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Development and community evaluation of a real-time system for monitoring, feedback, and training to prevent pressure injuries in individuals with spinal cord injury

Award Number: 90DPHF0007
ORGANIZATION: NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH
OPDIV: ACL
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER

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Today, there are approximately 1.5 million people in the United States who use a manual wheelchair (MWC) for mobility. For MWC users younger than 65, the most common diagnosis is spinal cord injury (SCI) and this population is growing by over 17,000 persons each year. For these individuals pressure injuries are one of the most frequent secondary complications. These injuries limit independence and reduce quality of life, while complications arising from them are the second leading cause of death in individuals with SCI. Regular performance of pressure relief activities (i.e., leans and liftoffs) is a key component of preventing pressure injury development: these activities offload the skin and allow blood perfusion. However, patient adherence to pressure relief recommendations is low and new approaches to help individuals with SCI develop positive pressure relief activity behaviors are needed. One promising avenue is through the use of the latest smart technologies. Collectively referred to as the Internet of Things (IoT) these technologies have a wide range of advanced sensing, artificial intelligence, and feedback capabilities. Recently, IoT developers and researchers have focused adapting these technologies to improving health care outcomes, ushering in the era of the Internet of Me (IoT for the human body). The primary goal of our project is to test and refine a novel prototype smart system built from our existing IoMe technology platform aimed at changing pressure relief activity behavior in MWC users with SCI. Specifically, we will refine the prototype system in collaboration with potential end users (e.g., MWC with SCI, clinicians) to ensure that the user factors limiting mass adoption and utilization are addressed. We will then establish the efficacy of the fully realized system to produce behavioral change through active real-time feedback and coaching under real-world conditions encountered at home and in the community. A secondary aim is to evaluate the feasibility of integrating state-of-the-art temperatures and humidity sensors (additional contributors to pressure injury development) into this system. If our project goals are achieved, we will provide advances in four key areas related to pressure injury prevention: (1) We will identify obstacles to adoption of existing technologies and specifically characterize the needs of individuals with SCI for future technology development; (2) We will generate new datasets and knowledge as to how individuals with SCI might utilize a consumer-based system over a multi-year time-period, including identifying obstacles to long-term technology adoption, retention and engagement; (3) We will evaluate the feasibility and effectiveness of temperature and humidity sensors as complementary technologies added into a pressure sensing system; (4) We will generate a new fully-realized real-time sensor and feedback system that will be ready for large-scale adoption. The results of the project will be disseminated at local, regional, and national levels through conference presentations, hosted workshops, and electronic media. In addition, a technology transfer plan will be developed aimed at making the novel system readily accessible to MWC with SCI and other potential end-users.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $349,420 )
2023	2023	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	4	7/26/2023	NON-COMPETING CONTINUATION	$349,420
2023	2022	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	4	7/26/2023	NON-COMPETING CONTINUATION	$0
2023	2022	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	3	11/16/2022	OTHER REVISION	$0
2023	2021	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	4	7/26/2023	NON-COMPETING CONTINUATION	$0
2023	2021	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	3	11/16/2022	OTHER REVISION	$0
2023	2020	RANCHO RESEARCH INSTITUTE	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	01	3	11/16/2022	OTHER REVISION	$0
														Subtotal = $349,420

Issue Date FY: 2022 ( Subtotal = $348,427 )
2022	2022	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	3	8/17/2022	NON-COMPETING CONTINUATION	$348,427
2022	2021	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	3	8/17/2022	NON-COMPETING CONTINUATION	$0
2022	2020	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	3	8/17/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $348,427

Issue Date FY: 2021 ( Subtotal = $349,674 )
2021	2021	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	2	7/28/2021	NON-COMPETING CONTINUATION	$349,674
2021	2020	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	2	7/28/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $349,674

Issue Date FY: 2020 ( Subtotal = $349,922 )
2020	2020	Rancho Research Institute	7601 E Imperial Hwy	Downey	CA	90242	LOS ANGELES	USA	ACL National Institute on Disability, Independent Living, and Rehabilitation Research	00	1	8/7/2020	NEW	$349,922
														Subtotal = $349,922

Grand Total All Awards = $1,397,443

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Development and community evaluation of a real-time system for monitoring, feedback, and training to prevent pressure injuries in individuals with spinal cord injury

Award Number: 90DPHF0007

ORGANIZATION: NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH

OPDIV: ACL

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

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