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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