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

描述（由申请人提供）：该项目的目标是将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移到基于网络的架构中，以便将跌倒预防策略转化为各种临床和社区设置，服务于不同的人群。为了完成由两党决议授权并于2008年签署成为法律的《老年人安全法案》的预防跌倒研究的增长，必须创建和传播一个包括支持这些努力的必要工具的共同框架。可定制的行为干预策略可与相容的医疗、运动、环境、社会心理和教育干预措施一起使用，这将大大增加跨学科成果研究的机会。最后，现代通信技术的结合将使这些干预措施在有或没有多媒体的情况下能够迅速部署到几乎任何环境中，从而消除了向有跌倒危险的大量脆弱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预防跌倒系统的可行性：1)满足不同计划生育专业人员群体的需求；2)调整方法，以便在保持所需的安全性的同时，在不同的环境中及时提供媒体和信息内容；3)采用新的和具有成本效益的数字通信技术，以提供保真和易于使用的内容；4)确保该系统对各种各样的老年人口的适应性。第一阶段的工作将侧重于在现实环境中检查这些问题，包括实际用户和参与者对技术的评估。这些步骤旨在确保拟议的防摔系统最终将成为一个强大的商业产品，通过获得用户和许可费用的持续支持来自我维持。

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.