Aging, Independence and Aging, Independence and TechnologyTechnology

In In The USAThe USA

Who funds Assistive Technology Who funds Assistive Technology Research and DevelopmentResearch and Development

nn NIDRR NIDRR –– National Institute on Disability National Institute on Disability and Rehabilitation Researchand Rehabilitation Research

nn NSF NSF –– National Science FoundationNational Science Foundationnn NIH NIH –– National Institutes on HealthNational Institutes on Healthnn VA VA –– Veterans AdministrationVeterans Administrationnn DoD DoD –– Department of DefenseDepartment of Defense

NIDRRNIDRR

nn RERC’s (Rehabilitation Engineering RERC’s (Rehabilitation Engineering Research Centers) Research Centers) nn $4.5 to $5 million over 5 years$4.5 to $5 million over 5 yearsnn 21 centers across USA21 centers across USA

nn Field Initiated R&D ProgramField Initiated R&D Programnn $600,000 over 3 years$600,000 over 3 yearsnn 20 to 30 new projects each year20 to 30 new projects each year

New RERC’s (2007New RERC’s (2007--2008)2008)nn RERC for Wheeled Mobility in Everyday Life.RERC for Wheeled Mobility in Everyday Life.

Atlanta, GA.Atlanta, GA.

nn RERC on Hearing Enhancement.RERC on Hearing Enhancement.Washington, DC.Washington, DC.

nn RERC on Prosthetics and Orthortics.RERC on Prosthetics and Orthortics.Chicago, IL.Chicago, IL...Rehabilitation Engineering Research Center for Communication Enhancement.Rehabilitation Engineering Research Center for Communication Enhancement.Durham, NC.Durham, NC.

Rehabilitation Engineering Research Center on Accessible Public Transportation.Rehabilitation Engineering Research Center on Accessible Public Transportation.Pittsburgh, PA.Pittsburgh, PA...RERC for Universal Interface and Information Technology Access.RERC for Universal Interface and Information Technology Access.Madison, WI.Madison, WI...RERC for Successful Aging with DisabilityRERC for Successful Aging with Disability

nn Los Angeles, CA. Los Angeles, CA.

NEW FIPsNEW FIPsnn Investigation of Interventions for Sitting Postural Control in Young Children with Investigation of Interventions for Sitting Postural Control in Young Children with

Moderate to Severe Cerebral Palsy.Moderate to Severe Cerebral Palsy.

nn Development and Use of a MultiDevelopment and Use of a Multi--State Data Base on Individual Outcomes and their State Data Base on Individual Outcomes and their Predictors for Persons with Intellectual and Developmental Disabilities in the US.Predictors for Persons with Intellectual and Developmental Disabilities in the US.. . Evaluating the Effects of ActivityEvaluating the Effects of Activity--Based Therapy for Individuals with Chronic Spinal Based Therapy for Individuals with Chronic Spinal Cord Injury.Cord Injury.

Development of an InternetDevelopment of an Internet--Based SelfBased Self--Esteem Intervention for Women with Esteem Intervention for Women with Disabilities.Disabilities.

nn Controlled Study of Affect Recognition Training For Individuals with Traumatic Controlled Study of Affect Recognition Training For Individuals with Traumatic Brain Injury.Brain Injury.

nn Multimodal Access to Information Graphics.Multimodal Access to Information Graphics...Neuroanatomical Correlates of Positive Psychology Among People with Traumatic Neuroanatomical Correlates of Positive Psychology Among People with Traumatic Brain Injury: A Biopsychosocial Model.Brain Injury: A Biopsychosocial Model.

nn Zolpidem and Restoration of Consciousness: an Exploration of the Mechanism of Zolpidem and Restoration of Consciousness: an Exploration of the Mechanism of Action.Action...Caption Accuracy Metrics Development Project.Caption Accuracy Metrics Development Project.

NSF Engineering Research CentersNSF Engineering Research Centers$15 to $30 million over 10 years$15 to $30 million over 10 years

Carnegie Mellon UniversityCarnegie Mellon Universitynn Quality of Life Technologies (mobility, smart home, Quality of Life Technologies (mobility, smart home,

transportation)transportation)nn Reasoning and Remembering Reasoning and Remembering –– The Virtual Coach The Virtual Coach nn Independent Residential Living Independent Residential Living –– The Active Home The Active Home nn Movement Through and Physical Interaction with the Movement Through and Physical Interaction with the

Environment Environment –– The Personal Mobility and Manipulation The Personal Mobility and Manipulation Appliance Appliance

nn Independent Transportation Independent Transportation –– Safe DrivingSafe Driving

NSF Engineering Research CentersNSF Engineering Research Centers$15 to $30 million over 10 years$15 to $30 million over 10 years

University of Southern CaliforniaUniversity of Southern Californiann Implantable/portable microImplantable/portable micro--electronic devices electronic devices

to treat presently incurable conditions such as to treat presently incurable conditions such as blindness, paralysis, and memory loss. blindness, paralysis, and memory loss.

nn BiBi--directional communication with tissue directional communication with tissue

NSF ERC’sNSF ERC’s

NIH NIH

nn R21R21-- Support innovation $200,000 Support innovation $200,000 year/2yearsyear/2years

nn R01 R01 –– MultiMulti--million dollar projectsmillion dollar projectsnn SBIR / STTR SBIR / STTR –– Support for small Support for small

businesses to conduct research and businesses to conduct research and development of devicesdevelopment of devices

MIT AgeLabMIT AgeLab

nn Driving and Personal MobilityDriving and Personal Mobilitynn Wellness and SelfWellness and Self--Empowered HealthEmpowered Healthnn Independent Living and CaregivingIndependent Living and Caregivingnn Business Strategy and InnovationBusiness Strategy and Innovationnn Retirement & Longevity PlanningRetirement & Longevity Planning

VA /DoDVA /DoD

nn Devices for battlefieldDevices for battlefieldnn Devices for rehab, community integrationDevices for rehab, community integration

Our work at UFOur work at UF

nn Smart HouseSmart Housenn Safe DrivingSafe Drivingnn Cognitive ExerciseCognitive Exercisenn Services for Services for

Returning Military Returning Military PersonnelPersonnel

Our work is supported by:Our work is supported by:

nn National Institute on Disability and Rehabilitation ResearchNational Institute on Disability and Rehabilitation Researchnn NIHNIHnn NSFNSFnn Veterans Health AdministrationVeterans Health Administrationnn Centers for Disease Control and PreventionCenters for Disease Control and Preventionnn Federal Highway AdministrationFederal Highway Administrationnn AARPAARPnn Florida Dept. of Elder AffairsFlorida Dept. of Elder Affairsnn Florida Dept. of TransportationFlorida Dept. of Transportationnn Department of Defense (pending)Department of Defense (pending)nn DonorsDonors

Randomized Controlled TrialRandomized Controlled Trial

nn Intensive assistive technology / home Intensive assistive technology / home modification servicesmodification servicesnn Assessment of person (health and function) and Assessment of person (health and function) and

home by occupational therapisthome by occupational therapistnn Provision of all needed AT and Home ModsProvision of all needed AT and Home Modsnn Continued followContinued follow--along by therapist and additional along by therapist and additional

AT / Home Mods provided as neededAT / Home Mods provided as needednn Referrals for services beyond study as appropriateReferrals for services beyond study as appropriate

Mean Percent Decline on Measures of FunctionalStatus by Group In Standard Scores

0

2

4

6

8

10

12

IADL Fim Motor

RxControl

At 18 Months Post Initial Intervention

Mean AT/ Home Mods Cost/ Participant for 18 Mean AT/ Home Mods Cost/ Participant for 18 MonthsMonths

TreatmentTreatment ControlControl

$2620$2620 $443$443

At 18 Months Post Initial Intervention

Mean Total Institutional Cost/ Participant for 18 Months

TreatmentTreatment ControlControl

$5,630$5,630 $21,847$21,847

At 18 Months Post Initial Intervention

Gitlin, Laura N.; Winter, Laraine; Dennis, Marie P.; Gitlin, Laura N.; Winter, Laraine; Dennis, Marie P.; Corcoran, Mary; Schinfeld, Sandy; Hauck, Walter W (2006). Corcoran, Mary; Schinfeld, Sandy; Hauck, Walter W (2006). A Randomized Trial of a Multicomponent Home A Randomized Trial of a Multicomponent Home Intervention to Reduce Functional Difficulties in Older Intervention to Reduce Functional Difficulties in Older AdultsAdults. . Journal of the American Geriatrics SocietyJournal of the American Geriatrics Society 54(5): 54(5): 809809--816(8)816(8)

Florida Smart HomeFlorida Smart Home

Smart HouseSmart HouseFloor PlanFloor Plan

Living and Living and Working Working

EnvironmentEnvironment(2500sq/ft)(2500sq/ft)

Driving simulation

Develop profile of driving performance for persons with mild and moderate TBI and PTSD

Veterans AdministrationVeterans Administrationandand

Department of DefenseDepartment of DefenseSupported ResearchSupported Research

Soldiers face repeated exposure to Soldiers face repeated exposure to explosionsexplosions

Explosions lead to amputationsExplosions lead to amputations

other other musculoskeletal musculoskeletal

impairmentsimpairments

traumatic brain injurytraumatic brain injury

postpost--traumatic stress disordertraumatic stress disorder

and vision and hearing impairmentand vision and hearing impairment

“When you look at me, you see this little scar. But people forget that I had this piece of metal go through my eye and bounce up and down in my face and get stuck in my brain."

UF Research (VAUF Research (VA--DOD)DOD)

nn Similar focus to agingSimilar focus to agingnn Multiple conditions (cognitive, musculoMultiple conditions (cognitive, musculo--

skeletal, vision, hearingskeletal, vision, hearingnn Focus on independence, community Focus on independence, community

integrationintegrationnn Smart technology, driving, neuromotor Smart technology, driving, neuromotor

controlcontrol

International Conference on Aging, Disability And Independence

St. Petersburg Hilton, Florida

February 20-23 2008

WWW.ICADI.PHHP.UFL.EDU

Book ProjectBook Project

Smart Technology for Smart Technology for Today and for the Today and for the

FutureFuture