PFP2: Personalized Falls Prevention Program: a digital home-based video-game vers

PFP2：个性化跌倒预防计划：基于数字家庭的视频游戏版本

• 批准号: 8198649
• 负责人: Sheryl Flynn
• 金额: $ 17.77万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8198649
• 关键词: Achievement; Adherence; Adoption; Arts; Caregivers; Clinical; Collaborations; Computer software; Death Rate; Development; Early Diagnosis; Elderly; Ensure; Environment; Equilibrium; Exercise; Fall prevention; Family Caregiver; Feedback; Focus Groups; General Population; Gestures; Goals; Health; Health Personnel; Healthcare Systems; Home environment; Homes for the Aged; Human; Individual; Injury; Intervention; Lead; Marketing; Mass Media; Mechanics; Metric; Modeling; Motion; Movement; Needs Assessment; Occupational Therapist; Performance; Personal Computers; Phase; Play; Prevention program; Process; Production; Progress Reports; Public Health; Rehabilitation therapy; Reporting; Research; Series; Slice; Small Business Innovation Research Grant; Solutions; Suggestion; Technology; Testing; TimeLine; Touch sensation; Training; Translating; Video Games; base; cost; cost effective; design; digital; document outlines; equilibration disorder; evidence base; experience; fall risk; falls; improved; innovation; interest; iterative design; meetings; prevent; programs; prototype; virtual

DESCRIPTION (provided by applicant): This SBIR Phase I project will determine the feasibility of translating a well-established, evidence-based falls prevention program into a low cost, easily accessed "Personalized Falls Prevention Program"(PFP2). The PFP2 is an interactive guided exercise program that integrates innovative motion controlled technology for delivery on a personal computer or gaming console. The death rate due to falls has increased 65% over the past decade, and the total annual cost of injurious falls is projected to be over $54 billion by 2020. Exercise programs specifically designed to improve balance and strength, decrease the rate of falls by 30% - 40%; potentially saving the health care system over $7,500 per injurious fall prevented. Unfortunately, the dissemination of these programs has been limited. Video games may provide a solution. There is unprecedented interest by older adults in playing gesture-controlled games, creating an untapped and viable market to deliver a public health intervention. Innovation: We intend to translate an established falls prevention program into a digital medium for mass dissemination. The final product will deliver a validated screen for balance impairments, deliver and progress a user through an individualized exercise program designed to improve balance, and provide feedback on performance for users and healthcare providers. The users movements will be tracked with an innovative 3D motion capture camera developed by Primesense". The PrimeSense" camera is state of the art technology that accurately identifies, recognizes, and tracks a user's physical movements. Strategy: The PFP2 will be based on the Otago Exercise Program, a series of exercises proven to reduce falls by 30%. We will convert the reliable and validated Otago Exercise program will into an interactive software application for mass distribution and home use. Focus groups of subject matter experts (older adults, caregivers, clinicians), will participate in the Iterative Design Process to insure the product developed meets the needs of the users. SMEs will provide suggestions regarding game content, goals, assessment, training, performance metrics, and mechanics. This information will be used to develop and refine the design document and to finalize a technical prototype. A basic software prototype of a vertical slice of PFP2 will be developed. The PrimeSense" camera will be used as the human interaction interface. The prototype will be presented to the SMEs and a second focus group of naive older adults will for feasibility of play. Based upon feedback about the prototype from all SMEs, the team will identify changes needed necessary to improve game mechanics and prepare for submission of Phase 2 application. PUBLIC HEALTH RELEVANCE: More than 35% of older adults fall annually. Thus, falls and the resulting injuries are a serious public health concern for older adults. Exercise interventions have proven to decrease the rate of falls by 35-40%. This project will create a "Personalized Falls Prevention Program" to virtually lead older adults through a series of evidence-based exercises that prevent falls. The program will be 1) delivered on a personal computer or gaming console, using a 3D motion capture camera and 2) performed in the home, senior center, or under the guidance of a clinician.

描述（由申请人提供）：该 SBIR 第一阶段项目将确定将完善的、基于证据的跌倒预防计划转化为低成本、易于访问的“个性化跌倒预防计划”(PFP2) 的可行性。 PFP2 是一种交互式引导锻炼程序，集成了创新的运动控制技术，可在个人计算机或游戏机上进行传递。过去十年中，跌倒造成的死亡率增加了 65%，预计到 2020 年，跌倒造成的每年总损失将超过 540 亿美元。专门为改善平衡和力量而设计的锻炼计划，可将跌倒率降低 30% % - 40%；每次预防跌倒伤害，可为医疗保健系统节省超过 7,500 美元。不幸的是，这些计划的传播受到限制。视频游戏可能提供一个解决方案。老年人对玩手势控制游戏产生了前所未有的兴趣，这创造了一个尚未开发的可行市场来提供公共卫生干预措施。创新：我们打算将既定的跌倒预防计划转化为数字媒体以供大众传播。最终产品将提供经过验证的平衡障碍筛查，通过旨在改善平衡的个性化锻炼计划为用户提供和进步，并为用户和医疗保健提供者提供有关表现的反馈。用户的动作将通过 Primesense 开发的创新 3D 动作捕捉摄像头进行跟踪。PrimeSense 摄像头是最先进的技术，可以准确地识别、识别和跟踪用户的身体动作。策略：PFP2 将基于奥塔哥锻炼计划，该计划是一系列经证明可减少 30% 跌倒次数的锻炼。我们将把可靠且经过验证的奥塔哥锻炼计划转换为可供大众分发和家庭使用的交互式软件应用程序。由主题专家（老年人、护理人员、临床医生）组成的焦点小组将参与迭代设计过程，以确保开发的产品满足用户的需求。中小企业将提供有关游戏内容、目标、评估、培训、绩效指标和机制的建议。这些信息将用于开发和完善设计文件并最终确定技术原型。将开发 PFP2 垂直切片的基本软件原型。 PrimeSense”摄像头将用作人机交互界面。原型将呈现给中小企业，第二个由天真的老年人组成的焦点小组将了解游戏的可行性。根据所有中小企业对原型的反馈，团队将确定改进游戏机制和准备提交第二阶段申请所需的更改。 公共卫生相关性：每年有超过 35% 的老年人跌倒。因此，跌倒及其造成的伤害是老年人严重的公共卫生问题。事实证明，运动干预可以将跌倒率降低 35-40%。该项目将创建一个“个性化跌倒预防计划”，以虚拟方式引导老年人进行一系列基于证据的预防跌倒的练习。该程序将 1) 使用 3D 动作捕捉摄像头在个人计算机或游戏机上进行，2) 在家庭、老年中心或临床医生的指导下进行。