Rehabilitation supported by technology: Protocol for an international co-creation and user experience study (Preprint)

Living labs for civic technologies: a case study. Community infrastructuring for a volunteer firefighting service

Digital technologies are increasingly adopted and developed in living labs, to support and enable co-production processes around wellbeing related public services. This research report presents the case of one of the local laboratories established by the European project NLAB4CIT, in the city of Kaisariani, Greece. In order to enhance community engagement, participatory design methods are applied under an "infrastructuring" notion; the living lab model is reapproached as community infrastructure; and digital tools are understood as civic technologies. The article reports on the initial co-design phases, in order to provide other living labs on digital co-production with an overview on the socio-technical challenges encountered. These challenges concern how community actors can engage in the process of co-production of public services, and how digital technologies can be introduced to this purpose. Strength factors emerge such as the existence of an already active community, the creation of an enduring space of collaboration between researchers and citizens, and a civic approach to technology that makes them accessible and tailored. Open challenges concern the role of the public administration, the extent to which technologies are actually co-designed and co-developed, and some technical issues such as internet accessibility.

Biomedical Research & Informatics Living Laboratory for Innovative Advances of New Technologies in Community Mobility Rehabilitation: Protocol for a longitudinal evaluation of mobility outcomes (Preprint)

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

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

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

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

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)

PRR1-10.2196/12506