Vitalise-Project / INTRAS Rehabilitation Living Lab

INTRAS Rehabilitation Living Lab

About MINDLab (coordinated by INTRAS Foundation)

Overview
  • Year of Establishment: 2012
  • INTRAS Foundation
  • Valladolid, Spain
  • Governance: INTRAS Foundation
  • Type of Living Lab
    • Urban & Rural Living Lab (Rural areas)
    • Living Lab as a service (Government)
    • Living testbed (Technology testing, Tech transfer)
Online Presence
Challenges
  • Improve social-health care and facilitate independent living of older people and people in a situation of autonomy loss through co-creating innovative solutions;
  • Foster the regional development, looking for greater sustainability and cost-effectiveness of care provision.
Partnerships
  • ENoLL
  • OPEN DEI Healthcare Cluster, Aligning Reference Architectures, Open Platforms and Large-Scale Pilots in Digitising European Industry
  • MIND Consortium (https://designingfordementia.eu/) joined to promote mindful co-design and co-production as a beneficial and effective tool to improve mental health and wellbeing
  • MOAI Labs (Transnational European lab dedicated to multidisciplinary research, development and social innovation focused on Collective Intelligence and Social Health Technology Labs to fight isolation and loneliness) https://www.moailabs.eu/en
  • Cluster SIVI (Innovative Solutions for Independent Living)
  • Regional Administrations (local health network and social services)
  • EIPonAHA (3* Ref. Site), Integr@tención, a cross-border innovation ecosystem initiative to generate competitive advantages and regional social impact through innovative solutions for health and wellbeing promotion
Goals & Vision

It is specialized in co-design, co-development, assessment & validation of technological products and services, mainly for people suffering from mental health disorders, older adults and people with disabilities, paying close attention to ecological validity.

Committed with quality Open and Responsible R&I, implementing value driven participation in co-creation and co-design methodologies focused, involving users as co-designers and co-researchers.

Of greater value is the focus on experience-led design for value co-creation, constituting stakeholder’s networks and Groups of Experts by Experience for requirements elicitation and co-design in initiatives oriented towards social and healthcare transformation.

Co-creation activities pillared on principles of cognitive accessibility, equity, empowerment and ethical and meaningful participation of users and other stakeholders. By co-creating alongside with the users, valuing their non-formal knowledge, is a powerful mean to ensure good levels of usability and acceptance, adoption, perception of usefulness.

One of its strategical efforts is on collecting evidences regarding the participatory and co-creative methodologies and better understand the own process of participation in innovation, facilitating the uptake by other relevant players. It requires a continuous work understanding what means a win-win relationship with participants, what is the expected value (e.g. support autonomy, dignity, independence), bearing in mind ethical concerns (e.g. secure, accessible, unobtrusive, dignifying, decision-making respectful/ supporting user to hold locus of control).

Services currently offered by the infrastructure:

  • Among the LL services there is the promotion of participatory actions during projects lifecycle, welfare circuits supported by IT & showcase, studies centred on proof of concept of IT and services, LL testing, trials, management and Exchange with innovation groups (regional, national, European and international: research groups, innovation actions).
  • Among the main achievements are the constitution and consolidation of the first dedicated GEE (Group of Experts by Experience) in the region, transfer of co-creation and GEE’s practice to LL’s connected to the Integr@tención network, the creation of a Transnational Impact Hub for Independent Living and Wellbeing that also implements an acceleration program of products or services close to the market and earned recognition by EIP on AHA (3 stars’ reference site).
  • In 2019 were accounted 17 scientific publications and participation in European Conferences and AHA dedicated networks; 28 involved entities (businesses, universities, Living Labs); more than 20 researchers from internal and external research groups focusing on Active and Health Ageing.
  • Since its establishment, over 1800 users have participated in research activities of the INTRAS living environment and has supported the implementation of various research projects on AHA and independent living.
Operations

Previous Projects:

  • MIND: MIND (MSCA-RISE), developed a mindful co-design approach, ensuring cognitive accessibility to participatory design activities, considering personal feedback, experiences and expectations of users.
  • ehcoBUTLER: Developed and demonstrated the socio-economic benefits from the deployment of an open digital platform for apps that help older people to live actively and healthy.

Running/Ongoing Projects:

  • HosmartAI: In Hospital Smart development based on AI, INTRAS/MindLab coordinates the WP on Stakeholders Community Building, and the pilot of supportive intervention with supportive social robots. The Participatory Research action involves 8 different pilots with their unique solutions across Europe.

Infrastructure

Value: Care Centers and Memory Clinics in which co-design process is integrated and co-developed solutions are tested and implemented.

In INTRAS Rehabilitation Living Lab, services are running within the intervention context, therefore the Living Lab activities are predominantly taking place in INTRAS Neurorehabilitation Center and Memory Clinics facilities (INTRAS Headquarters in Valladolid), as well as other INTRAS care centers and external collaborating rehabilitation centers. The core activities are coordinated by a Multidisciplinary Innovation Task Force with clinical and social expertise (Psychiatry, Neuropsychology, Clinical and Health Psychology), with many years of experience on the research and development for independent living, mental health treatment and rehabilitation through ICT, e-health, e-inclusion, etc. The lab is equipped with software platforms for training and rehabilitation, counting with smart TV’s, touchscreens, wii balance boards and remote controls, EEG sensors, wristband sensors, 3D depth sensors, tablets, activity trackers. Some of the IT solutions developed throughout a co-creation process with older adults, caregivers and care professionals are nowadays in process of testing, validation or preparation for market.

The Living Lab activities are not limited to the local territory since international cooperation activities are greatly established in Europe and Latin-America. Currently there are more than 12 European and international collaborations undergoing. INTRAS IT rehabilitation products are in use in more than 400 care centers in Spain and Latin-America. Also, more than 250 patients and pilot’s participants were enrolled in the INTRAS rehabilitation Living Lab activities in 2019. More than 40 external researchers have worked from 2017-2020 in INTRAS Installations collaborating in Living Lab activities (3 UK; 3 Italy; 1 Germany; 30 Spain; 1 Colombia; 1 Iran; 1 Slovenia; 1 Costa Rica).

Useful links:

Area(s) of work

Areas of work: Health & Wellbeing, Social Innovation, Artificial Intelligence, Rural,

Subsections: Active and Healthy Aging, Independent Living, Mental Health (promotion, prevention, assessment, and intervention), Psychomotricity, Non-pharmacological therapies

Staff Expertise

The main fields of expertise of the staff of INTRAS Rehabilitation Living Lab are:

  • Neuropsychology
  • Clinical Psychology
  • Psychomotricity
  • Social Sciences
  • Participatory Design
  • User Experience

Stakeholders Population

Stakeholders Population Age Social and Health condition Max nr. of subjects that can be enrolled for TA Other info
Adults 18-60 Healthy people 25 * from the community (open invitation for citizens) and from the Groups of Experts by Experience
Older adults 60-85 Healthy people 25 * from the community (open invitation for citizens) and from the Groups of Experts by Experience
Older adults 60+ With subjetive cognitive complains 15 * Users of INTRAS services network and from Groups of Experts by Experience
Older adults 60+ With mild to moderate cognitive impairment 15 * Users of INTRAS services network and from Groups of Experts by Experience
Informal caregivers/relatives >18 n.a. 10 * part of adults and citizens group
Therapists & other healthcare professionals 18+ n.a. 10 * professionals from the integrated care network
Healthcare organizations n.a. n.a. 3 *Social and healthcare organizations (inc. day care centers, nursing homes)
Adults 18-60 With disability 15 * Access to a network managing sheltered apartments supporting adults and older adults with heterogeneous mental health conditions (e.g. prolonged mental illness) and/or at risk of social exclusion.
Older adults 60-85 With disability 15 * Access to a network managing sheltered apartments supporting adults and older adults with heterogeneous mental health conditions (e.g. prolonged mental illness) and/or at risk of social exclusion.
*Patients 18+ Specific DSM-5-TR (e.g. diagnosed with a dementia type) Max. 10 *for more invasive studies, and more specific conditions the access feasibility should be discussed.

Services

Researchers granted Transnational Access to INTRAS rehabilitation Living Lab may access the following services:

Networking and capacity building: Capacity building; Expert opinion, and advisory services; Innovation network orchestration; Panel management; Stakeholder (and partner) analysis and mapping. Planning to offer: Equipment and facility rental service.

Project planning and management: Expert opinion, and advisory services; Temporary research funding; Living lab project planning and management; Panel management.

Market and competitor intelligence services: Access to data; Competitor and market analysis and benchmarking; Expert opinion, and advisory services; Post-market surveillance and market acceptance testing; Stakeholder (and partner) analysis and mapping. Planning to offer: Foresighting (trends, weak signals and wild cards).

Co-creation: Co-creation session; Expert opinion, and advisory services; Public procurement support services; Stakeholder (and partner) analysis and mapping. Planning to offer: Foresighting (trends, weak signals and wild cards).

Testing and validation: Clinical trials; Concept and proof-of-concept tests – concept feasibility study; Expert opinion, and advisory services; Idea selection and testing; Impact assessment and validation test; Large-scale real-life testing and piloting; Post-market surveillance and market acceptance testing; Prototyping test; Simulation test; Small-scale real-life testing and experimentation; Usability testing.

Advisory services: Expert opinion, and advisory services.

Marketing and sales support: Expert opinion, and advisory services; Marketing and sales support.

Visit our Living Lab Harmonisation Wiki Page for detailed descriptions of the Research & Development services that Living Labs offer.

Equipment

Activity Tracking/Monitoring

  • Gait (SmartWatch, FENPS AlfaIOT)
  • Energy expenditure (SmartWatch)
  • Human balance (FENPS AlfaIOT)
  • Inverse kinematics data (Interable (using kinect))
  • Movement measurement (FENPS AlfaIOT)
  • Physical activity (Kinect)
  • Physical performance (Gradior active)

Assisting Technology

  • Engaged users (Gradior, Captain, WAOW Tool, Peper Robot)
  • Natural language understanding (Peper robot)
  • Voice commands (CAPTAIN; Peper robot)
  • Walking speed (SmartWatch)
  • Biometrics: Heart rate (SmartWatch)

Biosignals: EEG (NeuroSky)

Cognitive function: Cognitive training (Gradior Cognitive)

Environment/context: Concentration levels (NeuroSky; Neurologic Laberynths)

Physiological monitoring

  • Patient history & demographics (Gradior)
  • Weight BMI (SmartWatch)
  • Virtual reality (Gradior Suite (Oculous Rift/ Quest; Google VR; HMD Odyssey+))

Virtual reality/interactive technology

  • Web Interaction (Gradior Suite)
  • Gesture detection/smile (Captain; Peper Robot)
  • Intuitive user interface (Gradior Suite)

Visit our Living Lab Harmonisation Wiki Page for more details regarding Living Lab technologies and devices.

Use Cases based on Researchers Expertise

Researchers form the following domains have been identified as the most suitable for Transnational Access to the infrastructures of INTRAS rehabilitation Living Lab (the list is non-exhaustive):

Policy Makers: Studying the impact of new service models or new collaboration models in healthcare, designing or improving policies, gathering requirements for improving health and wellbeing of citizens, co-creation of research methodologies for policy making.

Computer/Technology Scientists: Developing systems/tools/ technologies, testing and evaluating an ICT tool, prototype and real-life testing, computer vision & AI, Virtual Reality & Augmented Reality, Cybersecurity

(Clinical, social, developmental, neuro-) Psychologists: Studying the behaviour and the mental wellbeing of participants, conducting psychometrics evaluation and real-life setting experimentation/observation/real life testing

Social workers/researchers: Conducting an investigation in accordance with the scientific methods and tools, studying the impact of new care models and/or care innovations on society, developing models for a caring and inclusive society

Researchers with clinical expertise: (Doctors, nurses, healthcare workers, specialists, physiotherapists etc.), conducting research of healthcare services and practices, research on symptomatology or epidemiology of a disease, analysis of clinical effects of research performed in the study, e.g., via real life testing

Experts in UX research and assessment: Developing the process for user experience design (UXD, UED, or XD) supporting user behaviour through usability, usefulness, and desirability provided in the interaction with a product or service, addressing all aspects as perceived by users with a focus on the quality of the user experience. Studying and experimenting the best practices for UI/UX and evaluating user’s experience in different situations and while using different tools

Experts in rehabilitation (physical, cognitive): Physiology, physiotherapy, occupational health research, rehabilitation and prevention. Cognitive diseases assistive technology, neuromuscular rehabilitation assistive technology

Business developers: Studying the product-market fit, matching a solution with a societal need, learning about the user acceptance of products and services, as well as about potential products to develop, willingness to pay, business model and ideal route to market

Experts in ergonomics and safety: Implementation and validation of ergonomic technologies/services to support workers and system performance, promoting ergonomics in working environments, improving both health/well-being and productivity, while avoiding occupational hazards

Citizen Scientists / users as co-researchers: User empowerment, training, design, analysis and implementation of strategies and methodologies for user engagement and for raising awareness and generating citizen participation

Biomedical researchers: Studying biochemical and physiological functions, investigating how the human body works with the aim of finding new ways to improve health. Biomedical engineering knowledge (Home hospitalization, Transitional Care, Multifunctional interaction), as well as digital biomarkers analysis (e.g., for cognitive state)

Experts in accessibility Design: Validating accessible Architectonics and escape route models with VR experiment and real-life simulations

Neuroscientists: Focusing on the brain and its impact on behaviour and cognitive functions (cognitive neuroscience, EEG-based BMI research, protocol / paradigm testing, study framework evaluation)

Innovation and design management researchers: Ecosystem and innovation management research, social network analysis. Evaluating how health and wellbeing ecosystem operates between different actors at local, regional, national and international level, including also scaling and commercialization

Experts in organizational studies: Co-creation, experimentation, organizational research, experts by experience / pier support included. Evaluation how multistakeholder collaboration and co-creation is done and how effective it is. Evaluates experimentations and experimentation culture. How users are involved into these processes

Data Scientists: Collecting, analysing and interpreting digital data, such as data analytics in healthcare and digital patient recordings (how patient information recording process is managed and utilized during the intervention by using digital tools in simulated situations)