D1 Developing Mobile Telerehabilitation Applications for Cognitive and Vocational Rehabilitation
This project proposes to develop and to conduct usability tests of a model of TR-based supports with consumers who have cognitive disabilities that present obstacles to functioning in the natural environment. The project plans to develop and to test a mechanism for using an off the shelf, web-enabled telephone (iPhone) that enables the development of custom user applications. The project will be built upon and extend previous work involving remote job coaching project (McCue'09b) by developing a more transparent and portable interface for job coaching. The proposed technology will extend the current technology beyond the scope of the original project, making it applicable for use with individuals who may require different levels and types of on the job supports.
The objective of this project is to develop a HIPAA-compliant mobile TR system that is integrated into a TR Portal to support telerehabilitation in natural environments for individuals with cognitive impairments.
This project will develop an integrated, scalable Internet-based system for remote cognitive rehabilitation and job coaching for individuals with cognitive disability that can be accessed using a portable wireless mobile device (smart phone). We plan to develop and to test a mechanism for using an off the shelf, web-enabled telephone (iPhone) that enables the development of custom user applications. The development tasks will develop transparent and portable interfaces for the remote delivery of cognitive rehabilitation and job coaching rehabilitation services.
Expected Findings and Deliverables:
This project will utilize the infrastructure and resources of the RERC on TR to accomplish traditional dissemination such as publishing papers in peer reviewed journals, use of the project website, presentations and professional conferences and meeting, dissemination to potential consumers through conferences, newsletters, list serve, etc.
Moreover, while the choice of the iPhone as the “off the shelf” mobile device is based upon several technical factors including the capacity for 3G transmission enabling faster web access and cleaner video transmission, and the availability of an open source operating system, along with a software development kit to allow for the development of customized programming for unique individual users, Apple is committed to dissemination of useful and effective applications developed for the iPhone through its Application Store.
Investigators are involved in outlining the interface in functionality between current RERC TR applications and additional functions that will be necessary to implement the proposed mobile TR portal for cognitive rehabilitation. We have identified a standardized CR protocol (Ecologically Oriented Rehabilitation of Memory (EON-MEM) and are in process of digitizing the protocol activities for dissemination via mobile device. We have determined that the infrastructure to carry the protocol should be a learning management design. We are currently designing this system.
Investigators are involved in outlining the interface in functionality between current RERC TR applications and additional functions that will be necessary to implement the proposed mobile TR portal for cognitive rehabilitation. We are developing a matrix of functions needed for clinical services and a separate one to identify functions of mobile applications relevant to rehabilitation service delivery. We have begun to review established treatment protocols in cognitive rehabilitation literature that might best be transferred to a mobile TR application and implemented. We have partnered and consulted with infrastructure and R3 teams to parallel development of specific applications as lead applications will be developed through R3 task. We have reviewed a tablet interface including windows version and an iPad for compatibility with VISITYR and determined this may be a viable option for delivery (at least with windows version at this time). The potential to deliver real time coaching via video with portal document availability is very promising.