This is for information purpose only. No solicitation will be awarded against this RFI VA-248-10-RI-0376. This is for the VA Medical Center, Research & Development, Gainesville, Florida. Scope of work for proposed RR&D Development project titled: Self-Management Intervention for Veterans with Upper Limb Amputation. Specific Aim 1 (Phase 1 Development Project): To develop a Computer/Internet-Based 3-Module Self-Management Intervention using Operation enduring freedom/operation Iraqui Freedom (OFF/OIF) upper limb (UL) amputee actors. The intervention will consist of three modules that provide knowledge about UL amputation and prostheses followed by interactive experiences that will, as examples, address choosing a new prostheses, learning use of the new prosthesis, emotional aspects of living with an amputation community integration opportunities for UL amputees. Creation of the intervention will be a Department of Defense (DOD)-VA Collaboration. This project will develop three web-based modules will be developed under the lead of PI Winkler and CO-PI Yancosek with input from expert consultees. Module I: UL Amputation Overview: The overview will present information on the history, incidence, and prevalence of UL AMPUTATION, THE LEVELS OF ul AMPUTATION (FIGURE 8), the stages of rehabilitation (pre-Operative; surgery and reconstruction. Pre-prosthetic, prosthetic prescription and fabrication, prosthetic training, community integration, vocational rehabilitation, follow-up), and overview of UL prosthetic devices. Module II: Living With Amputation: The content presented in module II will be procedural knowledge, providing opportunities for problem-solving, the first self-management skill. Problem solving in the self-management context refers to identifying the problem and generating possible solutions including suggestions from peers. Module II will use some text and hyperlinks', but predominantly graphic and video. Task will be presented. Veterans will learn how to do them by watching peers perform the tasks. Audio will include frustrations and emotions associated with performing the tasks. Module III: Interactive Case Studies: the content presented in Module II will also be procedural knowledge. In Module III, participants increase their proficiency by continued practice with case studies that provide feedback. Module III will provide with an opportunity to apply facts and procedures learned in Modules I and II to developing a lifestyle that accommodates their desired level of function. In Module III, Service member/Veteran Actors and Veteran Participants will have access to the "Virtual Ability" Community at second life housed on the Amputee Virtual Environment Support Space (AVESS) Site. The project is funded by Telemedicine and Advance Technology Research Center (TATRC) of the US Army Medical Research and Material Command (USAMRMC), Contract "W81xWH-09-P-0731". Work associated with developing module content above. Capture raw video and audio: We will hire eight active duty and civilian (including Veterans) amputee actors to create the video, that will be used to support module content. 1. We are seeking a contractee who has proven experience working with OEF/OIF UL amputee population who will work with the PI to identify and coordinate the hiring of UL amputee actors. The actors can have active duty or veteran status. 2. The contractee will then coordinate with the PI, the capture of raw audio and video. Actors will be issued handy cams for one -two months to spontaneously capture aspects of their daily lives that may be helpful to other veterans with UL Amputations. The video will be down loaded to a memory stick and mailed to the contractee. Timeline: Video capture from 8 actors will begin month two and will be complete by the end of month 12. 3. The Contractee under the guidance of the PI, will edit the video into approximately 1-minute clips and select still graphics from video. For the three modules described earlier. We anticipate 8-16 hours of video x 8 actors = 120-160 hours of video. 4. The contractee will compress the Digital Code as needed and finalize video for playback and stop points. Work associated with insertion content into an E-learning format. Develop Electronic (E-Learning Format: E-Learning is the process of designing the electronic format so that the presentation takes advantage of the technology by displaying photos and animations that help clarify instructional points. In addition playing movie clips create interactive scenes that require a response from the user to demonstrate they understand. 5. The contratee will have documented expertise with the articulate software. Articulate software will be used to create three E-Learning modules (Previously Described) integrating content from PI Winkler and edited video and stills. Timeline: Creation of E-Learning Modules will begin Month 2 and will be complete by the end of the month 21. The three modules will be beta tested and necessary edits made. Timeline: Creation of E-learning modules will begin month 18 and will be complete by end of month 30. Build Website. A Website with an index page describing the project will be built. The index page will link to a links page and a research page. Please E-mail response to [email protected]

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