Health in Motion- Interactive Exercises for Safer Mobility

描述（由申请人提供）：本SBIR第II阶段项目的目标是将完善的循证福尔斯预防程序转化为低成本、易于访问的个性化福尔斯预防软件程序。健康运动将是一个互动的指导锻炼计划，使用创新的运动控制技术，在个人电脑上交付。在过去的十年中，由于福尔斯跌倒导致的死亡率增加了65%，预计到2020年，每年因福尔斯跌倒造成的总损失将超过540亿美元。专门为改善平衡和力量而设计的锻炼计划可以将福尔斯的跌倒率降低30%-40%;每年可能为医疗保健系统节省180亿美元。不幸的是，这些方案的传播受到人员费用的限制，而且往往需要前往社区中心接受有经验的教员的培训。视频游戏技术可以提供一个解决方案。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：我们将把已建立的循证福尔斯预防计划转化为互动的数字活动，以供大众传播。最终产品将1）提供经验证的平衡筛选测试，2）通过旨在改善平衡的个性化锻炼计划使用户进步，3）通过动态Web-UI为用户和提供者提供性能数据，4）挑战认知储备，5）提供社会支持，6）教育用户预防跌倒。用户的动作被识别，识别和跟踪与创新的3D运动捕捉传感器，Kinect的Windows v2。战略：Health-In-Motion将把可靠和经过验证的跌倒预防程序（奥塔哥运动程序和太极）整合到一个交互式软件应用程序中，供大众分发和家庭使用。该应用程序是专门为老年人用户的健康和安全需求量身定制的方法：一个跨学科的敏捷的以用户为中心的设计方法将应用于该产品的开发的其余部分。主题专家（老年人，护理人员，临床医生）将继续参与开发过程，以确保Health-In-Motion满足他们的需求。我们将完成一项试点结果研究，以测试以下假设：用户会更喜欢Health-In-Motion而不是标准程序，经过一个月的Health-In-Motion培训后，用户会更频繁地参与并在福尔斯风险测量方面表现更好，并且平衡屏幕将与标准临床测试正相关。

DESCRIPTION (provided by applicant): The Objective of this SBIR Phase II project is to complete the translation of a well-established, evidence-based falls prevention program into a low cost, easily accessed personalized falls prevention software program. Health-In-Motion will be an interactive guided exercise program using innovative motion controlled technology for delivery on a personal computer. 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, can decrease the rate of falls by 30%-40%; potentially saving the health care system $18 billion annually. Unfortunately, the dissemination of these programs is limited by personnel costs and often requires traveling to community centers for training by an experienced instructor. Video game technology can 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 will translate established evidence-based falls prevention programs into interactive digital activities for mass dissemination. The final product will 1) deliver a validated balance screening test, 2) progress a user through an individualized exercise program designed to improve balance, 3) deliver data on performance for users and providers through a dynamic Web-UI, 4) challenge to cognitive reserve, 5) offer social support and 6) educate users about fall prevention. Users' movements are identified, recognized, and tracked with an innovative 3D motion capture sensor, Kinect for Windows v2. Strategy: The Health-In-Motion will digitize reliable and validated fall prevention programs (Otago Exercise Program and Tai Chi) into an interactive software application for mass distribution and home use. This application is tailored specifically for the health and safety needs of older adult users Methods: A trans-disciplinary agile user-centered design approach will be applied in the remainder of the development of this product. Subject matter experts (older adults, caregivers, clinicians), will continue to participate in the development process to insure Health-In-Motion meets their needs. We will complete a pilot outcome study to test the hypotheses that users will prefer Health-In-Motion over standard programs, users will engage more frequently and perform better on falls risk measures after one month of training with Health-In-Motion and that the balance screens will positively correlate with standard clinical tests.