PFP2: Personalized Falls Prevention Program: a digital home-based video-game vers

描述（由申请人提供）：SBIR第一阶段项目将确定将一个完善的、基于证据的跌倒预防项目转化为低成本、易于获取的“个性化跌倒预防项目”（PFP2）的可行性。PFP2是一种交互式指导练习程序，集成了创新的运动控制技术，可在个人电脑或游戏机上传输。在过去十年中，因跌倒导致的死亡率增加了65%，到2020年，摔伤造成的年度总成本预计将超过540亿美元。专门设计的锻炼计划，提高平衡和力量，减少30% - 40%的跌倒率；每防止一次摔伤，可能为医疗保健系统节省7500多美元。不幸的是，这些节目的传播受到了限制。电子游戏可能提供一个解决方案。老年人对玩手势控制游戏有着前所未有的兴趣，这为提供公共卫生干预创造了一个尚未开发的、可行的市场。创新：我们打算将已建立的预防跌倒计划转化为大众传播的数字媒体。最终产品将为平衡障碍提供一个经过验证的屏幕，为用户提供一个旨在改善平衡的个性化锻炼计划，并为用户和医疗保健提供者提供有关性能的反馈。用户的动作将被Primesense公司开发的创新3D动作捕捉摄像头跟踪。”“PrimeSense”摄像头是最先进的技术，可以准确识别、识别和跟踪用户的身体运动。策略：PFP2将以奥塔哥运动计划为基础，该计划是一系列被证明可以减少30%跌倒的运动。我们将把可靠的、经过验证的奥塔哥运动计划转化为一个交互式的软件应用程序，用于大规模分发和家庭使用。主题专家（老年人、护理人员、临床医生）的焦点小组将参与迭代设计过程，以确保开发的产品满足用户的需求。中小企业会提供关于游戏内容、目标、评估、培训、绩效指标和机制的建议。这些信息将用于开发和完善设计文件，并最终确定技术原型。将开发PFP2垂直切片的基本软件原型。“PrimeSense”摄像头将用作人机交互界面。原型将呈现给中小企业和第二个焦点小组的天真的老年人将发挥的可行性。根据所有中小企业对原型的反馈，团队将确定改进游戏机制所需的更改，并准备提交第二阶段申请。

DESCRIPTION (provided by applicant): This SBIR Phase I project will determine the feasibility of translating a well-established, evidence-based falls prevention program into a low cost, easily accessed "Personalized Falls Prevention Program"(PFP2). The PFP2 is an interactive guided exercise program that integrates innovative motion controlled technology for delivery on a personal computer or gaming console. 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, decrease the rate of falls by 30% - 40%; potentially saving the health care system over $7,500 per injurious fall prevented. Unfortunately, the dissemination of these programs has been limited. Video games may 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 intend to translate an established falls prevention program into a digital medium for mass dissemination. The final product will deliver a validated screen for balance impairments, deliver and progress a user through an individualized exercise program designed to improve balance, and provide feedback on performance for users and healthcare providers. The users movements will be tracked with an innovative 3D motion capture camera developed by Primesense". The PrimeSense" camera is state of the art technology that accurately identifies, recognizes, and tracks a user's physical movements. Strategy: The PFP2 will be based on the Otago Exercise Program, a series of exercises proven to reduce falls by 30%. We will convert the reliable and validated Otago Exercise program will into an interactive software application for mass distribution and home use. Focus groups of subject matter experts (older adults, caregivers, clinicians), will participate in the Iterative Design Process to insure the product developed meets the needs of the users. SMEs will provide suggestions regarding game content, goals, assessment, training, performance metrics, and mechanics. This information will be used to develop and refine the design document and to finalize a technical prototype. A basic software prototype of a vertical slice of PFP2 will be developed. The PrimeSense" camera will be used as the human interaction interface. The prototype will be presented to the SMEs and a second focus group of naive older adults will for feasibility of play. Based upon feedback about the prototype from all SMEs, the team will identify changes needed necessary to improve game mechanics and prepare for submission of Phase 2 application. PUBLIC HEALTH RELEVANCE: More than 35% of older adults fall annually. Thus, falls and the resulting injuries are a serious public health concern for older adults. Exercise interventions have proven to decrease the rate of falls by 35-40%. This project will create a "Personalized Falls Prevention Program" to virtually lead older adults through a series of evidence-based exercises that prevent falls. The program will be 1) delivered on a personal computer or gaming console, using a 3D motion capture camera and 2) performed in the home, senior center, or under the guidance of a clinician.