||5U2CAG054397-03 Interpret this number
||Oregon Health & Science University
||Orcatech Collaborative Aging (in Place) Research Using Technology (CART)
The ORCATECH Collaborative Aging (in Place) Research Using Technology (CART) program develops and
validates an infrastructure for rapid and effective conduct of research utilizing technology to facilitate aging in
place (AiP). CART is a unique and innovative research organization to enjoin expert leaders from academia
and industry with broad-based experience across multiple fields: gerontology, clinical medicine, health care,
psychology, user interaction, systems science, engineering, computer science, technology, data science,
business development, ethics and public policy. This CART team works closely together to leverage existing
considerable infrastructure, with members from ORCATECH at Oregon Health & Science University, Intel, VA
(VISN20), Rush University, Oregon State University, University of Pennsylvania and CREATE (Center for
Research and Education on Aging and Technology Enhancement) at University of Miami. As a result, our
CART will work rapidly, building on an already-existing system demonstrated as adaptable and sustainable for
over a decade. In years 1-3 we will apply a systems development life cycle approach with iterative user-
centered design and technology and infrastructure creation. To ensure sustained use and ecological validity of
the data, the design is as unobtrusive as possible for research participants, as well as technology agnostic. In
year 4 the developed system will be assessed in a Demonstration Project with an original AiP hypothesis
fundamental to CART research: whether the system created provides evidence for sustained independence.
We introduce innovative AiP methods including: a unique Personal Health and Activity Record, combining
functionality of a personal health record with ecological momentary assessment capacity; novel use of
Bluetooth beacon technology to assess activity of couples and caregivers; assessment of community travel
(e.g., driving); and an assessment tool to predict sustainable engagement in future CART research. We
rigorously test the AiP hypothesis and these innovations in 360 participants from four diverse senior
populations: residents in low income, section 202 housing; veterans in the rural Pacific Northwest; African
Americans and other minorities in Chicago (Minority Aging Research Study) and Miami (PRISM study). The
secure extensible data system for CART's multidimensional and hierarchical data will accommodate multiple,
evolving data ontologies and schema. CART's Data Repository and communications plan will facilitate data
and resource sharing of multiple users of different levels of sophistication ensuring the widest impact and
dissemination. Several sustainability models will be evaluated to ensure the success of a larger CART phase II
effort, resulting in the high-impact research enterprise needed to create evidence for effective assessments
and interventions to sustain health and independence for the growing aging population.
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