Combining innovations in behavioural science and adaptive AI to develop a user-centred, community-focussed, digital coaching service to support the attainment of personalised healthy ageing goals

慢性疾病正在削弱我们的医疗保健服务，影响生活质量。通过改变行为，比如增加规律的体育活动，可以预防和减少慢性疾病。然而，老年人发现很难确切地知道从哪里开始，并保持一致性和动力的小一致的变化，特别是当他们没有获得个性化的持续支持。此外，通常当我们真正需要并寻求指导或支持时，由于在患者护理途径中缺乏医疗保健资源或适当的服务，它并不容易获得。Holly Health是一款个性化但可扩展的健康行为改变教练应用程序。它有助于弥合意图和行动之间的差距，以实现可持续的长期成果。结果包括更有规律的锻炼、更有信心照顾健康、更好的心理健康、更好的在家自我管理护理的能力、由于行动能力的提高而减少了MSK问题、改善了心血管健康，这影响了心脏病和糖尿病等疾病。完全数字化的Holly健康服务通过向最终用户提供支持性、个性化和基于证据的健康指导，改善人们的身心健康，为他们实现最相关的改变。一项试点研究的结果显示，350人使用Holly健康服务的测试版，在8周内平均体重减轻了1.7公斤（平均初始BMI为30公斤/平方米）。此外，70%的用户报告在他们的生活中实施了额外的健康行为，80%的用户报告心态的改变是取得进步的主要原因。Holly Health与Age UK刘易舍姆和南华克（AUKSL）合作，将通过开发一种新的、一流的数字教练服务来解决这个问题，以支持老年人在家庭和社区中建立和保持健康、积极的日常习惯。该服务将帮助用户在锻炼、睡眠、心理健康和与食物的关系等方面优先考虑、实现并保持微小但有影响力的日常行为。结果包括更有规律的锻炼、更有信心照顾健康、更好的心理健康、在家自我管理护理的能力得到改善、由于行动能力的提高而减少了MSK问题，以及心血管健康的改善，心血管健康会影响心脏病和糖尿病等疾病。该项目的重点是将该平台与AUKSL的团体、班级、活动和护理服务的实地网络相结合，为成千上万的人提供相关的、可访问的和激励的日常支持。

Chronic diseases are crippling our healthcare services and impacting quality of life. It's possible to prevent and minimise chronic conditions through behaviour change, such as increasing regular physical activity. However, Older Adults find it difficult to know exactly where to start and to maintain consistency and motivation for small consistent changes, particularly when they do not have access to personalised ongoing support. Additionally, often when we really need and seek coaching or support, it's not readily available, due to lack of healthcare resource or appropriate services within patient care pathways.Holly Health is a personalised yet scalable coaching app for health behaviour changes. It helps to bridge the gap between intentions and actions, for sustainable long term results. Outcomes include more regular exercise, higher levels of confidence in looking after health, better mental health, improved abilities to self-manage care at home, reduction of MSK issues due to better mobility, improvements to cardiovascular health, which influence conditions like heart disease and diabetes.The fully digital Holly Health service improves people's physical and mental wellbeing by providing supportive, personalised, and evidence-based health coaching to end users, to achieve the most relevant changes for them. The results of a pilot study, with 350 people using a Beta version of the Holly Health service, showed an average weight loss of 1.7 kg over 8 weeks (mean initial BMI of 30 kg/m2). In addition, 70% of users reported the implementation of additional healthy behaviours in their life, and 80% of users reported a mindset change as the main reason for forward progress.Holly Health, working with Age UK Lewisham and Southwark (AUKSL), will address this with development of a new, best-in-class digital coaching service to support older adults to establish and maintain healthy, active, daily habits, at home and in their community. The service will help users to prioritise, achieve, and maintain small but influential daily behaviours in: exercise, sleep, mental health, and relationship with food. Outcomes include more regular exercise, higher levels of confidence in looking after health, better mental health, improved abilities to self-manage care at home, reduction of MSK issues due to better mobility, and improvements to cardiovascular health, which influence conditions like heart disease and diabetes.The project focuses on integrating the platform with AUKSL's on-the-ground network of groups, classes, events, and care services, to provide a relevant, accessible and motivational daily support for thousands of people.