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PHS 2018-02 Omnibus Solicitation of the NIH, CDC, and FDA for Small Business Innovation Research Gra

Award Information
Agency: Department of Health and Human Services
Branch: Centers for Disease Control and Prevention
Contract: 2R44CE002936-02
Agency Tracking Number: R44CE002936
Amount: $524,883.00
Phase: Phase II
Program: SBIR
Solicitation Topic Code: NCIPC
Solicitation Number: PA18-573
Solicitation Year: 2018
Award Year: 2019
Award Start Date (Proposal Award Date): 2019-09-01
Award End Date (Contract End Date): 2021-09-29
Small Business Information
Hanover, NH 03755-3116
United States
DUNS: 072021041
HUBZone Owned: No
Woman Owned: No
Socially and Economically Disadvantaged: No
Principal Investigator
 (603) 643-3800
Business Contact
Phone: (603) 643-3800
Research Institution

Creare and its clinical and research partners propose to develop a software platform, OnTRACK (Online
Treatment Recovery Assistance for Concussion in Kids), for children and adolescents recovering from
concussion or mild traumatic brain injury (mTBI). The platform includes a mobile application (app) for the
patients and their care team (parents, teachers, coaches, etc.), a database server, and a decision support
dashboard for healthcare providers. The OnTRACK app prompts the patient to report post-concussion
symptoms across recovery in two distinct but equally important ways: cross-recovery graded symptom ratings
to track overall recovery progress, and short-term daily dynamic exertional symptom responses to guide
activity. Teachers, parents, coaches, and other authorized members of the patient care team also report
patient progress when prompted. Beyond symptom reporting, the app provides education in the form of short
multimedia clips that cover various topics related to concussion recovery based on the PACE (Progressive
Activities of Controlled Exertion) model. Using a large existing dataset on typical recovery trajectories, if the
serial symptom reports indicate an atypical pattern, the healthcare provider receives an alert to assess further
and consider referral for additional treatment. To guide daily recovery, OnTRACK uses empirically-derived
algorithms to determine when the level of symptom exacerbation reaches a certain threshold, delivering
specific directive feedback (after approval by healthcare provider) to the child to manage daily activities and
reduce disruptive symptoms. The goal of the OnTRACK system is to afford the healthcare provider, patient,
and family with data-driven decision upon which to follow evidence-based treatment guidelines.PROJECT NARRATIVE
OnTRACK is a mobile health system that will help children who sustain a concussion with symptom
management during their recovery. Recovery time typically takes up to a month while some children remain
unable to return to their normal activities for a prolonged period of time. The app will help patients, their
families, doctors, and schools track symptoms and identify problems early during the recovery, offering
evidence-based intervention guidance to reduce and eventually eliminate persistent symptoms.

* Information listed above is at the time of submission. *

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