Augmented Reality Personalized Motion Tracking Assessment and Improvement Technology for Fall Prevention for the Spanish Speaking Hispanic/Latino Population in a Community Setting Using Mobile Phone

超过四分之一的65岁及以上的人每年摔倒，导致每年在以下方面的支出超过500亿美元 治疗。这一成本正处于上升轨道。我们对跌倒的影响和风险了解较少 说西班牙语的西班牙裔/拉丁裔人口。尽管各种以社区为基础的公共卫生 计划针对的是跌倒预防，这些计划是英语的，没有有效地翻译和 提供给不同文化的社区。65岁及以上的拉美裔美国人口为400万 预计到2060年将增长到1990万，占该年龄段总人数的21%。老年拉美裔美国人在这里 特定人口经常下降，并担心会下降。运动计划可以降低老年人跌倒的风险 通过改善肌肉力量、平衡和步态不稳定来帮助成人。鼓励开展预防跌倒计划 由CDC、NIA和许多其他组织提供，通常由基于社区的组织提供 和其他机构。提供西班牙语锻炼计划的障碍包括难以找到 会说西班牙语的合格教练和许多60岁及以上的人通常不知道适当的锻炼 养生法。西班牙语的Kinima Seniors旨在通过使用其 新型移动防坠辅助技术。Kinima Inc.是一家由女性拥有的公司，成立于 2016年，并在宾夕法尼亚大学沃顿创业计划和斯坦福大学孵化 大学的StartX和商业提供的。西班牙语的《Kinima Seniors》是一部开创性的小说 使用计算机视觉的技术，没有车载传感器，通过 增强现实指导，具有专有内容、身体关节跟踪和人工智能，以及多个 以反馈形式提供数字化双向综合防坠演练平台。建议数 第一阶段研究旨在确定Kinima老年人在西班牙手机运动跟踪平台的 在西班牙裔/拉丁裔环境中支持摔倒预防的可行性、可接受性和准确性。为此，项目 目标是：1)评估Kinima老年人在西班牙语方面的接受度、参与度和受试者的能力 在很少或根本没有人工干预的情况下完成会议；2)确定具体形式的内容和 在目标人群中最好地促进所需身体活动的特征；以及3)确定 Kinima老年人在西班牙技术中对参与者自动跟踪的有效性 有动静。Kinima的自动评估将与人工跟踪进行比较，这是 当今大多数临床医生评估跌倒风险的方法。这些目标支持任务和研究 在讲西班牙语的老年人中，减少跌倒和跌倒风险的优先事项。这项第一阶段的研究是一个主要的 里程碑，并允许项目研究小组评估用户对功能和有效性的可接受性 自动化的措施。第二阶段将确定平台在改善跌倒风险结果方面的有效性 通过衡量随着时间的推移取得的进展。

More than 1 in 4 people 65 and older fall each year, leading to more than $50 billion in annual spending for treatment. This cost is on an upward trajectory. We have less understanding of the impact of falls and risk in the Spanish-speaking Hispanic/Latino population. Although a variety of community-based public health programs are addressing fall prevention, these programs are in English and are not effectively translated and delivered to culturally diverse communities. The Hispanic American population age 65 and over was 4 million in 2016 and is projected to grow to 19.9 million by 2060 or 21% of that total age group. Elderly Hispanics in this specific population frequently fall and are worried about falling. Exercise programs can reduce fall risk for older adults by improving muscle strength, balance, and gait instabilities. Fall prevention programs are encouraged by the CDC, NIA, and many other organizations, and are often provided by community-based organizations and other institutions. Barriers to offering Spanish speaking exercise programs include difficulty in finding qualified instructors who speak Spanish and many age 60 and over are typically unaware of proper exercise regimens. KINIMA Seniors in Spanish aims to reduce fall risk in the Hispanic population through the use of its novel mobile assistive technology for fall prevention. KINIMA Inc., is a women-owned company incorporated in 2016 and incubated in both University of Pennsylvania’s Wharton Venture Initiative Program and Stanford University’s StartX and commercially offered. KINIMA Seniors in Spanish is a ground-breaking, novel technology that uses computer vision with no on-body sensors, an innovative side-by-side view through augmented reality guidance with proprietary content, body joint tracking and artificial intelligence, plus multiple forms of feedback to provide a digital 2-way comprehensive fall prevention exercise platform. The proposed Phase I study seeks to determine the KINIMA Seniors in Spanish mobile phone motion tracking platform’s feasibility, acceptability, and accuracy to support fall prevention in Hispanic/Latino settings. To that end, project AIMS are: 1) Evaluate KINIMA Seniors in Spanish acceptability, engagement and capability for subjects to complete sessions with little or no intervention by human staff; 2) determine specific forms of content and features that best promote the desired physical movement among the targeted populations; and 3) determine the effectiveness of the KINIMA Seniors in Spanish technology for automated tracking of participant movement. The KINIMA automated assessments will be compared against tracking by a human, which is the approach taken by most clinicians today to assess fall risk. These AIMS support the mission and research priorities of reducing falls and fall risk among Spanish-speaking seniors. This Phase I study is a major milestone and allows the project study group to assess user acceptability of the features and effectiveness of the automated measures. Phase II will determine the efficacy of the platform in improving fall risk outcomes through measuring progress over time.