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，例如增加定期的体育活动，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，并保持小的一致性变化的一致性和动力，特别是当他们无法获得个性化的持续支持时。此外，通常当我们真正需要并寻求指导或支持时，由于缺乏医疗资源或患者护理途径中的适当服务，它并不容易获得。冬青健康是一个个性化但可扩展的健康行为改变指导应用程序。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结果。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，提高在家自我管理护理的能力，由于更好的流动性减少MSK问题，改善心血管健康，这会影响心脏病和糖尿病等疾病。全数字化的冬青健康服务通过提供支持，个性化，以及对最终用户进行循证健康指导，以实现与他们最相关的改变。一项试点研究的结果显示，350人使用了冬青健康服务的测试版，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%的用户报告在生活中实施了额外的健康行为，80%的用户报告心态改变是取得进步的主要原因。冬青健康与英国年龄刘易斯汉姆和南华克（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一问题，以支持老年人建立和保持健康、积极的日常习惯，在家里和社区。该服务将帮助用户优先考虑，实现和保持小但有影响力的日常行为：运动，睡眠，心理健康和与食物的关系。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，提高在家自我管理护理的能力，由于更好的流动性减少MSK问题，并改善心血管健康，这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，课程，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，可访问的和激励性的日常支持。

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.