Gamification technology and falls prevention. Mr Bibhas Roy CMFT Dr Emma Stanmore UoM

Transcription

1 Gamification technology and falls prevention Mr Bibhas Roy CMFT Dr Emma Stanmore UoM

2 Gamification in healthcare is the application of design principles of computer games to healthcare solutions that work to change patient behaviour in order to attain better health. This makes healthcare personalised and user centred, providing motivation and creating engaging experience.

3 Motion sensor technology that tracks entire body gesture recognition, no controllers Skeletal tracking creates a digital skeleton based on depth data Colour and facial Recognition Kinect ID remembers you, collecting physical data stored in your profile Voice recognition 4 microphones within the sensor recognition from other noises, can control with your voice.

4 1 in 3 people older people fall pa (UK cost 1.8 b pa in >65s) +++ evidence on importance of strength/balance training for older people but NOT implemented alwys Shortage of therapists, time limited therapy & low levels of physical activity Modifiable risk factors known, falls programmes efficacious BUT services not available in many Trusts

5 Falls inevitable as you get older Older people are technophobes

6 MICRA CMFT Funding Team Academic Clinical Commercial Focus groups Community events Users Central Manchester University Hospitals NHS Foundation Trust

7 Older adults 65 in Mcr and Cheshire Talk and exergame demonstration Lunch Questions and feedback YourShape Fitness evolved (ubisoft) exergame: tai chi

8 Would like to play at home Could play it with the grandchildren Only if someone could help set it up I forgot that I was exercising much more fun than my exercise class Like how it can be tailored to my needs Would give it a go if it helped me to stay independent

9 exergames based on: Best evidence OTAGO/FaME falls prevention programme Users and therapists views Motivators and awards Controlled movements Can be played with balance support (chair/person) MIRA platform captures patient stats in real time

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11 Patient details (name, DOB, pathology, affected joints/limbs) Monitors adherence in real time (duration, frequency, number of sessions, distance, speed, acceleration) Pain levels, fatigue and other validated measures e.g. fear of falling (Short FES-I) Level of ability, points gained & summary graph of progress

12 exergames used in clinic setting x2 weekly Assessment, demo & instruction, supervision Use projector to increase screen size Positive feedback from users and therapists Future use in home settings to increase sessions, number of patients and improve outcomes

13 Health problems (actual and perceived) No observed positive effects Not liking social contacts in classes Unpleasant side effects (pain, fatigue) Low motivation Other priorities (carer, chores, holidays) Transport Yardley et al., 2005 Gerontology

14 Inexpensive & entertaining Improve adherence and motivation Can involve peer support Safe for home use without therapists Personalised & preventative User friendly & intuitive Feedback and opportunity to visualise movements in real time can generate positive reinforcement

15 Of all the self-fulfilling prophecies in our culture, the assumption that ageing means decline and poor health is probably the deadliest. Marilyn Ferguson

16 Department of Health. Start active, stay active. A report on physical activity for health from the four home countries chief medical officers. The Department of Health; London Department of Health (2010) Sedentary behaviour and obesity: Review of the current scientific evidence website: cyandguidance/dh_ Skelton DA, Dinan-Young SM. Ageing and older people.in: Buckley J, editor. Exercise Physiology in Special Populations. Churchill Livingstone; Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S, Cumming RG, et al. (2009)Intervention for preventing falls in older people living in the community. Cochrane Database Syst Rev. Sherrington C, Whitney JC, Lord SR, Herbert RD, Cumming RG, Close JC. Effective exercise for the prevention of falls: A systematic review and meta-analysis. J Am Geriatr Soc. 2008;56: Useful Websites: for start active stay active pdf see cyandguidance/dh_ and for evidence behind prevention of disease with physical activity and exercise see Activity-Prevention-Treatment-Disease-webb.pdf