# Development of a technology-enabled care coaching service for families caring for AD/ADRD & a 300-family study to assess the service's impact on CG financial knowledge, efficacy, strain & action.

> **NIH NIH R44** · KINTO · 2022 · $1,218,062

## Abstract

5.8 million Americans age 65+ are living with AD/ADRD and by 2050, the number of people over the age
of 65 with AD is projected to reach 13.8 million. There are currently 16.1 million unpaid U.S. caregivers
providing care to people with dementia. Family caregivers are typically untrained in this work,
uneducated about the disease and their treatment options, and struggling to take care of their loved ones
while managing their own lives and families. The total lifetime cost of care is estimated at $357,297 per
person with 70% of this borne by family caregivers in the form of unpaid care and out-of-pocket
expenses, and many AD/ADRD caregivers bear the responsibility of making financial decisions on behalf
of the person they’re caring for. Research has recently begun to examine the connection between
financial strain and caregiver psychosocial well-being; many findings suggest that financial stress is a
significant predictor of caregiver distress, which often may lead to suboptimal decision making and lower
quality of care.
In partnership with the Alzheimer’s Association, Kinto proposes to help to address this challenge by
developing a solution which leverages mobile technology to deliver a highly scalable caregiver support
and training service that combines three mutually reinforcing elements: Virtual Care Coaching,
Personalized eLearning Curriculum, and Virtual Peer Support Groups. We are collaborating with the
Alzheimer’s Association to provide trained and experienced Masters-level coaches who develop an
individualized action plan with each client, imparting expert advice and introducing relevant curriculum
modules to address each family’s specific needs. Regular peer support groups facilitated via video
conference and in-app messaging underpin the coaching and curriculum by providing a forum for
caregivers to share experiences, solutions, and empathy.
In Phase I, we propose integrating these elements to develop a prototype platform and service, and
testing the usability and efficacy of the solution to address caregivers’ financial literacy and planning
needs. The prototype solution will be tested by a diverse group of caregivers in both English and
US-Spanish to establish its impact on financial knowledge, efficacy, strain and action. Based on these
results, and feedback from participant caregivers and coaches, Phase II proposes the development of a
fully scalable and integrated solution that will then be tested in a detailed 300-person study. Kinto and the
Alzheimer’s Association will collaborate to share results from these studies in peer-reviewed journals and
at dementia and caregiving conferences.

## Key facts

- **NIH application ID:** 10654937
- **Project number:** 4R44AG074778-02
- **Recipient organization:** KINTO
- **Principal Investigator:** Joseph Chung
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $1,218,062
- **Award type:** 4N
- **Project period:** 2022-09-01 → 2024-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10654937

## Citation

> US National Institutes of Health, RePORTER application 10654937, Development of a technology-enabled care coaching service for families caring for AD/ADRD & a 300-family study to assess the service's impact on CG financial knowledge, efficacy, strain & action. (4R44AG074778-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10654937. Licensed CC0.

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