FitSitt is an innovative device tailored to older adults that increases the convenience of breaking up sedentaryactivity and incorporating physical activity into in-home daily routines. This comprehensive seating solutionmerges features of a posture chair, exercise machine, rehabilitation tool, and activity tracker. Its primarypurpose is to reduce daily immobile time, offering users a convenient means for replacing sedentary bouts withvarying intensities of physical activity, ultimately leading to improved health. Whereas many interventions aimto increase physical activity by focusing on dedicated exercise sessions such as daily workouts, evidencesuggests that key improvements to health can occur when regular movement is woven into one's day so as toavoid long inactive periods. FitSitt aims to improve the baseline activity profile of its users by providing acomprehensive wellness solution including a non-disruptive in-home means for physical activity engagementwhile allowing users to continue participation in desired seated activities. In so doing, FitSitt has the potential todecrease health-harmful sedentary activity in a wide variety of high-risk individuals (e.g., persons withdiabetes, stroke) and occupational contexts (e.g., skilled nursing facility, critical care unit). The initialdevelopment of FitSitt for this Phase I proposal, however, will target community-dwelling older adults. Co-ledby Activ Sitting, Inc. and the University of Southern California, Phase I activities will include redesign andenhancement of the current FitSitt working prototype and digital interface via an iterative product developmentprocess-Failure Effect Modes and Criticality Analysis (FMECA). As a part of this approach, the team willcontinuously identify likely points of failure linked to underlying processes, functionality, or parts comprisingFitSitt and take the necessary corrective actions to improve the system. Information that will be used to informdevelopment will include review of stakeholder recommendations; user co-design workshops; in-lab validationand safety testing; and collection of user acceptability, feasibility, and safety data in home. The study willconclude with a FMECA report specifying the corrective actions necessary to refine the FitSitt system for a fullypowered Phase II study of the enhanced intervention's efficacy to improve health in community-living olderpeople. As currently designed, FitSitt provides convenience, comfort, and health value-add for myriad olderadults, ensuring scalability and sustainability of broad use across communities and markets. Our proposalrequests support for refinement and tailoring of the FitSitt working prototype, as well as iterative developmentand testing of the FitSitt system to determine its feasibility, acceptability, and safety. This project will facilitatethe development of an optimized, in-home, comprehensive sedentary activity solution for older adults andcountless other populations that could benefit from reducing the deleterious health effects of extended inactivebehavior through convenient and comfortable-to-use intervention. PROJECT NARRATIVE
Sedentariness in older adults is associated with a number of negative health consequences and poses a
significant, costly public health burden. This project works toward making available a highly convenient,
scientifically developed, dynamic seating solution for older adults that targets sedentary activity and has
potential to help individuals live more active, healthier lives. If this project is successful, the proposed device
may result in reduction in sedentary behaviors, and thereby improved overall health and wellness in older
people. Physical activity ; Failure ; Individual ; Educational workshop ; Workshop ; satisfaction ; Self Perception ; Personal awareness ; Self image ; Self view ; self awareness ; self knowledge ; tool ; Hour ; Frequencies ; Severities ; Pattern ; System ; Occupational ; interest ; experience ; impression ; Self Efficacy ; Participant ; Devices ; Reporting ; theories ; Adverse Experience ; Adverse event ; Intervention Strategies ; interventional strategy ; Intervention ; Address ; fitness ; Data ; Economic Burden ; Collection ; Validation ; Preparation ; Process ; follow-up ; Active Follow-up ; active followup ; follow up ; followed up ; followup ; Development ; developmental ; tv watching ; screen time ; television watching ; cost ; digital ; design ; designing ; community living ; Treatment Efficacy ; intervention efficacy ; therapeutic efficacy ; therapy efficacy ; Population ; innovation ; innovate ; innovative ; prototype ; high risk ; evidence base ; product development ; safety testing ; risk minimization ; phase 1 study ; Phase I Study ; phase 2 study ; phase II study ; sedentary lifestyle ; Sedentary behavior ; Sedentary life-style ; healthy lifestyle ; healthy life-style ; Accelerometer ; accelerometry ; activity monitor ; activity tracker ; sedentary activity ; active lifestyle ; active life style ; active living ; COVID-19 pandemic ; COVID crisis ; COVID epidemic ; COVID pandemic ; COVID-19 crisis ; COVID-19 epidemic ; COVID-19 global health crisis ; COVID-19 global pandemic ; COVID-19 health crisis ; COVID-19 public health crisis ; COVID19 crisis ; COVID19 epidemic ; COVID19 global health crisis ; COVID19 global pandemic ; COVID19 health crisis ; COVID19 pandemic ; COVID19 public health crisis ; SARS-CoV-2 epidemic ; SARS-CoV-2 global health crisis ; SARS-CoV-2 global pandemic ; SARS-CoV-2 pandemic ; SARS-CoV2 epidemic ; SARS-CoV2 pandemic ; SARS-coronavirus-2 epidemic ; SARS-coronavirus-2 pandemic ; Severe Acute Respiratory Syndrome CoV 2 epidemic ; Severe Acute Respiratory Syndrome CoV 2 pandemic ; Severe acute respiratory syndrome coronavirus 2 epidemic ; Severe acute respiratory syndrome coronavirus 2 pandemic ; corona virus disease 2019 epidemic ; corona virus disease 2019 pandemic ; coronavirus disease 2019 crisis ; coronavirus disease 2019 epidemic ; coronavirus disease 2019 global health crisis ; coronavirus disease 2019 global pandemic ; coronavirus disease 2019 health crisis ; coronavirus disease 2019 pandemic ; coronavirus disease 2019 public health crisis ; coronavirus disease crisis ; coronavirus disease epidemic ; coronavirus disease pandemic ; severe acute respiratory syndrome coronavirus 2 global health crisis ; severe acute respiratory syndrome coronavirus 2 global pandemic ; Home ; Elderly ; advanced age ; elders ; geriatric ; late life ; later life ; older adult ; older person ; senior citizen ; Behavior ; California ; Canada ; Communities ; Computers ; Critical Care ; Diabetes Mellitus ; diabetes ; Disease ; Disorder ; Exercise ; Fright ; Fear ; Feedback ; Goals ; Health ; indexing ; Interview ; Lead ; Pb element ; heavy metal Pb ; heavy metal lead ; Life Style ; Lifestyle ; Methods ; Motivation ; Movement ; body movement ; Persons ; Obesity ; adiposity ; corpulence ; Posture ; Public Health ; Reading ; Real-Time Systems ; realtime systems ; Recommendation ; Rehabilitation therapy ; Medical Rehabilitation ; Rehabilitation ; rehab therapy ; rehabilitative ; rehabilitative therapy ; Request for Proposals ; Research ; Safety ; Skilled Nursing Facilities ; Extended Care Facilities ; Computer software ; Software ; medical specialties ; Specialty ; Stroke ; Apoplexy ; Brain Vascular Accident ; Cerebral Stroke ; Cerebrovascular Apoplexy ; Cerebrovascular Stroke ; brain attack ; cerebral vascular accident ; cerebrovascular accident ; Testing ; Time ; Universities ; Video Recording ; Videorecording ; video recording system ; Vision ; Sight ; visual function ; Work ; Health Care Costs ; Health Costs ; Healthcare Costs ; Guidelines ; Injury ; injuries ; base ; sensor ; improved ; sedentary ; Specific qualifier value ; Specified ; Phase ; Link ; Ensure ;