Request Information RFI): Inviting Comments Suggestions the Priorities specified the NIH-wide Rehabilitation Research Plan Notice Number: NOT-HD-15-032 Key Dates Release Date: November 3, 2015 Response Date: December 11, 2015 Related Announcements NOT-HD-19-006 Issued National Cancer Institute NCI) National Eye Institute NEI) National Heart, Lung, Blood Institute NHLBI) National Institute Aging NIA) National Institute Arthritis Musculoskeletal Skin Diseases NIAMS) National Institute Biomedical Imaging Bioengineering NIBIB) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) National Institute Deafness Other Communication Disorders NIDCD) National Institute Diabetes Digestive Kidney Diseases NIDDK) National Institute Mental Health NIMH) National Institute Neurological Disorders Stroke NINDS) National Institute Nursing Research NINR) National Center Complementary Integrative Health NCCIH) National Center Advancing Translational Sciences NCATS) Office Behavioral Social Sciences Research OBSSR) Office Disease Prevention ODP) Office Dietary Supplements ODS) Office Research Womens Health ORWH) Purpose Notice a time-sensitive Request Information RFI) inviting comments suggestions the priorities specified the NIH-wide Rehabilitation Research Plan. NOTE: is important read entire RFI notice ensure adequate response prepared to a full understanding how response be utilized. Background response a legislative requirement Public Law), NIH developing 5-year NIH-wide Research Plan define priorities the area Rehabilitation Research is intended benefit individuals temporary chronic limitations physical, cognitive, sensory function require rehabilitation care. leadership staff the participating Institutes, Centers, Offices ICOs) contributing the proposed direction content the Research Plan, input the National Advisory Board Medical Rehabilitation Research. priorities included below identify crosscutting areas research exemplify breadth the ICO's priorities aims the area Rehabilitation Research help us achieve NIH mission seek fundamental knowledge the nature behavior living systems the application that knowledge enhance health, lengthen life, reduce illness disability. Rehabilitation Research Plan aimed improving health function individuals functional limitations and/or temporary chronic disability are result illness injury. purpose goal the Rehabilitation Research Plan not reference specific disease applications this work to highlight major trans-NIH themes. Research Plan intended be complete late August 2016. NIH-wide Rehabilitation Research Plan Priorities I. Rehabilitation across lifespan 1) Move toward more comprehensive understanding the effects disability functional limitations across lifespan. Determine through longitudinal population studies natural history conditions cause disability common secondary conditions develop over life course. Identify test strategies address care needs delivery the individual disability moves childhood adolescence, adolescence adulthood, adulthood late life. Determine factors affect rehabilitation service delivery an individual disability ages, including health disparities the effects multiple chronic health conditions. Advance understanding the role modifiable lifestyle health behaviors e.g., nutrition, physical activity, sleep) effectiveness rehabilitation interventions secondary prevention chronic health conditions individuals disability. Examine symptoms e.g., pain, cognitive impairment) sequelae e.g., depression) may associated a disability; evaluate interventions address symptoms sequelae. 2) Encourage investigation rehabilitation interventions the pediatric population. Develop rehabilitation interventions take account developmental level maturation biological systems. Evaluate utility interventions developed adult populations, include family community involvement, improving rehabilitation outcomes infants, children, adolescents. Determine effect the transition adulthood health outcomes interventions individuals aging disability their family. Provide new directions flexible mobility systems, prosthetics, orthotics pediatric populations have grow their devices. Investigate impact health disparities the implementation effectiveness rehabilitation interventions. II. Family Community 1) Examine impact sociodemographic influences, including geography, socioeconomic status, education, culture, etc. rehabilitation success. 2) Develop self-management strategies can implemented community settings help individuals better understand manage disability achieve/maintain positive quality life independence. 3) Examine stressors challenges experienced caregivers individuals a disability, including impact these stressors challenges the health the caregiver the care recipient. Develop interventions address stress, burden, other adverse outcomes caregivers. III. Technology and development 1) Advance use telehealth rehabilitation assessment, delivery adherence monitoring. Examine novel telehealth platforms delivery remote locations clinics in-home protocols evaluate equivalence person-to-person treatments. Determine feasibility an in-home telehealth assessment treatment protocol. Explore use telehealth address disparities increase access either specialty general protocols rehabilitation specific populations. Encourage health services research test validate delivery methods, treatment approaches, quality life economic benefits telemedicine individuals disability. Develop tools new technology assist the care monitoring individuals disabilities. Support technology development incorporates telemetry remote access the acquisition, analysis monitoring data relevant rehabilitation. 2) Advance use assistive technologies AT), non-invasive sensors, mHealth approaches rehabilitation science. Identify methods incorporate needs requirements stakeholder groups end users technology design outcome evaluation. Better define metrics outcomes interest the of technologies rehabilitation medicine research. Enhance effective of or sensors monitoring adherence rehabilitation therapies. Integrate mHealth approaches self-management chronic conditions; determine best practices provision information providers alert systems. Support development noninvasive sensor technologies the detection, monitoring quantitation rehabilitation relevant data. Integrate developmental aging considerations device assistive technology development allow flexibility application. 3) Provide evidence base device fabrication implementation individuals disabilities Support development neuroprostheses neuroengineering systems, invasive non-invasive biologic control systems, robotics rehabilitation sensory motor), intelligent hardware software the control devices. Examine safety utility non-commercial e.g., non-profit, open source) motor sensory prosthetic design, especially the pediatric population, effectiveness these devices compared those in commercial settings. Identify solutions improved integration functionality neural prostheses biomaterials enhance rehabilitation. Improve control mechanisms end effectors attachments existing devices augment usage adherence. Encourage use computational models the design development new rehabilitation technologies including assistive technologies) for evaluating functional outcomes. IV. Research design methodology 1) Improve design methodology rehabilitation investigations especially the area clinical trials. Better define pathway clinical trials clinical trial designs may most appropriate rehabilitation medicine research propose initiatives focused these methodologies. Enhance development methodologies allow consideration individual treatment effects patient-oriented outcomes. Expand research toward understanding mechanisms action integration preclinical modeling research inform rehabilitation practice trial design. Explore use existing databases registries mechanisms discovery. Determine optimal practices clinical translation implementation enhance reach utilization evidence based approaches. 2) Develop precision medicine approaches relevant rehabilitation medicine Advance understanding omic genomic, epigenomic, proteomic, metabolomic, etc.) underpinnings plasticity response rehabilitation interventions. Characterize biomarkers improve prescription interventions. Encourage better understanding environmental barriers biological comorbidities might impede rehabilitation adherence efficacy a rehabilitation intervention. Examine psychosocial influences associated rehabilitation interventions e.g., social withdrawal, lack social support, difficulty adjusting disability). 3) Standardization approaches data elements interest Provide evidence base specific interventions treatment approaches an emphasis validated protocols associated improved outcomes particular conditions cut across populations individuals disability e.g., spasticity, bowel bladder control, gait disturbance). Continue develop, validate, encourage use common data elements metrics sponsored projects expand available knowledge base provide aggregation data secondary analyses. Harmonize terminology standards rehabilitation research ensure comparability findings across studies. Support development dissemination shared standards consensus recommendations measurable outcome assessment tools. Information Requested RFI seeks input stakeholders throughout scientific research community the general public regarding above proposed priorities the NIH-wide Rehabilitation Research Plan. NIH seeks comments any all of, not limited to, following topics: * Potential benefits, challenges, areas consideration the proposed priority areas. * Compatibility the proposed priorities the NIH mission * Compatibility the framework the NIH Rehabilitation Research Plan available models rehabilitation research * Comprehensive trans-NIH research themes rehabilitation have been captured the Priority Areas * Future opportunities emerging research needs to Submit Response comments must submitted electronically
Rehabilitation1@mail.nih.gov. Responses longer 300 words MS or pdf format) must received 11:59:59 ET) December 11, 2015. will an electronic confirmation acknowledging receipt your response. Responses this RFI voluntary. not include any proprietary, classified, confidential, trade secret, sensitive information your response. responses be reviewed NIH staff, individual feedback not provided any responder. Government use information submitted response this RFI its discretion. Government reserves right use any submitted information public NIH websites, reports, summaries the state the science, any possible resultant solicitation(s), grant(s), cooperative agreement(s), in development future funding opportunity announcements. RFI for information planning purposes only shall be construed a solicitation, grant, cooperative agreement, as obligation the part the Federal Government, NIH, individual NIH Institutes Centers provide support any ideas identified response it. Government not pay the preparation any information submitted for Government's of such information. basis claims against U.S. Government shall arise a result a response this request information from Government's of such information. look forward your input hope you share RFI document your colleagues. Inquiries Please direct inquiries to: National Center Medical Rehabilitation Research NCMRR) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) Email:
Rehabilitation1@mail.nih.gov