Accessible Balance and Falls Prevention Exercise Tool Across the Continuum of Car

跨汽车连续体的无障碍平衡和防跌倒锻炼工具

• 批准号: 8714972
• 负责人: Sheryl Flynn
• 金额: $ 14.99万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8714972
• 关键词: Address; Adherence; Adoption; Assisted Living Facilities; Back; Caregivers; Caring; Centers for Disease Control and Prevention (U.S.); Cessation of life; Client; Clinic; Cognitive; Communities; Community Services; Continuity of Patient Care; Data; Data Reporting; Databases; Development; Discipline of Nursing; Elderly; Ensure; Environment; Equilibrium; Exercise; Face; Fall prevention; Feedback; Focus Groups; Fostering; Gestures; Health; Heart; Home environment; Homes for the Aged; Human Resources; Imagery; Internet; Intervention; Lead; Marble; Marketing; Mediating; Methodology; Modification; Monitor; Motion; Movement; Occupational Therapist; Outcome; Personal Computers; Phase; Physical Function; Physicians; Pilot Projects; Play; Prevention program; Process; Public Health; Quality of life; Reporting; Research; Research Personnel; Risk; Series; Services; Slice; Small Business Innovation Research Grant; Social Workers; Sorting - Cell Movement; System; Technology; Testing; Translations; Update; Walkers; base; cognitive function; commercial application; commercialization; community living; community setting; computerized data processing; cost; design; digital; evidence base; experience; fall risk; falls; fitness; functional outcomes; improved; injury burden; innovation; meetings; premature; programs; prototype; public health relevance; sensor; success; technological innovation; tool; uptake

DESCRIPTION (provided by applicant): Objective: This Phase 1 SBIR proposes to optimize the interface and interaction of a digital translation of Evidence Based Falls Prevention programs for use across the continuum of care and community living that affords easy adoption, adherence and monitoring of falls prevention exercises for all stakeholders including those with limited technical experience. Purpose: Specifically, this proposal describes how we plan to obtain the stakeholder input required to a) design an accessible exercise interface that will be used by clients, clinicians, caregivers and support staff across all levels of independence and care assistance, and b) design an accessible WebApp for selecting, tracking and reporting adherence to the exercises for use by all stakeholders. Phase II will focus on execution of the findings initiated in this Phase I and to ascertain a path to commercialization. Approach: We will employ our trans-disciplinary, user-centered, agile game design approach to develop "Zoezi Park" and to ensure we meet the needs of the stakeholders across the continuum of care and community settings. Blue Marble has already created "Zoezi Park", a prototype digital translation of the evidence-based and CDC supported Otago1-11 (SBIR 1R43AG040873-01) and Tai Chi12-47 (1R43AG043191- 01A1) exercise programs using a gesture based digital exercise experience to ease dissemination and increase adherence to falls prevention exercises for folks over the age of 65. What is lacking is a well-designed product that crosses all levels of care and independence. Essential to this product is a) a user interface that enables easy navigation by those with limited technological expertise, b) a clinician exercise configuration tool, c) a back end data capture system and d) a web app for viewing and reporting outcomes across levels of care. The challenge we face is designing a product that accommodates the needs of all stakeholders including people over 65 with varying levels of falls risk, clinicians (physical therapists, occupational therapists, social workers, physicians), fitness trainers, technicians, and caregivers. While the heart of the program is the exercises, a user interface that creatively addresses the needs of all stakeholders is essential for commercialization. Specific Aims: We will use standard product testing methodology, such as focus groups, card-sorting, play-testing, user acceptance testing and feasibility testing throughout the process. The stakeholders will interact with the vertical slice prototype "Zoezi Park v1.0". As users interact with the product, their movements will be tracked with the Kinect(R) sensor, an innovative 3D gesture capture sensor that accurately identifies recognizes and tracks a user's physical movements. The testers will provide feedback regarding requirements unique to their level of technological experience, environment and level of care. "Zoezi Park" mediates many of the current barriers to dissemination of evidence based falls prevention programs. Finally, this product is relevant to the CDC initiatives because it is a digital translation of CDC supported falls prevention exercise programs and advances the availability of products and health practices for older adults". Deliverable: Zoezi Park v1.1 and a Phase 2 application.

描述（由申请人提供）：目的：本第1阶段SBIR建议优化循证福尔斯预防计划数字翻译的界面和交互，以便在护理和社区生活的连续性中使用，为所有利益相关者（包括技术经验有限的利益相关者）提供福尔斯预防练习的易于采用、遵守和监测。目的：具体而言，本提案描述了我们计划如何获得利益相关者的意见，以a）设计一个可访问的锻炼界面，供客户、临床医生、护理人员和支持人员在所有独立和护理援助级别使用，以及B）设计一个可访问的WebApp，用于选择、跟踪和报告所有利益相关者使用的锻炼依从性。第二阶段将侧重于执行第一阶段的研究结果，并确定商业化的途径。方法：我们将采用跨学科、以用户为中心、敏捷的游戏设计方法来开发“Zoezi Park”，并确保我们满足整个护理和社区环境的利益相关者的需求。Blue Marble已经创建了“Zoezi Park”，这是一个基于证据和CDC支持的Otago 1 -11（SBIR 1 R43 AG 040873 -01）和Tai Chi 12 -47（1 R43 AG 043191 - 01 A1）锻炼计划的原型数字翻译，使用基于手势的数字锻炼体验，以便于传播和增加65岁以上人群对福尔斯预防锻炼的坚持。缺乏的是一个设计良好的产品，跨越所有层次的 照顾和独立。该产品的基本要素是：a）用户界面，可让技术专业知识有限的人员轻松导航; B）临床医生练习配置工具; c）后端数据采集系统; d）Web应用程序，用于查看和报告不同护理级别的结局。我们面临的挑战是设计一种产品，满足所有利益相关者的需求，包括65岁以上有不同程度福尔斯风险的人，临床医生（物理治疗师，职业治疗师，社会工作者，医生），健身教练，技术人员和护理人员。虽然该计划的核心是练习，但创造性地满足所有利益相关者需求的用户界面对于商业化至关重要。具体目标：我们将在整个过程中使用标准的产品测试方法，例如焦点小组，卡片分类，播放测试，用户接受度测试和可行性测试。利益相关者将与垂直切片原型“Zoezi Park v1.0”进行互动。当用户与产品互动时，他们的动作将被Kinect（R）传感器跟踪，这是一种创新的3D手势捕捉传感器，可以准确识别和跟踪用户的身体动作。测试人员将提供关于其技术经验水平、环境和护理水平的独特要求的反馈。“Zoezi公园”调解了目前许多传播基于证据的福尔斯预防计划的障碍。最后，该产品与疾病预防控制中心的举措有关，因为它是疾病预防控制中心支持的福尔斯预防运动计划的数字翻译，并提高了老年人产品和健康实践的可用性。可扩展：Zoezi Park v1.1和第2阶段应用程序。