在家庭医疗保健中使用多模式大语言模型进行基于视频的跌倒风险评估:一项概念验证可行性研究
Pallavi Gupta1, Zhihong Zhang1,2, Meijia Song3
1School of Nursing, Columbia University, New York, NY.
Computers, informatics, nursing : CIN
|February 5, 2026
概括
本研究引入了一种新的多式联通大型语言模型 (MLLM) 方法,用于在家庭医疗保健 (HHC) 中评估跌倒风险. 通过分析患者视频,MLLM显示了基于视频的防摔潜力,补充了临床判断.
科学领域:
- 人工智能的人工智能
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 跌倒是家庭医疗保健 (HHC) 中伤害和死亡的主要原因.
- 传统的跌倒风险评估缺乏对促成因素的全面了解.
- 需要先进的方法来改善HHC环境中的跌倒风险评估.
研究的目的:
- 引入和评估一种使用多式联网大型语言模型 (MLLMs) 进行落风险评估的新方法.
- 利用视频数据和结构化提示来实现更动态,更全面的落风险评估.
- 探索基于视频的防摔策略在HHC中的可行性.
主要方法:
- 使用了LLaVA-NeXTVideo-7B-hf多式大型语言模型 (MLLM).
- 分析了模拟的家庭患者视频数据,并将其处理成24.
- 开发并测试了基于12个可视观察到的跌倒风险因素的标准提示.
主要成果:
- 在简单的风险因素的简洁提示下,MLLM实现了85.71%的准确性.
- 通过对复杂风险因素的详细提示,达到100%的准确性.
- 该模型遇到了需要临床判断或有限视觉数据的因素的局限性.
结论:
- 当由有效提示指导时,MLLM显示出显著的潜力来增强HHC中的跌倒风险评估.
- 这种基于视频的方法可以补充,而不是取代传统的临床评估.
- 这项研究为未来的研究奠定了基础,用于基于视频的HHC落风险分析.
相关概念视频
Concepts of Health and Illness
18.1K
Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
18.1K
Social Proof
32.4K
Social proof is a form of persuasion based on comparison and conformity. People compare their behavior and actions to what others are doing and will change to conform to do what their peers do.
32.4K
Interdisciplinary Care: The Health Care Team-I
2.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.7K
Interdisciplinary Care: The Health Care Team-II
2.3K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.3K
Introduction To Health Care Delivery System
4.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K
Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K


