Health in Motion- Digitally Interactive Tai Chi Home Exercises for Safer Mobility

健康在动——数字互动太极家庭练习，让出行更安全

• 批准号: 8523131
• 负责人: Sheryl Flynn
• 金额: $ 19.24万
• 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 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8523131
• 关键词: Adherence; Adoption; Affect; Aging; Architecture; Arts; Back; Bone Density; Cardiopulmonary; Centers for Disease Control and Prevention (U.S.); Client; Communities; Computer Interface; Computer software; Computers; Data; Databases; Development; Elderly; Ensure; Environment; Equilibrium; Evidence based practice; Exercise; Fall prevention; Feedback; Focus Groups; Foundations; Gestures; Goals; Health; Health Benefit; Health Personnel; Health Promotion; Healthcare; Healthcare Systems; Home environment; Immune; Individual; Inflammation; Institutes; Instruction; Intervention; Learning; Marketing; Mass Media; Mechanics; Mediating; Mental Health; Methodology; Metric; Moods; Morbidity - disease rate; Motion; Movement; Outcome; Patient Outcomes Assessments; Penetration; Performance; Phase; Physical Function; Physiological; Play; Population; Prevention program; Process; Production; Public Health; Quality of life; Rehabilitation therapy; Reporting; Research; Risk Assessment; Self Efficacy; Small Business Innovation Research Grant; Solutions; Specialist; Symptoms; Tai Ji; Technology; Testing; Training; Translating; Translations; Video Games; Wellness Program; aging population; base; computer infrastructure; computerized; cost; cost effective; design; digital; disability; equilibration disorder; evidence base; experience; falls; functional decline; improved; innovation; innovative technologies; insight; interest; meetings; mortality; new technology; prevent; programs; prototype; psychologic; public health relevance; research and development; sensor; usability

DESCRIPTION (provided by applicant): This Phase 1 SBIR project will lay the foundation to translate the CDC endorsed "Tai Chi: Movement for Better Balance" 1 program, a well-established, evidence-based falls prevention and wellness program into a low cost, easily accessed "Health in Motion" computer game program. It will be a virtually guided, interactive exercise program that marries groundbreaking gesture-controlled technology (released 4/2012) to a video game type environment deployed on a home computer and LED TV. Given a worldwide aging population, morbidity and mortality from falls pose a significant public health challenge. Exercise programs specifically designed to improve health, wellness and balance could save our already overburdened health care system $40,000 per avoided incident 2. Distribution of current wellness and balance programs is limited by the cost of training, distribution channels, and lack of adherence. Video game technology can provide one solution. Many people, including older adults are very interested in playing gesture-controlled games. Consequently, game based health promotion offers an untapped and viable market to deliver a public health intervention. Broad Objective: We intend to digitally translate an existing evidence-based exercise program, Tai Chi, using new technology for widespread dissemination and adoption to prevent functional decline and promote health and wellbeing in later life. Approach: We will employ our trans-disciplinary, user-centered, agile game design approach to develop "Health in Motion" and to ensure we meet the needs of the end-user groups (individuals with disabilities, older adults, clinicians). Specific Aims: We will use standard product testing methodology, such as focus groups, play-testing and user acceptance testing, to engage our subject matter experts (SME) throughout the process. The SMEs will provide insight into game content, assessment, training, performance metrics and mechanics. Their insight along with our well-trained staff will iterate the design concept and create a player experience prototype for user acceptance feedback. Our initial design concept will combine a screen for balance impairments, instruction and progression through Tai Chi exercises, and feedback on performance for users and healthcare providers. The users' movements will be tracked with the Kinect(R) sensor, an innovative 3D gesture capture sensor that accurately identifies, recognizes and tracks a user's physical movements. The product will be low cost, easily deployed in the home, provide users with engaging and motivating game-like environments to improve adherence and provide healthcare specialists with feedback regarding client's performance. "Health in Motion" mediates many of the current barriers to dissemination of evidence based falls prevention programs. Finally, this product is relevant to the National Institutes of Aging initiatives because it "advances the availability of products and health practices for older adults.

描述（由申请人提供）：第一阶段 SBIR 项目将为将 CDC 认可的“太极：更好平衡运动”1 计划（一项完善的、基于证据的跌倒预防和健康计划）转化为低成本项目奠定基础。 ，轻松访问“Health in Motion”电脑游戏程序。它将是一个虚拟引导的交互式锻炼计划，将突破性的手势控制技术（2012 年 4 月发布）与部署在家用计算机和 LED 电视上的视频游戏类型环境相结合。鉴于全球人口老龄化，跌倒的发病率和死亡率构成了重大的公共卫生挑战。专门为改善健康、保健和平衡而设计的锻炼计划可以为我们本已不堪重负的医疗保健系统节省每一次避免事件 40,000 美元的费用 2。当前的保健和平衡计划的分发受到培训成本、分发渠道和缺乏依从性的限制。视频游戏技术可以提供一种解决方案。许多人，包括老年人，都对玩手势控制游戏非常感兴趣。因此，基于游戏的健康促进为公共卫生干预提供了一个尚未开发且可行的市场。广泛目标：我们打算利用新技术将现有的循证锻炼计划“太极拳”数字化，以进行广泛传播和采用，以防止功能衰退并促进晚年的健康和福祉。方法：我们将采用跨学科、以用户为中心、敏捷的游戏设计方法来开发“运动中的健康”，并确保满足最终用户群体（残疾人、老年人、临床医生）的需求。具体目标：我们将使用标准产品测试方法，例如焦点小组、游戏测试和用户验收测试，让我们的主题专家 (SME) 参与整个过程。中小企业将提供有关游戏内容、评估、培训、绩效指标和机制的见解。他们的洞察力以及我们训练有素的员工将迭代设计理念，并为用户接受反馈创建玩家体验原型。我们最初的设计理念将结合平衡障碍屏幕、太极练习指导和进展以及用户和医疗保健提供者的表现反馈。用户的动作将通过 Kinect(R) 传感器进行跟踪，这是一种创新的 3D 手势捕捉传感器，可以准确识别、识别和跟踪用户的身体动作。该产品成本低廉，易于在家中部署，为用户提供有吸引力和激励性的游戏环境，以提高依从性，并向医疗保健专家提供有关客户表现的反馈。 “运动中的健康”消除了当前传播基于证据的跌倒预防计划的许多障碍。最后，该产品与美国国家老龄化研究所的举措相关，因为它“促进了老年人的产品和健康实践的可用性。