PFP2: Personalized Falls Prevention Program: a digital home-based video-game vers

PFP2：个性化跌倒预防计划：基于数字家庭的视频游戏版本

• 批准号: 8198649
• 负责人: Sheryl Flynn
• 金额: $ 17.77万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8198649
• 关键词: Achievement; Adherence; Adoption; Arts; Caregivers; Clinical; Collaborations; Computer software; Death Rate; Development; Early Diagnosis; Elderly; Ensure; Environment; Equilibrium; Exercise; Fall prevention; Family Caregiver; Feedback; Focus Groups; General Population; Gestures; Goals; Health; Health Personnel; Healthcare Systems; Home environment; Homes for the Aged; Human; Individual; Injury; Intervention; Lead; Marketing; Mass Media; Mechanics; Metric; Modeling; Motion; Movement; Needs Assessment; Occupational Therapist; Performance; Personal Computers; Phase; Play; Prevention program; Process; Production; Progress Reports; Public Health; Rehabilitation therapy; Reporting; Research; Series; Slice; Small Business Innovation Research Grant; Solutions; Suggestion; Technology; Testing; TimeLine; Touch sensation; Training; Translating; Video Games; base; cost; cost effective; design; digital; document outlines; equilibration disorder; evidence base; experience; fall risk; falls; improved; innovation; interest; iterative design; meetings; prevent; programs; prototype; virtual

DESCRIPTION (provided by applicant): This SBIR Phase I project will determine the feasibility of translating a well-established, evidence-based falls prevention program into a low cost, easily accessed "Personalized Falls Prevention Program"(PFP2). The PFP2 is an interactive guided exercise program that integrates innovative motion controlled technology for delivery on a personal computer or gaming console. The death rate due to falls has increased 65% over the past decade, and the total annual cost of injurious falls is projected to be over $54 billion by 2020. Exercise programs specifically designed to improve balance and strength, decrease the rate of falls by 30% - 40%; potentially saving the health care system over $7,500 per injurious fall prevented. Unfortunately, the dissemination of these programs has been limited. Video games may provide a solution. There is unprecedented interest by older adults in playing gesture-controlled games, creating an untapped and viable market to deliver a public health intervention. Innovation: We intend to translate an established falls prevention program into a digital medium for mass dissemination. The final product will deliver a validated screen for balance impairments, deliver and progress a user through an individualized exercise program designed to improve balance, and provide feedback on performance for users and healthcare providers. The users movements will be tracked with an innovative 3D motion capture camera developed by Primesense". The PrimeSense" camera is state of the art technology that accurately identifies, recognizes, and tracks a user's physical movements. Strategy: The PFP2 will be based on the Otago Exercise Program, a series of exercises proven to reduce falls by 30%. We will convert the reliable and validated Otago Exercise program will into an interactive software application for mass distribution and home use. Focus groups of subject matter experts (older adults, caregivers, clinicians), will participate in the Iterative Design Process to insure the product developed meets the needs of the users. SMEs will provide suggestions regarding game content, goals, assessment, training, performance metrics, and mechanics. This information will be used to develop and refine the design document and to finalize a technical prototype. A basic software prototype of a vertical slice of PFP2 will be developed. The PrimeSense" camera will be used as the human interaction interface. The prototype will be presented to the SMEs and a second focus group of naive older adults will for feasibility of play. Based upon feedback about the prototype from all SMEs, the team will identify changes needed necessary to improve game mechanics and prepare for submission of Phase 2 application. PUBLIC HEALTH RELEVANCE: More than 35% of older adults fall annually. Thus, falls and the resulting injuries are a serious public health concern for older adults. Exercise interventions have proven to decrease the rate of falls by 35-40%. This project will create a "Personalized Falls Prevention Program" to virtually lead older adults through a series of evidence-based exercises that prevent falls. The program will be 1) delivered on a personal computer or gaming console, using a 3D motion capture camera and 2) performed in the home, senior center, or under the guidance of a clinician.

描述（由申请人提供）：该SBIR第一阶段项目将确定将一个完善的、基于证据的福尔斯预防计划转化为低成本、易于获得的“个性化福尔斯预防计划”（PFP 2）的可行性。PFP 2是一种互动式指导运动计划，集成了创新的运动控制技术，可在个人电脑或游戏机上提供。在过去的十年中，由于福尔斯跌倒造成的死亡率增加了65%，到2020年，每年因福尔斯跌倒造成的总损失预计将超过540亿美元。专门为改善平衡和力量而设计的锻炼计划，将福尔斯的发生率降低30% - 40%;每次预防伤害性跌倒，可能为医疗保健系统节省7,500多美元。不幸的是，这些方案的传播受到限制。电子游戏可能会提供一个解决方案。老年人对玩手势控制游戏的兴趣前所未有，这为提供公共卫生干预创造了一个尚未开发的可行市场。创新：我们打算将既定的福尔斯预防计划转化为数字媒体，以供大众传播。最终产品将为平衡障碍提供经过验证的屏幕，通过旨在改善平衡的个性化锻炼计划为用户提供和进步，并为用户和医疗保健提供者提供性能反馈。用户的动作将通过Primesense开发的创新3D动作捕捉相机进行跟踪。PrimeSense”摄像头是最先进的技术，可以准确地识别、识别和跟踪用户的身体运动。策略：PFP 2将基于奥塔哥运动计划，一系列的练习证明可以减少30%的福尔斯。我们将把可靠和有效的奥塔哥运动程序将成为一个互动的软件应用程序的大规模分发和家庭使用。主题专家（老年人、护理人员、临床医生）的焦点小组将参与迭代设计过程，以确保开发的产品满足用户需求。SME将提供有关游戏内容、目标、评估、培训、性能指标和机制的建议。这些信息将用于制定和完善设计文件，并最终确定技术原型。将开发PFP 2垂直切片的基本软件原型。PrimeSense”摄像头将用作人机交互界面。原型将提交给中小企业和天真的老年人的第二个焦点小组将发挥的可行性。根据所有SME对原型的反馈，该团队将确定改进游戏机制所需的更改，并准备提交第2阶段应用程序。 公共卫生相关性：每年有超过35%的老年人跌倒。因此，对于老年人来说，福尔斯跌倒及其造成的伤害是一个严重的公共卫生问题。运动干预已被证明可以将福尔斯的发生率降低35- 40%。该项目将创建一个“个性化福尔斯预防计划”，通过一系列预防福尔斯的循证练习，实际上引导老年人。该计划将1）在个人电脑或游戏机上使用3D动作捕捉摄像头进行，2）在家中，老年中心或在临床医生的指导下进行。