GPS Base System :Support Walking Exercise & Health Monitoring for IDD Individual

描述（由申请人提供）：有智力残疾的个人，包括唐氏综合症，和一般人群之间的健康差距是有据可查的。这些差异包括与肥胖和心脏病有关的问题。文献中指出了一些因果因素，如活动水平较低、饮食不良和与获得保健服务有关的问题。为解决这些问题所作的努力取得了一定的成功，但由于费用问题和固有的支助需求方面的工作人员密集性质，没有得到广泛实施。需要探索新的办法，有可能以鼓励成本效益、自我指导和独立的方式减轻这些健康差距。该项目建议开发和评估一种新的方法，旨在为患有体重和心血管问题的智障人士提供动力，增加身体活动和监测支持。它涉及开发一种便携式、集成的全球定位系统硬件/软件系统，旨在促进用户在当地环境中增加步行锻炼。该系统还将记录/报告活动，并与血压、心率和体重等基本健康监测措施相结合。为了实现这一点，该系统将包括一个配置模块，护理人员将使用该模块来创建基于GPS的导航提示、地标和针对当地户外环境的可选的“寻宝”。一旦创建，这些路线将由一个或多个具有智力残疾的个人使用，以通过步行来导航路线，同时使用简化的界面来指示成功定位“寻宝”物品。该系统将记录时间，距离和其他路线旅行参数以供验证，并提供可选的类似游戏的奖励，例如可打印的成就证书或积分累积，稍后可以交换其他有形的增援。最后，该系统将与现有的无线健康监测系统集成，例如易于使用的血压，心率和体重秤监测器，旨在在路线完成后使用。系统将保留来自监测器的测量值，以帮助评估干预效果，向护理人员和医疗保健专业人员报告，并随时间进行进展分析。为完成这一活动提出了五个具体目标：1）完成初始功能和技术系统需求的开发，2）完成原型设计和开发，3）进行一次涉及智障人士和其他利益相关者使用原型的现场评估，4）完成最终系统设计和开发活动，以及5）完成系统文档和项目报告。长期目标是提供一种技术干预措施，该技术干预措施的设计有重要的利益相关者参与，提供基于研究的证据，证明其在减少智障人士与运动相关的健康差异方面的可用性和有效性。

DESCRIPTION (provided by applicant): Health disparities between individuals with intellectual disabilities, including Down Syndrome, and the general population are well documented. These disparities include issues related to obesity and heart disease. Causal factors have been noted in the literature such as lower activity levels, poor diets and issues related to accessing health care services. Efforts to address these issues have met with moderate success but are not widely implemented due to costs and their staff intensive nature in regards to inherent support needs. New approaches need to be explored that have potential to alleviate these health disparities in ways that also encourage cost effectiveness, self direction and independence. This project proposes development and evaluation of a novel approach designed to provide motivation, increased physical activity and monitoring supports for individuals with intellectual disabilities who experience weight and cardiovascular problems. It involves development of a portable, integrated GPS hardware/software system designed to promote increased walking exercise in the user's local environment. The system will also record/report activity and integrate with basic health monitoring measures such as blood pressure, heart rate and weight. To accomplish this, the system would include a configuration module that would be used by care givers to create GPS based navigation prompts, landmarks, and optional "treasure hunts" for local outdoor environments. Once created, these routes would be used by one or more individuals with intellectual disabilities to navigate the route via foot travel while using a simplified interface to indicate success in locating "treasure hunt" items. The system would record time, distance and other parameters of route travel for verification and provide optional game-like rewards such as printable achievement certificates or point accumulation that could later be exchanged for other tangible reinforcements. Finally, the system will integrate with existing, wireless health monitoring systems such as easy to use blood pressure, heart rate and weight scale monitors designed to be used upon route completion. Measures from the monitors will be retained by the system to help evaluate intervention efficacy, for reporting to caregivers and health care professionals, and for progress analysis over time. Five Specific Aims are proposed to accomplish this activity: 1) complete development of initial functional and technical system requirements, 2) complete prototype design and development, 3) conduct a field evaluation involving the use of the prototype by individuals with intellectual disabilities and other stakeholders, 4) completion of final system design and development activities, and 5) complete system documentation and project reporting. The long term objective is provision of a technology intervention designed with significant stakeholder involvement that provides research based evidence of usability and effectiveness in reducing exercise related health disparities for individuals with intellectual disabilities.