Health in Motion- Digitally Interactive Tai Chi Home Exercises for Safer Mobility

健康在动——数字互动太极家庭练习，让出行更安全

• 批准号: 8523131
• 负责人: Sheryl Flynn
• 金额: $ 19.24万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8523131
• 关键词: Adherence; Adoption; Affect; Aging; Architecture; Arts; Back; Bone Density; Cardiopulmonary; Centers for Disease Control and Prevention (U.S.); Client; Communities; Computer Interface; Computer software; Computers; Data; Databases; Development; Elderly; Ensure; Environment; Equilibrium; Evidence based practice; Exercise; Fall prevention; Feedback; Focus Groups; Foundations; Gestures; Goals; Health; Health Benefit; Health Personnel; Health Promotion; Healthcare; Healthcare Systems; Home environment; Immune; Individual; Inflammation; Institutes; Instruction; Intervention; Learning; Marketing; Mass Media; Mechanics; Mediating; Mental Health; Methodology; Metric; Moods; Morbidity - disease rate; Motion; Movement; Outcome; Patient Outcomes Assessments; Penetration; Performance; Phase; Physical Function; Physiological; Play; Population; Prevention program; Process; Production; Public Health; Quality of life; Rehabilitation therapy; Reporting; Research; Risk Assessment; Self Efficacy; Small Business Innovation Research Grant; Solutions; Specialist; Symptoms; Tai Ji; Technology; Testing; Training; Translating; Translations; Video Games; Wellness Program; aging population; base; computer infrastructure; computerized; cost; cost effective; design; digital; disability; equilibration disorder; evidence base; experience; falls; functional decline; improved; innovation; innovative technologies; insight; interest; meetings; mortality; new technology; prevent; programs; prototype; psychologic; public health relevance; research and development; sensor; usability

DESCRIPTION (provided by applicant): This Phase 1 SBIR project will lay the foundation to translate the CDC endorsed "Tai Chi: Movement for Better Balance" 1 program, a well-established, evidence-based falls prevention and wellness program into a low cost, easily accessed "Health in Motion" computer game program. It will be a virtually guided, interactive exercise program that marries groundbreaking gesture-controlled technology (released 4/2012) to a video game type environment deployed on a home computer and LED TV. Given a worldwide aging population, morbidity and mortality from falls pose a significant public health challenge. Exercise programs specifically designed to improve health, wellness and balance could save our already overburdened health care system $40,000 per avoided incident 2. Distribution of current wellness and balance programs is limited by the cost of training, distribution channels, and lack of adherence. Video game technology can provide one solution. Many people, including older adults are very interested in playing gesture-controlled games. Consequently, game based health promotion offers an untapped and viable market to deliver a public health intervention. Broad Objective: We intend to digitally translate an existing evidence-based exercise program, Tai Chi, using new technology for widespread dissemination and adoption to prevent functional decline and promote health and wellbeing in later life. Approach: We will employ our trans-disciplinary, user-centered, agile game design approach to develop "Health in Motion" and to ensure we meet the needs of the end-user groups (individuals with disabilities, older adults, clinicians). Specific Aims: We will use standard product testing methodology, such as focus groups, play-testing and user acceptance testing, to engage our subject matter experts (SME) throughout the process. The SMEs will provide insight into game content, assessment, training, performance metrics and mechanics. Their insight along with our well-trained staff will iterate the design concept and create a player experience prototype for user acceptance feedback. Our initial design concept will combine a screen for balance impairments, instruction and progression through Tai Chi exercises, and feedback on performance for users and healthcare providers. The users' 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 product will be low cost, easily deployed in the home, provide users with engaging and motivating game-like environments to improve adherence and provide healthcare specialists with feedback regarding client's performance. "Health in Motion" mediates many of the current barriers to dissemination of evidence based falls prevention programs. Finally, this product is relevant to the National Institutes of Aging initiatives because it "advances the availability of products and health practices for older adults.

描述(由申请者提供)：这个第一阶段的SBIR项目将为CDC批准的“太极：运动更好的平衡”1计划奠定基础，这是一个久负盛名的、以证据为基础的预防和健康计划，将为一个低成本、易于访问的“Health in Motion”电脑游戏程序奠定基础。这将是一个虚拟指导的交互式练习计划，将突破性的手势控制技术(2012年4月发布)与部署在家用电脑和LED电视上的视频游戏型环境相结合。鉴于全球人口老龄化，跌倒造成的发病率和死亡率构成了重大的公共卫生挑战。专门为改善健康、健康和平衡而设计的锻炼计划，可以为我们本已不堪重负的医疗保健系统为每个避免的事件节省4万美元。目前的健康和平衡计划的分发受到培训成本、分发渠道和缺乏遵守的限制。电子游戏技术可以提供一种解决方案。许多人，包括老年人，都对玩手势控制游戏非常感兴趣。因此，基于游戏的健康促进提供了一个尚未开发和可行的市场，以提供公共健康干预。广泛的目标：我们打算将现有的循证锻炼项目太极进行数字化翻译，使用新技术广泛传播和采用，以防止功能衰退，并促进以后的健康和福祉。方法：我们将使用我们的跨学科、以用户为中心、灵活的游戏设计方法来开发“运动中的健康”，并确保我们满足最终用户群体(残疾人、老年人、临床医生)的需求。具体目标：我们将使用标准的产品测试方法，如焦点小组、游戏测试和用户接受度测试，在整个过程中让我们的主题专家(SME)参与进来。中小企业将提供对游戏内容、评估、培训、绩效指标和机制的见解。他们的洞察力将与我们训练有素的员工一起迭代设计概念，并为用户接受反馈创建玩家体验原型。我们最初的设计理念将结合平衡损伤屏幕，通过太极练习进行指导和进步，以及为用户和医疗保健提供者提供绩效反馈。用户的动作将使用Kinect(注册商标)传感器来跟踪，这是一种创新的3D手势捕捉传感器，可以准确地识别、识别和跟踪用户的身体动作。该产品将成本低，易于在家庭中部署，为用户提供引人入胜和激励人心的游戏般的环境，以提高忠诚度，并向保健专家提供关于客户表现的反馈。“运动中的健康”协调了目前以证据为基础的跌倒预防计划传播的许多障碍。最后，该产品与国家老龄研究所的倡议相关，因为它“促进了老年人产品和健康实践的可获得性”。