VIS4ION-Thailand (Visually Impaired Smart Service System for Spatial Intelligence and Onboard Navigation) - Resub - 1

VIS4ION-泰国（视障空间智能和车载导航智能服务系统）- Resub - 1

• 批准号: 10903051
• 负责人: John Ross Rizzo
• 金额: $ 28.87万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10903051
• 关键词: 3-Dimensional; 3D world; Access to Information; Address; Adverse event; Anxiety; Area; Benchmarking; Blindness; Cells; Cities; Cognition; Complex; Computer Vision Systems; Computer software; Country; Cues; Data; Databases; Dimensions; Disparate; Ecology; Economic Burden; Elements; Employment; Enhancement Technology; Ensure; Environment; Feedback; Focus Groups; Foundations; Fracture; Freedom; Fright; Health; Health Promotion; Home Ranges; Image; Immobilization; Income; Individual; Infrastructure; Intelligence; Intervention; Length; Location; Maps; Mechanics; Mental Depression; Modeling; Outcome; Participant; Performance; Personal Satisfaction; Personal Space; Phase; Physical activity; Population; Positioning Attribute; Premature Mortality; Process; Quality of life; Research; Research Personnel; Resource-limited setting; Resources; Risk; Semantics; Services; Signal Transduction; Students; Subgroup; System; Techniques; Technology; Testing; Thailand; Time; Travel; Unemployment; Universities; Visual; Visual impairment; Visually Impaired Persons; Visually Impaired Students; citizen science; cohort; college; cost; digital twin; disability; effectiveness evaluation; effectiveness testing; experience; falls; fear of falling; functional assistance; functional improvement; higher education; human-in-the-loop; improved; improved mobility; improved outcome; innovation; knowledge base; long bone; low and middle-income countries; next generation; novel; novel strategies; patient oriented; process evaluation; psychosocial; reconstruction; satisfaction; sensor; socioeconomics; urban area; usability; way finding; wearable device; wireless fidelity

PROJECT SUMMARY/ABSTRACT Visual impairment engenders mobility losses, debility, illness and premature mortality. These mobility losses have been associated with unemployment rates that reach 80% globally and to severe compromises in quality of life (QoL). In many cases, health and wellbeing are ‘attacked’ by vision loss in any form factor and psychosocial barriers such as anxiety and depression are compounding influences that increase as deficits scale. The fear of falling is a threat that contributes to this downward ‘spiral’ and often goes unchecked; this fear is alarmingly justified, as visual impairment precipitates substantial increases in mechanical trips, falls and long-bone factures. This perfect storm leaves considerable swaths of the population poor, disenfranchised, and experiencing adverse health outcomes. These startling facts, although true in almost every high-income country, are even more severe in low- and middle-income countries, such as Thailand. When considered at a basic functional level, visual impairment destroys access to information about our three-dimensional world and the objects in it, leading to poor spatial cognition and an inability to navigate successfully, whether that be to a place of employment or a grocery store. Advanced wearables provide a potential solution to close this gap and provide consistent and reliable access to the information needed for mobility and orientation during navigation. Our team was instrumental in developing a novel wearable - VIS4ION (Visually Impaired Smart Service System for Spatial Intelligence and Onboard Navigation), a personal mobility solution that serves as a customizable, human-in-the- loop, sensing-to-feedback platform to deliver functional assistance in real-time. Our central hypothesis is that wearables support spatial cognition in visually impaired (VI) populations, augmenting personal freedom and agency, and promoting health and wellbeing. We seek to enhance this technology with next-generation mapping and localization software fashioned into a microservice to support spatial cognition in the VI. We will assess the performance of this new approach (e.g., mapping) as well as its impact on function (e.g., navigation efficiency), health (e.g., falls), and wellness (e.g., QoL) metrics. The proposal has five aims in two phases focused on validating this approach in a global setting. First, we will implement semantic segmentation and image-query- based localization networks in a small Thai campus to operate independently of both environmental (sensor- based) and Wi-Fi/cell infrastructure. We will then deploy this augmented platform with VI students. Third, we will assess for acceptability, appropriateness, and feasibility, focusing on experiences with VIS4ION. If milestones are met for this first phase (R21), we will progress to the second phase (R33). Fourth, we will test the effectiveness of the improved system over an extended-use period. Lastly, an additional urban area in Bangkok will be selected and 3D environmental map built for generalizability testing, ensuring that VIS4ION is able to handle multiple locations with disparate contextual elements. Given this foundation and planned advances, we predict the platform will substantially mitigate fall and immobility risks and associated adverse health outcomes.

项目总结/摘要 视力障碍导致行动能力丧失、虚弱、疾病和过早死亡。这些流动性损失 与全球高达80%的失业率和质量的严重妥协有关 生命（Life）在许多情况下，健康和福祉受到任何形式的视力丧失和心理社会的“攻击”。 焦虑和抑郁等障碍是随着赤字规模增加而增加的复合影响。的恐惧 下降是一种威胁，有助于这种下降的'螺旋'，往往不受控制;这种恐惧是惊人的 这是合理的，因为视力障碍会导致机械性绊倒、福尔斯和长骨骨折的大幅增加。 这场完美的风暴使相当多的人贫穷，被剥夺权利， 不良健康后果。这些令人震惊的事实尽管在几乎所有高收入国家都是如此，但也是如此 在低收入和中等收入国家，如泰国，情况更为严重。当在基本功能级别上考虑时， 视觉障碍破坏了我们对三维世界及其物体的信息获取， 空间认知能力差，无法成功导航，无论是到工作地点还是 杂货店先进的可穿戴设备提供了一个潜在的解决方案，以缩小这一差距，并提供一致的， 可靠地访问导航过程中移动性和定向所需的信息。我们队 帮助开发一种新型的可穿戴式-VIS 4 ION（空间视觉障碍智能服务系统 智能和车载导航），这是一种个人移动解决方案，可作为一种可定制的、人性化的 循环、感知到反馈的平台，以提供实时的功能帮助。我们的核心假设是， 可穿戴设备支持视障（VI）人群的空间认知，增加个人自由， 机构，促进健康和福祉。我们寻求通过下一代映射来增强这项技术 以及本地化软件，它们被塑造成一个微服务，以支持VI中的空间认知。我们将评估 这种新方法的性能（例如，映射）以及其对功能的影响（例如，导航效率）， 健康（例如，福尔斯）和健康（例如，QoL）指标。该提案分两个阶段提出五个目标， 在全球范围内验证这一方法。首先，我们将实现语义分割和图像查询， 基于本地化网络在一个小的泰国校园独立运作的环境（传感器， 基于）和Wi-Fi/蜂窝基础设施。然后，我们将与VI学生一起部署这个增强平台。三是 评估可接受性、适当性和可行性，重点关注VIS 4 ION的经验。如果里程碑 如果第一阶段（R21）的要求得到满足，我们将进入第二阶段（R33）。第四，我们将测试 改进后的系统在延长使用期内的有效性。最后，曼谷的一个额外的城市地区 将被选中并构建3D环境地图进行概化测试，确保VIS 4 ION能够 处理具有不同上下文元素的多个位置。鉴于这一基础和计划的进展，我们 预测该平台将大大降低跌倒和不动风险以及相关的不良健康后果。