Method and system for fall prevention in older adults

{
  "publication_number": "US10438496B2",
  "country": "US",
  "kind": "B2",
  "title": "Method and system for fall prevention in older adults",
  "abstract": "The present invention consists of a Multimedia Fall Prevention system serving the fall prevention needs of older adults. Every year approximately 1 in 3 older adults who are over 65 will fall according to the Centers for Disease Control and Prevention. The first step in preventing falls is for each person to understand those elements of their personal characteristics that make them likely to fall. Next, they must be able to recognize situations that may cause them to fall. A system is disclosed that addresses each of these issues. The system is comprised of three separate components: a personal interview, one or more training sessions, and one or more evaluations.",
  "claims": [
    "1. A method of increasing an individual's awareness of fall threats and encouraging new falls prevention behaviors to reduce the individual's risk of falling by providing fall prevention training to a client using a computerized multimedia system acting in concert as a machine, comprising: a) storing ten or more specially created multimedia vignettes in a digitized knowledge base, wherein each vignette presents situations with specific audio and video content containing at least two different fall threats, wherein each fall threat has been identified and graded for difficulty and obviousness and storing the knowledge base on a memory device that can he accessed by said multimedia machine; wherein the vignettes are created to offer the client experiences that permit them to discover their own unique concerns and stimulate them to formulate fall prevention strategies that meet their individual needs; b) querying a client, by means of a user interface and an interview module of said knowledge base, to obtain information about personally relevant data elements, and storing, by means of said multimedia machine, at least five of said elements as a client profile in an administrative module; wherein said administrative module is accessible by said multimedia machine; c) creating a training set customized for the client, using a training module executable on said multimedia machine, and employing said client profile stored in said administrative module to select vignettes having client-relevant fall threats; pairing selected vignettes such that each pair presents two or more relevant fall threats in common; accessing said difficulty and obviousness grades in order to organize said pairs considering said difficulty and obviousness grades to create said customized training set containing five pairs of vignettes ordered by difficulty; wherein said training module is a component of the multimedia software that is part of said knowledge base; d) displaying a first vignette of the first pair in the customized training set created in step c) on a physical display to transform digital media to image and/or sound, presenting to the client said first vignette, then querying said client by means of said user interface about content presented in said first vignette, and receiving digital confirmation that presentation of said first vignette is complete; e) displaying a second vignette of the pair in step d) to the client on said physical display, then querying said client about content presented in said second vignette by means of said user interface, and receiving digital confirmation that presentation of said second vignette is complete; f) eliciting from the client, by means of said user interface, identification of specific fall threats as determined by said client profile, wherein said fall threats are shared by the pair of vignettes presented in steps d) and e); then either g) repeating steps d), e) and f) until all pairs of vignettes in the customized training set have been presented to the client, or h) if and when no more than one specific fall threat shared by two vignettes of a pair could be identified by the client, then the client is deemed to need additional help, and then using said training module to select specific pre-recorded help elements relating to specific fall threats which are shared by said pair of vignettes that the client failed to identify in step f, wherein said help elements are specified by said training module based on the fall threats determined to be relevant to said client using said client profile and selected from the group consisting of video, audio, and multimedia files, and presenting said help elements to the client on said physical display to transform digital media to image and/or sound; then i) eliciting from said client by means of said user interface, a description of specific fall threats shared by the two vignettes of a pair in step h), and repeating steps d) through h) until all pairs of vignettes in said customized training set have been presented to the client.",
    "2. The method of claim 1, wherein each said vignette is less than 60 seconds in length.",
    "3. The method of claim 1, wherein said customized training set created in step c) reflects the client's fall history or current functional state, thereby further individualizing said customized training set.",
    "4. The method of claim 1, wherein said client interacts with a user of said computerized multimedia acting in concert as a machine.",
    "5. An interactive multimedia training system implementing a method of increasing an individual's awareness of fall threats and encouraging new falls prevention behaviors to reduce the individual's risk of falling by providing fall prevention training to a client using a computerized multimedia system acting in concert as a machine, comprising: a) storing ten or more specially created multimedia vignettes in a digitized knowledge base, wherein each vignette presents situations with specific audio and video content containing at least two different fall threats, wherein each fall threat has been identified and graded for difficulty and obviousness and storing the knowledge base on a memory device that can be accessed by said multimedia machine; wherein the vignettes are created to offer the client experiences that permit them to discover their own unique concerns and stimulate them to formulate fall prevention strategies that meet their individual needs; b) querying a client, by means of a user interface and an interview module of said knowledge base, to obtain information about personally relevant data elements, and storing, by means of said multimedia machine, at least five of said elements as a client profile in an administrative module; wherein said administrative module is accessible ley said multimedia machine; c) creating a training set customized for the client, using a training module executable on said multimedia machine, and employing said client profile stored in said administrative module to select vignettes having client-relevant fall threats; pairing selected vignettes such that each pair presents two or more relevant fall threats in common; accessing said difficulty and obviousness grades in order to organize said pairs considering said difficulty and obviousness grades to create said customized training set containing five pairs of vignettes ordered by difficulty; wherein said training module is a component of the multimedia software that is part of said knowledge base; d) displaying a first vignette of the first pair in the customized training set created in step c) on a physical display to transform digital media to image and/or sound, presenting to the client said first vignette, then querying said client by means of said user interface about content presented in said first vignette, and receiving digital confirmation that presentation of said first vignette is complete; e) displaying a second vignette of the pair in step d) to the client on said physical display, then querying said client about content presented in said second vignette by means of said user interface, and receiving digital confirmation that presentation of said second vignette is complete; f) eliciting from the client, by means of said user interface, identification of specific fall threats as determined by said client profile, Wherein said fall threats are shared by the pair of vignettes presented in steps d) and e); then either g) repeating steps d), e) and f) until all pairs of vignettes in the customized training set have been presented to the client, or h) if and when no more than one specific fall threat shared by two vignettes of a pair could be identified by the client, then the client is deemed to need additional help, and then using said training module to select specific pre-recorded help elements relating to specific fall threats which are shared by said pair of vignettes that the client failed to identify in step f, wherein said help elements are specified by said training module based on the fall threats determined to be relevant to said client using said client profile and selected from the group consisting of video, audio, and multimedia files, and presenting said help elements to the client on said physical display to transform digital media to image and/or sound; then i) eliciting from said client by means of said user interface, a description of specific fall threats shared by the two vignettes of a pair in step h), and repeating steps d) through h) until all pairs of vignettes in said customized training set have been presented to the client.",
    "6. The training system of claim 5, wherein each said vignette is less than 60 seconds in length.",
    "7. The training system of claim 5, wherein said customized training set created in step c) reflects the client's fall history or current functional state, thereby further individualizing said customized training set.",
    "8. The training system of claim 5, wherein said client interacts with a user of said computerized multimedia acting in concert as a machine."
  ],
  "description_excerpt": "This invention relates generally to a new method and system for providing personalized safety awareness interventions, and particularly to a method and system for training individuals to prevent falls and assessing their recognition of personally relevant fall threats.\n\nPreventing falls in older adults is a high-priority public health issue. A large proportion of the population is at risk; approximately 30% of those over age 65 fall every year. The Centers for Disease Control and Prevention (CDC) reports that there were 35.6 million falls by older adults in 2007, 1.8 million of which resulted in injury. Of these fallers, 32% needed help with daily activities, almost 200,000 needed help for more than six months, and 15,800 died as a result of their fall. Even a minor injury puts the faller at significantly increased risk for another fall, based on data collected by the Centers for Medicare and Medicaid Services (CMS). Falls frequently result in short- and long-term health consequences and increased health care utilization.\n\nAlthough major fall prevention research programs have been underway since the 1990's, there has been little change in the incidence of falls among older adults. Only a few fall prevention approaches have had some success, primarily those involving clinical assessments of fall risk and/or exercise interventions (see Hendrich, U.S. Pat. No.",
  "cpc": [
    "G09B 5/00"
  ],
  "ipc": [
    "G09B 5/00",
    "G09B 19/00"
  ],
  "inventors": [
    "Victoria Panzer"
  ],
  "filing_date": "2009-11-18",
  "publication_date": "2019-10-08",
  "grant_date": "2019-10-08",
  "priority_date": "2008-11-18",
  "application_number": "US-62149509-A",
  "family_id": "42172328",
  "cited_by_count": 4,
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}