KOKU-AI: A digital healthy ageing platform to improve balance, strength, healthy eating and hydration to prevent frailty and falls in older people.

虚弱和福尔斯是老年人受伤相关残疾和死亡的主要原因，每年影响超过30%的社区居住的65岁以上的老年人。相关的NHS成本估计每年超过23亿英镑。还在成长约40-60%的福尔斯跌倒导致严重撕裂伤、骨折或创伤性脑损伤; 10-20%导致住院和/或死亡。在大流行期间，有不成比例的老年人受到影响，由于功能下降、失调和在防护后福尔斯跌倒，需要支持才能恢复。PHE调查报告超过1/3的人无法像以前一样行走，另外还有250，000例福尔斯跌倒。针对这一点，来自系统性综述的证据得出结论，力量和平衡练习可以减少42%的福尔斯;然而，在没有治疗师输入的情况下，65岁以上的人的运动水平通常很低。具有行为改变技术的数字干预措施有望使老年人参与定期锻炼。NHS批准的“KOKU”数字福尔斯预防计划提供量身定制的力量和平衡练习以及健康素养游戏（见[https://kokuhealth.com][0]）。我们正在寻求资金，以增加一个以用户为中心的网络安全数据仪表板，并通过智能分析来衡量结果，并进一步个性化系统以优化使用;经常性的利益相关者会议强调了大曼彻斯特，国家和国际规模扩大的这一要求。[0]：https://kokuhealth.com/网站

Frailty and falls are the main cause of injury related disability, and death in older people and affect over 30% of community-dwelling =65 year olds p.a. Associated NHS costs are estimated to be in excess of £2.3bn p.a. and growing. Around 40-60% of falls result in major lacerations, fractures, or traumatic brain injuries; 10-20% result in hospitalisation and/or death. During the pandemic, a disproportionate number of older adults have been affected and need support to recover due to functional decline, deconditioning and falls after shielding. PHE surveys report over 1/3 unable to walk as well as before and an additional 250,000 falls modelled. To counter this, evidence from systematic reviews concludes that strength and balance exercises reduce falls by 42%; yet levels of exercise in over 65s are generally low without therapist input. Digital interventions with behaviour change techniques show promise in engaging older adults to engage in regular exercise. The NHS approved, 'KOKU' digital falls prevention program provides tailored strength and balance exercises plus health literacy games (see [https://kokuhealth.com][0]). We are seeking funding to add a user-focused, cyber secure data dashboard with intelligent analytics to measure outcomes and further personalise the system to optimise use; recurrent stakeholder meetings have highlighted this requirement for Greater Manchester, national and international scale-up.[0]: https://kokuhealth.com/