Health in Motion- Interactive Exercises for Safer Mobility

运动中的健康 - 互动练习，实现更安全的出行

• 批准号: 8782088
• 负责人: Sheryl Flynn
• 金额: $ 107.18万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8782088
• 关键词: Accident and Emergency department; Adherence; Adult; Assisted Living Facilities; Calibration; Caregivers; Clinic; Clinical; Cognitive; Communities; Computer software; Data; Data Analyses; Data Reporting; Death Rate; Development; Education; Elderly; Ensure; Environment; Equilibrium; Esthetics; Exercise; Exercise stress test; Fall prevention; Family; Family member; Feedback; Gestures; Guidelines; Health; Healthcare Systems; Home environment; Hospitals; Human Resources; Individual; Injury; Instruction; Internet; Intervention; Libraries; Marketing; Measures; Mechanics; Methods; Metric; Motion; Movement; Needs Assessment; Outcome Study; Patients; Performance; Personal Computers; Phase; Pilot Projects; Play; Polishes; Prevention program; Process; Provider; Public Health; Questionnaires; Readability; Reporting; Risk Assessment; Safety; Services; Small Business Innovation Research Grant; Social support; Solutions; Structure; Tai Ji; Technology; Test Result; Testing; Training; Translating; Translations; Travel; Video Games; base; cognitive reserve; computerized data processing; cost; design; digital; evidence base; experience; fall risk; falls; improved; innovation; instructor; interest; medical specialties; meetings; prevent; product development; programs; prototype; satisfaction; screening; sensor; software development; success; usability; user centered design; web interface

DESCRIPTION (provided by applicant): The Objective of this SBIR Phase II project is to complete the translation of a well-established, evidence-based falls prevention program into a low cost, easily accessed personalized falls prevention software program. Health-In-Motion will be an interactive guided exercise program using innovative motion controlled technology for delivery on a personal computer. 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, can decrease the rate of falls by 30%-40%; potentially saving the health care system $18 billion annually. Unfortunately, the dissemination of these programs is limited by personnel costs and often requires traveling to community centers for training by an experienced instructor. Video game technology can 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 will translate established evidence-based falls prevention programs into interactive digital activities for mass dissemination. The final product will 1) deliver a validated balance screening test, 2) progress a user through an individualized exercise program designed to improve balance, 3) deliver data on performance for users and providers through a dynamic Web-UI, 4) challenge to cognitive reserve, 5) offer social support and 6) educate users about fall prevention. Users' movements are identified, recognized, and tracked with an innovative 3D motion capture sensor, Kinect for Windows v2. Strategy: The Health-In-Motion will digitize reliable and validated fall prevention programs (Otago Exercise Program and Tai Chi) into an interactive software application for mass distribution and home use. This application is tailored specifically for the health and safety needs of older adult users Methods: A trans-disciplinary agile user-centered design approach will be applied in the remainder of the development of this product. Subject matter experts (older adults, caregivers, clinicians), will continue to participate in the development process to insure Health-In-Motion meets their needs. We will complete a pilot outcome study to test the hypotheses that users will prefer Health-In-Motion over standard programs, users will engage more frequently and perform better on falls risk measures after one month of training with Health-In-Motion and that the balance screens will positively correlate with standard clinical tests.

描述（由申请人提供）：该 SBIR 第二阶段项目的目标是将完善的、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软件程序。 Health-In-Motion 将是一个交互式指导锻炼计划，使用创新的运动控制技术在个人计算机上进行。过去十年中，跌倒造成的死亡率增加了 65%，预计到 2020 年，跌倒造成的年度总损失将超过 540 亿美元。专门为改善平衡和力量而设计的锻炼计划，可以将跌倒率降低 30% %-40%；每年可能为医疗保健系统节省 180 亿美元。不幸的是，这些计划的传播受到人员成本的限制，并且通常需要前往社区中心接受经验丰富的讲师的培训。视频游戏技术可以提供解决方案。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：我们将把现有的基于证据的跌倒预防计划转化为互动数字活动以进行大规模传播。最终产品将 1) 提供经过验证的平衡筛选测试，2) 帮助用户完成旨在提高平衡能力的个性化锻炼计划，3) 通过动态 Web-UI 为用户和提供商提供表现数据，4) 认知挑战保留，5) 提供社会支持，6) 教育用户预防跌倒。使用创新的 3D 动作捕捉传感器 Kinect for Windows v2 来识别、识别和跟踪用户的动作。策略：Health-In-Motion 将可靠且经过验证的跌倒预防计划（奥塔哥锻炼计划和太极拳）数字化为交互式软件应用程序，供大众分发和家庭使用。该应用程序专为老年用户的健康和安全需求而定制。 方法：该产品的其余开发过程将采用跨学科、敏捷的、以用户为中心的设计方法。主题专家（老年人、护理人员、临床医生）将继续参与开发过程，以确保 Health-In-Motion 满足他们的需求。我们将完成一项试点结果研究，以测试以下假设：与标准计划相比，用户更喜欢 Health-In-Motion；在接受 Health-In-Motion 培训一个月后，用户将更频繁地参与并在跌倒风险测量方面表现更好；以及平衡屏幕将与标准临床测试呈正相关。