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Page 1: Applying the Stages of Development handouts · Applying the Stages of Development: Experiences, challenges, and strategies from the RERC on AAC Janice Light and Thomas Jakobs Penn

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ApplyingtheStagesofDevelopment:

Experiences,challenges,andstrategiesfromtheRERConAAC

JaniceLightandThomasJakobsPennStateUniversity&InvoTek,Inc.

Goals• TosharetheexperienceoftheRERConAACateachstageofdevelopment– Describechallenges– Discussstrategiestoovercomesomeofthechallenges

• TosharethestoryofoneR&Dproject– RERConAACproject,DevelopmentofAACdisplaysthatsupporttransitionfromgraphicsymbolstoliteracy(T2L)forindividualswithcomplexcommunicationneeds(CCN)

– Seehttps://rerc-aac.psu.edu/research/r2-investigating-aac-technologies-to-support-the-transition-from-graphic-symbols-to-literacy/

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Background• Buildinglong-termrelationships– Wewereacquaintedwitheachotherforseveralyearsbeforecollaborating

– Initialcollaborationgrewoutofclinicalneed• Janice’sresearch&clinicalexperiencesuggestedthatAACtechnologieswouldbemoreeffectiveifdisplayscouldbecreated“justintime”duringinteractionswithchildrenwithCCN

• Tomsaid“whatifwebuildanappthatdoesthefollowing…”?Janicesaid“Itwouldbebetterif…”

– AnSBIRproposalwasborn!• Phase1/Phase2SBIRs• TheseSBIRsledtoanewunmetneed

– Appstosupporttransitiontoliteracy

ThirdStage activitiestransformaProofof

ProductintoanAdoptedProduct.

PROOFOFADOPTION

4

PROOFOFCONCEPT

PROOFOFPRODUCT

FirstStage activitiestransformtheProductIDEA intoaProofof

Concept.

SecondStage activitiestransformtheProofofConcept intoaProofof

Product

StagesofDevelopment

CopyrightNationalInstituteonDisability,IndependentLiving,andRehabilitation

Research

PRODUCTIDEA

9/16/2015

Stage1

Stage2

Stage3

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R&Dstrategy• InordertomaximizebenefitforindividualswithCCN,ourR&Dprojectsfocusontheclinicalneed– EnhancedeffectivenessofAACtechnologies– PotentialtobeincorporatedintoawiderangeofAACtools– Potentialtoincreasethenumberofpeoplewhobenefit

• Ourtechtransferstrategy– Fosteranenvironmentoftrustandintegrity– Involvepotentialcommercializationpartnersasearlyaspossible,eveninideastage

Techtransferstrategy• Developmentpath

– Utilizesastagegateprocess– NtK model(CenteronKT4TT)– Solicitsparticipationofkeystakeholdersatallstages

• RERConAACresponsibilities– Identifyunmetneeds&priorities;definescopeofprojects– ConductR&Dtodevelopengineeringsolutions

• Proofofconcept

– Testtheseprototypes&evaluatethemclinicallyinthefield• Proofofproduct

• Commercializationthroughdevelopmentpartners– Incorporatethesolutionsintotheirproducts/apps– Spearheadcommercialization/productionactivities

• Proofofadoption

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PROOFOFADOPTION

7

PROOFOFCONCEPT

PROOFOFPRODUCT

FirstStage activitiestransformtheProductIDEA intoaProofof

Concept.

StagesofDevelopment

CopyrightNationalInstituteonDisability,IndependentLiving,andRehabilitation

Research

PRODUCTIDEA

9/16/2015

Stage1

Stage2

Stage3

Stage1Defineneed&targetaudience

• Need&targetaudiencedefinedthrough– Priorresearch• PriorRERCgrant• SBIRPhase1&Phase2grants

– Clinicalexperience– Stakeholderinput• IndividualswhouseAAC,families,clinicians,ATmanufacturers/appdevelopers,etc.

– Stateofscienceconferencewithkeystakeholders

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AACtechnologiestosupporttransitionfromgraphicsymbolstoliteracy(T2L)• Unmetneed– Morethan90%ofindividualswithCCNenteradulthoodwithoutliteracyskills

– Asaresult,theyareseverelyrestrictedineducation,employment,healthcare&communityliving

– CurrentAACtechnologiesdonotsupportthetransitionfrompicturesymbolstoliteracy

• Goal– TodevelopAACappstosupporttransitiontoliteracy

TargetmarketTeam

• Targetmarket– Children&adultswithCCNwhoarenonliterate orpreliterate

• Team– Technicalteam(InvoTek,Saltillo)– Clinicalteam(PSU)– Consumerteam(PSU)– Commercializationpartners(TobiiDynavox,Saltillo)

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Stage1Productidea

• Potentialtechnologysolution/scopeofprojectdefinedthrough…– Comprehensivereviewofresearch

• Definetheory&researchunderlyinguserinterfacedesign– Presenttextdynamicallyuponselectionofgraphicsymbol– Textpresentationpairedwithgraphicsymbol&speechoutput

– InputfromAACmanufacturers/appdevelopers• Identifypartnersandroles

– Competingtechnologysearch• Techtransferplandeveloped– AssistanceofKT4TT

T2LTechnologysolution

• Outputs– 2AACappstoimproveliteracyskillsforindividualswithCCN• Grid-basedapp• VSD-basedapp

– Research-baseduserinterfacedesignspecsforAACappstosupporttransitionfrompicturesymbolstoliteracy

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Stage1AssessmentsT2LProofofConcept

• Establishfeasibility– Technicaldevelopment&functionaltesting

– Clinicaltesting• Expertclinicians

– Usertesting• PilottestingwithindividualswithCCN

• Assessusability,utility,consumersatisfaction,use

ChallengesFromproductideatoproofofconcept• Collaboratingatadistance– Technicalandclinicalteams

• Ensuringcomprehensivestakeholderinput• Involvingcommercializationpartners– Buildingrelationships

• Maximizingresources– Leveragingotherfundingsources

• AchievingATdesignsthatareclinicallysound&research-based

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PROOFOFADOPTION

15

PROOFOFCONCEPT

PROOFOFPRODUCT

SecondStage activitiestransformtheProofofConcept intoaProofof

Product

StagesofDevelopment

CopyrightNationalInstituteonDisability,IndependentLiving,andRehabilitation

Research

PRODUCTIDEA

9/16/2015

Stage1

Stage2

Stage3

Stage2Proofofconcepttoproofofproduct

• Clinicalevaluationwithstakeholdersinrealworld– IndividualswithCCN,families– AACclinicians,rehab/educationalpersonnel,etc.

• Iterativetechnicaldevelopment– Fine-tuningdesignbasedonclinicalresults

• OngoingcollaborationwithATmanufacturers

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Stage2AssessmentsProofofProduct

• Establishthattheproductiseffective– Seriesofsinglecaseexperimentalresearchdesignstargeting• Childrenwithautism,Downsyndrome,IDD,CP• Adultswithautism,Downsyndrome,IDD,CP

• Researchhypothesis– IndividualswithCCNwillincreasetheirliteracyskillsasaresultofusingtheT2Lapp• VSDapporgridapp

Stage2 – Assessmentdata6studiesinprogress

RERConAAC

Please note: These graphs present preliminary data for projects which are still in progress, please contact authors for updated information
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ChallengesProofofconcepttoproofofproduct• Dealingwithchangesinmainstreamtechnology– E.g.,Googlespeechrecognition

• Implementinghighqualityclinicaltrials– Recruiting&retainingindividualswithcomplexneeds&families

– Conductingstudiesinrealworldcontexts• InvolvingATmanufacturers/appdevelopers– Developingrelationships– Communicatingproductspecsclearly– Avoiding“featurecreep”

ThirdStage activitiestransformaProofof

ProductintoanAdoptedProduct.

PROOFOFADOPTION

20

PROOFOFCONCEPT

PROOFOFPRODUCT

StagesofDevelopment

CopyrightNationalInstituteonDisability,IndependentLiving,andRehabilitation

Research

PRODUCTIDEA

9/16/2015

Stage1

Stage2

Stage3

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Stage3Proofofproducttoadoptedproduct

• Commercializationefforts– TechIPremainswithdeveloper• InvoTekforVSDprototype

– LicensedtoTobiiDynavox– ReleasedasSnapScene2016

• Saltilloforgridprototype

– Publishresearch/userinterfacedesignspecs• Promotewidespreadadoption&greaterbenefit

Stage3AssessmentsProofproductisbeneficial

• Assessmentofawarenessofstakeholders,usebyindividualswithCCN,retention,impact,etc.

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ChallengesProofofproducttoadoptedproduct• Ensuringproductisrealizedfully– CommunicatingproductspecsclearlytoATmanufacturers

• Providingresourcesassupportsforclinicians&families– Disseminatingimplementationguidelines&researchresultsrapidlyinuserfriendlyformats• e.g.,trainings,websites,MOOC

• Assessingadoption– Accessingdataonuse,retention,etc.– Timelagforuptake

Lessonslearned• Gathercomprehensiveinputfromstakeholders• Involvepotentialcommercializationpartnersearlyandoften– Exclusivitymaynotbebestcommercializationapproach

• Communicateopenly,clearly,andspecifically• Demonstratebenefit/impactwithcompellingclinicaldata

• Focusonthemission– Veryfewdisability-relatedproductsgeneratesubstantialrevenuethroughlicensing

– Instead,marketyoursuccesswhenapplyingforcontractsand/orgrants.

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RERC-AAC.ORG• Thecontentsofthispresentationweredevelopedundera

grantfromtheNationalInstituteonDisability,IndependentLiving,andRehabilitationResearch(NIDILRRgrantnumber#90RE5017)totheRehabilitationEngineeringResearchCenteronAugmentativeandAlternativeCommunication(RERConAAC).

• NIDILRRisaCenterwithintheAdministrationforCommunityLiving(ACL),DepartmentofHealthandHumanServices(HHS).ThecontentsofthispresentationdonotnecessarilyrepresentthepolicyofNIDILRR,ACL,HHS,andyoushouldnotassumeendorsementbytheFederalGovernment.


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