Bridges are critical infrastructures that support our economic activities and daily lives. Aging bridges have been a major issue for decades, prompting researchers to improve resilience and performance through structural health monitoring. While most research focuses on superstructure damage, the majority of bridge failures are associated with support or joint damages, indicating the importance of bridge support. Indeed, bridge support affects the performance of both the substructure and superstructure by maintaining the load path and allowing certain movements to mitigate thermal and other stresses. The support deterioration leads to a change in fixity in the superstructure, compromising the bridge’s integrity and safety. Hence, a reliable method to determine support fixity level is essential to detecting bearing health and enhancing the accuracy of the bridge health monitoring system. However, such research is lacking because of its complexity. In this study, we developed a support fixity quantification method based on thermal responses using an Artificial Neural Network (ANN) model. A finite element (FE) model of a representative highway bridge is used to derive thermal displacement data under different bearing stiffnesses, superstructure damage, and thermal loading. The thermal displacement behavior of the bridge under different support fixity conditions is presented, and the model is trained on the simulated response. The performance of the developed FE model and ANN was validated with field monitoring data collected from two in-service bridges in Connecticut using a real-time Wireless Sensor Network (WSN). Finally, the support stiffnesses of both bridges were predicted using the ANN model for validation.

The rapid aging of bridges has increased interest in real-time, data-driven monitoring for predictive maintenance and safety management; however, practical deployment on in-service bridges remains limited. This paper presents lessons learned from long-term field deployment of real-time bridge joint monitoring systems on three in-service highway bridges and demonstrates how these insights can support the transition toward Industry 5.0. A unified framework is introduced to integrate key enabling technologies, including Internet of Things (IoT), digital twins, and artificial intelligence (AI), into a practical, human-centric monitoring architecture. Best practices for achieving durable, site-compliant, and cost-effective system design are summarized, with emphasis on sensor selection, wireless communication strategies, modular system development, and maintaining seamless operation. The development of a Docker-based analytics and visualization platform illustrates how interactive dashboards enhance human–machine collaboration and support informed decision-making. The role of advanced analytical tools, including digital twins, AI, and statistical modeling, in providing reliable structural assessments is highlighted, along with guidance on balancing cloud and edge computing for energy-efficient performance under constraints such as limited power, weather exposure, and site accessibility. Overall, the findings support the development of scalable, resilient, and human-centric real-time monitoring systems that advance data-driven decision-making and directly contribute to the realization of Industry 5.0 objectives in bridge health management.