A Web-based Infrastructure for Translating Fall Prevention Research into Practice

描述（由申请人提供）：本项目的目标是将FallScape多媒体跌倒预防（FP）方法从本地托管的以用户为中心的资源集转换为基于Web的架构，以促进将跌倒预防策略转化为各种临床和社区环境，为不同人群提供服务。为了实现两党决议授权的跌倒预防研究的增长，并于2008年签署成为法律，即《老年人安全法》，必须建立和传播一个共同框架，其中包括支持这些努力的必要工具。可定制的行为干预策略的可用性与兼容的医疗，运动，环境，心理和教育干预措施将大大提高跨学科成果研究的机会。最后，现代通信技术的结合将允许在几乎任何环境中快速部署这些干预措施，无论是否有多媒体，消除了向大量易受福尔斯风险的老年人提供预防和干预的许多现有障碍。将通过解决以下方面出现的科学和工程问题来评估基于网络的跌倒预防系统的可行性：1）满足不同FP专业人员群体的需求; 2）调整方法，以允许在各种设置中及时提供媒体和信息内容，同时保持所需的安全性; 3）采用新的和具有成本效益的数字通信技术，可以提供保真度和易用性的内容;和4）确保系统适应各种老年人群体。第一阶段的工作重点是在现实环境中研究这些问题，包括实际用户和参与者对技术的评估。这些步骤旨在确保所提出的跌倒预防系统最终将成为一种强大的商业产品，该产品将通过获得用户和许可费的持续支持而自我维持。 公共卫生相关性：该项目将使用数字和多媒体技术来促进平移性跌倒预防（FP）研究。一个基于网络的基础设施将使个性化的FP程序广泛使用。可以在不同环境中提供的计划生育干预措施可以降低医疗保健成本，并防止严重的个人后果。

DESCRIPTION (provided by applicant): The goal of this project is to take FallScape multimedia fall prevention (FP) methodologies from a locally-hosted user-centric set of resources to a web-based architecture in order to facilitate the translation of fall prevention strategies into a variety of clinical and community-based settings serving different populations. To accomplish the growth of fall prevention research mandated by bipartisan resolution and signed into law in 2008 as the Safety of Seniors Act, a common framework that includes the necessary tools to support these efforts must be created and disseminated. Availability of customizable behavioral intervention strategies for use with compatible medical, exercise, environmental, psychosocial and educational interventions will greatly enhance opportunities for interdisciplinary outcomes research. Finally, the incorporation of modern communications technology will permit rapid deployment of these interventions with and without multimedia into almost any setting, eliminating many existing barriers to offering prevention and intervention to a large and vulnerable population of older adults at risk for falls. Feasibility of the web-based Fall Prevention System will be evaluated by addressing the scientific and engineering issues that arise in: 1) meeting the needs of a diverse group of FP professionals; 2) adapting methodologies to permit just-in-time provision of both media and information content in varied settings while maintaining required security; 3) incorporating new and cost-effective digital communication technologies that can deliver content with fidelity and ease of use; and 4) assuring adaptability of the system to a wide variety of older adult populations. Phase I efforts will focus on examining each of these issues in real-world settings that will include actual user and participant evaluation of the technology. These steps are aimed at insuring that the proposed Fall Prevention System will ultimately be a robust commercial product that will be self- sustaining by obtaining ongoing support from user and licensing fees. PUBLIC HEALTH RELEVANCE: This project will use digital and multimedia technologies to facilitate translational fall prevention (FP) research. A web-based infrastructure will make personalized FP programs widely accessible. FP interventions that can be delivered in diverse settings can reduce health care costs and prevent significant personal consequences.