Biomedical Research and Informatics Living Laboratory for Innovative Advances of New Technologies in Community Mobility Rehabilitation: Protocol for Evaluation and Rehabilitation of Mobility Across Continuums of Care.

acquired brain injury artificial intelligence biomedical community mobility digital health health informatics individualized care learning health system participation physical rehabilitation predictive analytics virtual reality

Journal

JMIR research protocols
ISSN: 1929-0748
Titre abrégé: JMIR Res Protoc
Pays: Canada
ID NLM: 101599504

Informations de publication

Date de publication:
01 Jun 2022
Historique:
received: 13 01 2022
accepted: 02 02 2022
entrez: 1 6 2022
pubmed: 2 6 2022
medline: 2 6 2022
Statut: epublish

Résumé

Rapid advances in technologies over the past 10 years have enabled large-scale biomedical and psychosocial rehabilitation research to improve the function and social integration of persons with physical impairments across the lifespan. The Biomedical Research and Informatics Living Laboratory for Innovative Advances of New Technologies (BRILLIANT) in community mobility rehabilitation aims to generate evidence-based research to improve rehabilitation for individuals with acquired brain injury (ABI). This study aims to (1) identify the factors limiting or enhancing mobility in real-world community environments (public spaces, including the mall, home, and outdoors) and understand their complex interplay in individuals of all ages with ABI and (2) customize community environment mobility training by identifying, on a continuous basis, the specific rehabilitation strategies and interventions that patient subgroups benefit from most. Here, we present the research and technology plan for the BRILLIANT initiative. A cohort of individuals, adults and children, with ABI (N=1500) will be recruited. Patients will be recruited from the acute care and rehabilitation partner centers within 4 health regions (living labs) and followed throughout the continuum of rehabilitation. Participants will also be recruited from the community. Biomedical, clinician-reported, patient-reported, and brain imaging data will be collected. Theme 1 will implement and evaluate the feasibility of collecting data across BRILLIANT living labs and conduct predictive analyses and artificial intelligence (AI) to identify mobility subgroups. Theme 2 will implement, evaluate, and identify community mobility interventions that optimize outcomes for mobility subgroups of patients with ABI. The biomedical infrastructure and equipment have been established across the living labs, and development of the clinician- and patient-reported outcome digital solutions is underway. Recruitment is expected to begin in May 2022. The program will develop and deploy a comprehensive clinical and community-based mobility-monitoring system to evaluate the factors that result in poor mobility, and develop personalized mobility interventions that are optimized for specific patient subgroups. Technology solutions will be designed to support clinicians and patients to deliver cost-effective care and the right intervention to the right person at the right time to optimize long-term functional potential and meaningful participation in the community. PRR1-10.2196/12506.

Sections du résumé

BACKGROUND BACKGROUND
Rapid advances in technologies over the past 10 years have enabled large-scale biomedical and psychosocial rehabilitation research to improve the function and social integration of persons with physical impairments across the lifespan. The Biomedical Research and Informatics Living Laboratory for Innovative Advances of New Technologies (BRILLIANT) in community mobility rehabilitation aims to generate evidence-based research to improve rehabilitation for individuals with acquired brain injury (ABI).
OBJECTIVE OBJECTIVE
This study aims to (1) identify the factors limiting or enhancing mobility in real-world community environments (public spaces, including the mall, home, and outdoors) and understand their complex interplay in individuals of all ages with ABI and (2) customize community environment mobility training by identifying, on a continuous basis, the specific rehabilitation strategies and interventions that patient subgroups benefit from most. Here, we present the research and technology plan for the BRILLIANT initiative.
METHODS METHODS
A cohort of individuals, adults and children, with ABI (N=1500) will be recruited. Patients will be recruited from the acute care and rehabilitation partner centers within 4 health regions (living labs) and followed throughout the continuum of rehabilitation. Participants will also be recruited from the community. Biomedical, clinician-reported, patient-reported, and brain imaging data will be collected. Theme 1 will implement and evaluate the feasibility of collecting data across BRILLIANT living labs and conduct predictive analyses and artificial intelligence (AI) to identify mobility subgroups. Theme 2 will implement, evaluate, and identify community mobility interventions that optimize outcomes for mobility subgroups of patients with ABI.
RESULTS RESULTS
The biomedical infrastructure and equipment have been established across the living labs, and development of the clinician- and patient-reported outcome digital solutions is underway. Recruitment is expected to begin in May 2022.
CONCLUSIONS CONCLUSIONS
The program will develop and deploy a comprehensive clinical and community-based mobility-monitoring system to evaluate the factors that result in poor mobility, and develop personalized mobility interventions that are optimized for specific patient subgroups. Technology solutions will be designed to support clinicians and patients to deliver cost-effective care and the right intervention to the right person at the right time to optimize long-term functional potential and meaningful participation in the community.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) UNASSIGNED
PRR1-10.2196/12506.

Identifiants

pubmed: 35648455
pii: v11i6e12506
doi: 10.2196/12506
pmc: PMC9201706
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12506

Informations de copyright

©Sara Ahmed, Philippe Archambault, Claudine Auger, Audrey Durand, Joyce Fung, Eva Kehayia, Anouk Lamontagne, Annette Majnemer, Sylvie Nadeau, Joelle Pineau, Alain Ptito, Bonnie Swaine. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 01.06.2022.

Références

Ann Med. 2021 Dec;53(1):2365-2379
pubmed: 34894914
Am J Epidemiol. 2008 Sep 1;168(5):506-13
pubmed: 18667526
Nurs Clin North Am. 2019 Sep;54(3):399-408
pubmed: 31331626
JMIR Res Protoc. 2022 Jan 19;11(1):e34573
pubmed: 35044303
Medsurg Nurs. 2017 Mar;26(2):119-23
pubmed: 30304593
Am J Epidemiol. 2008 Aug 15;168(4):461-8
pubmed: 18567638
Lancet Neurol. 2008 Aug;7(8):728-41
pubmed: 18635021
Int J Stroke. 2017 Jan;12(1):13-32
pubmed: 27794138
Qual Life Res. 2022 Mar 11;:
pubmed: 35275377
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
JMIR Res Protoc. 2022 Jan 6;11(1):e34567
pubmed: 34989697
Gerontologist. 2010 Aug;50(4):443-50
pubmed: 20145017
Clin Rehabil. 2015 May;29(5):509-21
pubmed: 25172087
Arch Phys Med Rehabil. 2014 Jan;95(1 Suppl):S6-16
pubmed: 24370326
Clin Rehabil. 2021 Jul;35(7):1056-1072
pubmed: 33472414
Ann Phys Rehabil Med. 2021 Nov;64(6):101458
pubmed: 33246186
Disabil Rehabil. 2017 Oct;39(21):2198-2206
pubmed: 28110547
J Neurotrauma. 2015 Jan 1;32(1):38-44
pubmed: 24955920
J Neurosci Rural Pract. 2017 Jul-Sep;8(3):357-363
pubmed: 28694613
Lancet. 2021 Dec 19;396(10267):2006-2017
pubmed: 33275908
Prog Brain Res. 2015;218:xix-xx
pubmed: 25890149
Med Clin North Am. 2020 Mar;104(2):213-238
pubmed: 32035565
Aust Occup Ther J. 2018 Oct;65(5):439-448
pubmed: 30178483
Med Care. 2007 May;45(5 Suppl 1):S3-S11
pubmed: 17443116
J Neurosurg. 2018 Apr 1;:1-18
pubmed: 29701556
Arch Phys Med Rehabil. 2011 Oct;92(10 Suppl):S20-7
pubmed: 21958919
JMIR Res Protoc. 2022 Mar 10;11(3):e34537
pubmed: 35266874
Prog Brain Res. 2015;218:253-80
pubmed: 25890142

Auteurs

Sara Ahmed (S)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Lethbridge-Layton-Mackay, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Center for Outcome Research and Evaluation, McGill University Health Center Research Institute, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.

Philippe Archambault (P)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada.

Claudine Auger (C)

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada.

Audrey Durand (A)

Computer Science and Software Engineering Department, Faculty of Science and Engineering, Université Laval, Quebec City, QC, Canada.

Joyce Fung (J)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada.

Eva Kehayia (E)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada.

Anouk Lamontagne (A)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, QC, Canada.

Annette Majnemer (A)

School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Center for Outcome Research and Evaluation, McGill University Health Center Research Institute, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.

Sylvie Nadeau (S)

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada.

Joelle Pineau (J)

School of Computer Science, McGill University, Montreal, QC, Canada.

Alain Ptito (A)

Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University Health Centre Research Institute, Montreal, QC, Canada.

Bonnie Swaine (B)

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
Institut universitaire sur la réadaptation en déficience physique de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada.

Classifications MeSH