usability Scale consists of 10 questions on effectiveness, efficiency, and satisfcation, with an overall score range of 10-50 (higher scores suggest increased usability). Administration time is 3-5 minutes. Measured by survey.

The Dementia Knowledge Assessment Scale is a reliable and valid measure of dementia knowledge for health professionals and members of the general public that is capable of elucidating knowledge characteristics across four coherent domains: 1) Causes and Characteristics, 2) Communication and Behaviour, 3) Care Considerations, and 4) Risks and Health Promotion. Statements are true/false for the respondent to answer with scores ranging from 0-21. Administration time is approximately 10-15 minutes. Measured by survey.

The Zarit Caregiver Burden Scale consists of 22 items rated on a 5-point Likert scale that ranges from 0 (never) to 4 (nearly always) with the sum of scores ranging between 0-88. Higher scores indicate greater burden. Administration time is approximately 10-15 minutes. Measured by survey.

The General Self-Efficacy Scale is used to evaluate the coping ability of daily living. The measure is 10 items with overall scores ranging from 10-40, with higher scores representing greater self-efficacy. Administration time is approximately 3-5 minutes. Measured by survey.

Repeat visit to the ED by electronic health record, supplemented with self-report survey to identify those not with the institution's EDs.

Hospitalizations by electronic health record, supplemented with self-report survey to identify those not with the institution's hospitals.

Inclusion Criteria: age ≥65 years with a diagnosis of dementia within the electronic health record OR new cognitive impairment identified during an ED visit be fluent in English or Spanish discharge after an ED visit possession of a smart device (either a phone, tablet, or computer) that has internet access to utilize and interact with NeuViCare AI services Exclusion Criteria: - evidence of delirium, by the 4-AT screening tool