smithton talk ppt
TRANSCRIPT
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NBN-enabled, videogame-based telehealth technology
delivering health services to regional, rural and remote Australia
Stuart Smith
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Technology Research for Independent Living
Develop technology for in-home monitoring of factors associated with falls, cognitive function and social connectivity in older adults
Technology Platform
Ethnography
Falls
Cog
nitiv
e Fu
nctio
n
Soci
al
Con
nect
ivity
Ethnography
Technology Platform
Background
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A great testbed for technology
Coffs HarbourMid-north coast NSW
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Coffs Harbour
Scotts Head
Here’s a typical health service delivery problem
Neurologist from Sydney 1/month
Entire day for a 10 minute consultation
~50km
people living with PD in regional NSW
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Falls are a major factor for reduced independence in
older adults
1/3 community dwelling older adults (>65 yo) fall
each year
Total health cost to NSW alone in 2006/2007 $553M
$18,454 per hospital admission
Another fairly typical health problem
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We know fall risk can be reduced by exercise
High dosage of exercise is required (eg > 50 hrs or twice/week for 25 weeks).
Interactive video games might offer a way to ensure compliance with exercise
What can be done about them?
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Can existing technology facilitate independent living in older adults?
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Can we use the television to facilitate independent living?
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Videogames and older adults?????????
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Video games have often received bad press with respect to health
increased aggression and violence
addiction to gameplay
increased sedentary behaviour
epileptic seizures
Wii knee, haemothorax and ruptured tendons
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Do older adults play video games?
1034 individuals aged 36-50, 58% play video games
912 aged 51-65 52% play video games
221 aged 65+, 51% play video games
“Interactive Australia 2009” Brand (2009)
National survey of 1614 households
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Exergames like the Nintendo Wii
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Dance Dance Revolution
Presents cognitively challenging, physical exercise to train rapid stepping
Our approach
video removedshowed standard DDR game
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A more age appropriate version
video removedshowed our modified DDR
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So how will this work in the home?
QuickTime and aª decompressor
are needed to see this picture.
1. Engage people in exercise 2. Measure performance over the long term
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DDR system can also be used to measure fall risk over time
Choice Stepping Reaction Time
video removedshowed CSRT video
1350
1000
1050
1100
1150
1200
1250
1300
Ste
pp
ing
tim
e (m
s)
Fallers Non-fallers
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Fall
risk
Date
Mrs Smith, it looks like you have been a bit unsteady on
your feet lately. Is there anything we can do for you?
Use DDR to measure fall risk over time
Provide health information feedback to older person and their
support network
Videogames as a telehealth technology
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Where to from here?
Instructor
video removedshowed Yourshape Fitness Evolved
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Thank you, if you’re so inclined, join our Facebook group to learn more.
(Games for Health Australasia)