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

虚弱和跌倒是老年人受伤相关残疾和死亡的主要原因，每年有超过30%的65岁社区居民受到影响。相关的NHS费用估计每年超过23亿英镑，而且还在增长。大约40-60%的跌倒会导致严重的撕裂、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，受影响的老年人比例过高，由于功能衰退、适应能力下降和屏蔽后跌倒，他们需要支持才能康复。公共卫生部门的调查显示，超过三分之一的人不能像以前一样走路，另外还有25万人摔倒了。为了解决这个问题，来自系统综述的证据得出结论，力量和平衡锻炼可以减少42%的跌倒；然而，65岁以上的人在没有治疗师介入的情况下，运动量通常很低。带有行为改变技术的数字干预措施有望让老年人参与定期锻炼。NHS批准的“KOKU”数字跌倒预防项目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，带有智能分析，以衡量结果，并进一步个性化系统，以优化使用；经常召开的利益相关者会议强调了大曼彻斯特的这一要求，在国内和国际上扩大规模。[0]: https://kokuhealth.com/

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/