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Harper KJ, McAuliffe K, Parsons DN. Barriers and facilitating factors influencing implementation of occupational therapy home assessment recommendations: A mixed methods systematic review. Aust Occup Ther J 2022; 69:599-624. [PMID: 35674225 PMCID: PMC9796587 DOI: 10.1111/1440-1630.12823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 05/27/2022] [Indexed: 01/01/2023]
Abstract
INTRODUCTION Low implementation rates of occupational therapy home assessment recommendations have previously been reported. The objective was to identify and describe the barriers and facilitating factors that influence implementation of home assessment recommendations. METHODS A mixed methods systematic review consisting of studies involving adults living in the community who received an occupational therapy home assessment was conducted. Seven databases were last searched in August 2021. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools (SUMARI) dependent on study design. Data synthesis followed the convergent integrated approach. Findings were mapped to the theoretical Capability Opportunity Motivation Behaviour (COM-B) model of health behaviour change. RESULTS From 5,540 citations, 22 articles met the criteria for the systematic review. Implementation of occupational therapy home assessment recommendations ranged between 55% and 90%. Six synthesised findings were identified. Capability barriers included a patient's cognitive and physical ability. Motivation barriers included a perceived lack of need and stigma; patient reported decreased involvement and lack of choice. Opportunity barriers included limited family or carer involvement, carer stress, level of service provision available, including funding, therapy dosage and timing and environmental restrictions. Overall facilitators included patient-centred care, including choice and understanding need, individualised tailored recommendations, involvement of families and carers, provision of written record and strategies to support implementation. Results were limited by methodological weaknesses in identified studies and heterogeneity in the definition and measurement of implementation impacting on comparison. Specific intervention components were often poorly described. CONCLUSION The theoretical model elucidates priority factors to address for promoting implementation of home assessment recommendations. Future high-quality research clearly defining intervention components is required to support short- and long-term implementation of recommendations in the home environment. Behaviour change techniques could be utilised to support home assessment practices in future research.
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Affiliation(s)
- Kristie J. Harper
- Occupational Therapy DepartmentSir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
- Curtin School of Allied Health, Occupational TherapyCurtin UniversityBentleyWestern AustraliaAustralia
| | - Kelly McAuliffe
- Occupational Therapy DepartmentSir Charles Gairdner HospitalNedlandsWestern AustraliaAustralia
| | - Dave N. Parsons
- Curtin School of Allied Health, Occupational TherapyCurtin UniversityBentleyWestern AustraliaAustralia
- St. John of God Midland Public and Private HospitalMidlandWestern AustraliaAustralia
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Sime MM, Bissoli ALC, Lavino-Júnior D, Bastos-Filho TF. Usability, occupational performance and satisfaction evaluation of a smart environment controlled by infrared oculography by people with severe motor disabilities. PLoS One 2021; 16:e0256062. [PMID: 34388175 PMCID: PMC8362986 DOI: 10.1371/journal.pone.0256062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 07/31/2021] [Indexed: 11/21/2022] Open
Abstract
A smart environment is an assistive technology space that can enable people with motor disabilities to control their equipment (TV, radio, fan, etc.) through a human-machine interface activated by different inputs. However, assistive technology resources are not always considered useful, reaching quite high abandonment rate. This study aims to evaluate the effectiveness of a smart environment controlled through infrared oculography by people with severe motor disabilities. The study sample was composed of six individuals with motor disabilities. Initially, sociodemographic data forms, the Functional Independence Measure (FIMTM), and the Canadian Occupational Performance Measure (COPM) were applied. The participants used the system in their domestic environment for a week. Afterwards, they were reevaluated with regards to occupational performance (COPM), satisfaction with the use of the assistive technology resource (QUEST 2.0), psychosocial impact (PIADS) and usability of the system (SUS), as well as through semi-structured interviews for suggestions or complaints. The most common demand from the participants of this research was ‘control of the TV’. Two participants did not use the system. All participants who used the system (four) presented positive results in all assessment protocols, evidencing greater independence in the control of the smart environment equipment. In addition, they evaluated the system as useful and with good usability. Non-acceptance of disability and lack of social support may have influenced the results.
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Affiliation(s)
- Mariana Midori Sime
- Occupational Therapy Department, Federal University of Espirito Santo (UFES), Vitoria, Brazil
- * E-mail:
| | - Alexandre Luís Cardoso Bissoli
- Postgraduate Program in Electrical Engineering, Electrical Engineering Department, Federal University of Espirito Santo (UFES), Vitoria, Brazil
| | - Daniel Lavino-Júnior
- Electrical Engineering Department, Federal University of Espirito Santo (UFES), Vitoria, Brazil
| | - Teodiano Freire Bastos-Filho
- Postgraduate Program in Electrical Engineering, Electrical Engineering Department and Postgraduate Program in Biotechnology, Federal University of Espirito Santo (UFES), Vitoria, Brazil
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Brandt Å, Jensen MP, Søberg MS, Andersen SD, Sund T. Information and communication technology-based assistive technology to compensate for impaired cognition in everyday life: a systematic review. Disabil Rehabil Assist Technol 2020; 15:810-824. [PMID: 32407217 DOI: 10.1080/17483107.2020.1765032] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
Purpose: A systematic review was performed evaluating the effectiveness of Information and Communication Technology-based Assistive Technology (ICT-based-AT) to compensate for impaired cognition in everyday life activities.Materials and methods: The study was registered in PROSPERO, registration number CRD42018114913. Six databases were searched (years 2008-2019).Inclusion criteria: Randomized controlled trials (RCTs) or cohort studies; people with impaired cognition due to non-degenerative diseases; and evaluation of ICT-based-ATs' effectiveness regarding activity and participation, including prospective memory, execution of tasks and satisfaction with task execution. Each study's level of evidence and quality were assessed using "JBI Levels of Evidence" and the "JBI Meta-Analysis of Statistics Assessment and Review Instrument", respectively.Results: About 3,153 publications were located, of which 12 were included. The levels of evidence were: 1.c (RCT) (n = 7), 1.d (pseudo-RCT) (n = 1) and 3.e (observational study without control group) (n = 4). Three studies had high quality (2 RCT/1 cohort), eight acceptable (5 RCT/3 cohort) and one low (RCT) quality.Conclusions: Smartphones, personal digital assistants (PDAs), etc. with e.g. calendars and reminder alarms can improve prospective memory, especially for people with ABI. Furthermore, PDAs and similar products with prompts can improve execution of tasks for people with cognitive impairment due to different diagnoses. Products should be tailored to the users' needs and the users trained in product use. Further studies concerning children, older people and people with intellectual and developmental disability are required; as well as studies on cost-effectiveness and the effectiveness of related services.Implications for rehabilitationIn order to support activity and participation in everyday life for people with prospective memory problems, especially people with acquired brain injury, they should be offered information and communication technology-based products, such smart phones, mobile phones, personal digital assistants or similar mainstream products equipped with reminding software.People with cognitive impairment having difficulties executing tasks independently should be offered PDAs and mobile telephones and similar products with prompting software, e.g. audio-verbal, picture and video-based task-sequencing prompts.The ICT-based products should be individually tailored, and the person should be trained in using the selected product.
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Affiliation(s)
- Åse Brandt
- Department of Public Health, Research Unit for General Practice, The Research Initiative for Activity Studies and Occupational Therapy, University of Southern Denmark, Odense, Denmark.,The National Board of Social Services, Odense, Denmark
| | | | | | | | - Terje Sund
- Department of Assistive Technology, Norwegian Labour and Welfare Service, Oslo, Norway
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Fors U, Kamwesiga JT, Eriksson GM, von Koch L, Guidetti S. User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation. BMC Med Inform Decis Mak 2019; 19:122. [PMID: 31269946 PMCID: PMC6610841 DOI: 10.1186/s12911-019-0847-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Accepted: 06/20/2019] [Indexed: 11/26/2022] Open
Abstract
Background According to WHO stroke is a growing societal challenge and the third leading cause of global disease-burden estimated using disability-adjusted life years. Rehabilitation after stroke is an area of mutual interest for health care in many countries. Within the health care sector there is a growing emphasis on ICT services to provide clients with easier access to information, self-evaluation, and self-management. ICT-supported care programs possible to use in clients’ home environments are also recommended when there are long distances to the health care specialists. The aim of this study was to evaluate the technical usability of a SMS-based reminder system as well as user opinions when using such a system to assist clients to remember to perform daily rehabilitation activities, to rate their performance and to allow Occupational therapists (OT’s) to track and follow-up clients’ results over time. Methods Fifteen persons with stroke were invited to participate in the study and volunteered to receive daily SMS-based reminders regarding three activities to perform on a daily basis as well as answer daily SMS-based questions about their success rate during eight weeks. Clients, a number of family members, as well as OTs were interviewed to evaluate their opinions of using the reminder system. Results All clients were positive to the reminder system and felt that it helped them to regain their abilities. Their OTs agreed that the reminder and follow-up system was of benefit in the rehabilitation process. However, some technical and other issues were limiting the use of the system for some clients. The issues were mostly linked to the fact that the SMS system was based on a Swedish phone number, so that all messages needed to be sent internationally. Conclusion In conclusion, it seems that this type of SMS-based reminder systems could be of good use in the rehabilitation process after stroke, even in low income counties where few clients have access to Internet or smart phones, and where access to healthcare services is limited. However, since the results are based on clients’, OTs’ and family members’ expressed beliefs, we suggest that future research objectively investigate the intervention’s beneficial effects on the clients’ physical and cognitive health. Electronic supplementary material The online version of this article (10.1186/s12911-019-0847-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Uno Fors
- Department of Computer and Systems Sciences (DSV), Stockholm University, Stockholm, Sweden.
| | - Julius T Kamwesiga
- Uganda Allied Health Examinations Board, Kampala, Uganda.,Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Gunilla M Eriksson
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.,Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden
| | - Lena von Koch
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.,Theme Neuro, Karolinska University Hospital, Stockholm, Sweden
| | - Susanne Guidetti
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
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Liu P, Li G, Jiang S, Liu Y, Leng M, Zhao J, Wang S, Meng X, Shang B, Chen L, Huang SH. The effect of smart homes on older adults with chronic conditions: A systematic review and meta-analysis. Geriatr Nurs 2019; 40:522-530. [PMID: 31029481 DOI: 10.1016/j.gerinurse.2019.03.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 03/26/2019] [Accepted: 03/29/2019] [Indexed: 11/19/2022]
Abstract
As populations continue to age, the prevalence of multiple chronic conditions in older adults grows. The purpose of this study was to evaluate the effect of smart homes on older patients with chronic conditions. A review and meta-analysis were conducted after searching both English and Chinese databases. Fifteen RCTs were included in the review, with six studies qualifying for the meta-analysis. The meta-analysis revealed no significant effects on measures of hospital admissions (RR =0.90, 95% CI (0.57, 6.34), P = 0.65) or emergency department admissions (RR =0.99, 95% CI (0.34, 2.91), P = 0.98). Likewise, no effects were observed for tele-monitoring on days spent in the hospital (MD =-0.90, 95% CI (-3.34, 1.55), P = 0.47) or quality of life. However, almost all participants were satisfied with the smart homes. The effect of tele-exercise on cognitive functioning was unclear. However, the smart homes did have an effect on physical functioning and depression in older adults with chronic conditions. Future studies should focus on the economic effectiveness, security, accessibility and practicality of smart homes on older adults with chronic conditions.
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Affiliation(s)
- Peng Liu
- School of Mechanical and Aerospace Engineering, Jilin University, China.
| | - Guichen Li
- School of Nursing, Jilin University, China.
| | - Shengqian Jiang
- School of Mechanical Science and Engineering, Jilin University, China
| | - Yufei Liu
- School of Nursing, Jilin University, China
| | | | | | - Shuo Wang
- School of Nursing, Jilin University, China
| | | | | | - Li Chen
- School of Nursing, Jilin University, China.
| | - Samuel H Huang
- School of Dynamic Systems, University of Cincinnati, USA.
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Informing evaluation of a smartphone application for people with acquired brain injury: a stakeholder engagement study. BMC Med Inform Decis Mak 2018; 18:33. [PMID: 29848312 PMCID: PMC5975503 DOI: 10.1186/s12911-018-0611-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Accepted: 05/04/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Brain in Hand is a smartphone application (app) that allows users to create structured diaries with problems and solutions, attach reminders, record task completion and has a symptom monitoring system. Brain in Hand was designed to support people with psychological problems, and encourage behaviour monitoring and change. The aim of this paper is to describe the process of exploring the barriers and enablers for the uptake and use of Brain in Hand in clinical practice, identify potential adaptations of the app for use with people with acquired brain injury (ABI), and determine whether the behaviour change wheel can be used as a model for engagement. METHODS We identified stakeholders: ABI survivors and carers, National Health Service and private healthcare professionals, and engaged with them via focus groups, conference presentations, small group discussions, and through questionnaires. The results were evaluated using the behaviour change wheel and descriptive statistics of questionnaire responses. RESULTS We engaged with 20 ABI survivors, 5 carers, 25 professionals, 41 questionnaires were completed by stakeholders. Comments made during group discussions were supported by questionnaire results. Enablers included smartphone competency (capability), personalisation of app (opportunity), and identifying perceived need (motivation). Barriers included a physical and cognitive inability to use smartphone (capability), potential cost and reliability of technology (opportunity), and no desire to use technology or change from existing strategies (motivation). The stakeholders identified potential uses and changes to the app, which were not easily mapped onto the behaviour change wheel, e.g. monitoring fatigue levels, method of logging task completion, and editing the diary on their smartphone. CONCLUSIONS The study identified that both ABI survivors and therapists could see a use for Brain in Hand, but wanted users to be able to personalise it themselves to address individual user needs, e.g. monitoring activity levels. The behaviour change wheel is a useful tool when designing and evaluating engagement activities as it addresses most aspects of implementation, however additional categories may be needed to explore the specific features of assistive technology interventions, e.g. technical functions.
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Abstract
BACKGROUND This interview study is a part of a project that evaluated sensor technology as a support in everyday activities for patients with memory impairment. AIM To explore patients with memory impairment and their partners' experiences of using sensor technology in their homes. METHODS AND MATERIAL Five patients with memory impairment after stroke and three partners were interviewed. Individual semi-structured interviews were analyzed with qualitative content analysis. RESULTS Installing sensor technology with individually prerecorded voice reminders as memory support in the home had a broad impact on patients' and their families' lives. These effects were both positive and negative. The sensor technology not only supported activities but also influenced the patients by changing behavior, providing a sense of security, independence and increased self-confidence. For the partners, the sensor technology eased daily life, but also gave increased responsibility for maintenance. Technical problems led to frustration and stress for the patients. CONCLUSION The results indicate that sensor technology has potential to increase opportunities for persons with memory impairment to perform and participate in activities and to unburden their partners. The results may promote an understanding of how sensor technology can be used to support persons with memory impairment in their homes.
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Affiliation(s)
- Anna Olsson
- a Division of Rehabilitation Medicine , Danderyd Hospital , Stockholm , Sweden
| | | | - Aniko Bartfai
- a Division of Rehabilitation Medicine , Danderyd Hospital , Stockholm , Sweden.,b Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden
| | - Inga-Lill Boman
- a Division of Rehabilitation Medicine , Danderyd Hospital , Stockholm , Sweden.,b Department of Clinical Sciences , Danderyd Hospital, Karolinska Institutet , Stockholm , Sweden
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8
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Stephens JA, Williamson KNC, Berryhill ME. Cognitive Rehabilitation After Traumatic Brain Injury: A Reference for Occupational Therapists. OTJR-OCCUPATION PARTICIPATION AND HEALTH 2015; 35:5-22. [PMID: 26623474 DOI: 10.1177/1539449214561765] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Nearly 1.7 million Americans sustain a traumatic brain injury (TBI) each year. These injuries can result in physical, emotional, and cognitive consequences. While many individuals receive cognitive rehabilitation from occupational therapists (OTs), the interdisciplinary nature of TBI research makes it difficult to remain up-to-date on relevant findings. We conducted a literature review to identify and summarize interdisciplinary evidence-based practice targeting cognitive rehabilitation for civilian adults with TBI. Our review summarizes TBI background, and our cognitive remediation section focuses on the findings from 37 recent (since 2006) empirical articles directly related to cognitive rehabilitation for individuals (i.e., excluding special populations such as veterans or athletes). This manuscript is offered as a tool for OTs engaged in cognitive rehabilitation and as a means to highlight arenas where more empirical, interdisciplinary research is needed.
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9
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Charbonneau K, Lalande M, Briand C. [The personal digital assistant: A tool for supporting mental health rehabilitation]. The Canadian Journal of Occupational Therapy 2015; 82:254-63. [PMID: 26502022 DOI: 10.1177/0008417414560435] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND People living with mental illness may manifest cognitive and social-emotional difficulties leading to several challenges in their daily lives. Using technological aids may help to compensate for some of these difficulties. PURPOSE The objective of this study was to document the effects and issues of the use of mobile technology applications (apps) with people with mental illness during the rehabilitation process. METHOD Using an exploratory qualitative evaluative approach, 12 participants were engaged in ongoing brief interviews in which they discussed their use of a variety of apps that met their rehabilitation needs. A thematic analysis (descriptive interpretive) was used to uncover the effects and issues of the integration of apps in participants' daily life. FINDINGS The apps helped participants to overcome their cognitive difficulties, facilitated the management of their daily tasks and socialization, and prevented boredom. However, several issues related to the context, the technology, and the person need to be considered. IMPLICATIONS The findings prompt one to consider the therapist's role in the integration of personal digital assistants in psychosocial rehabilitation.
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Juengst SB, Graham KM, Pulantara IW, McCue M, Whyte EM, Dicianno BE, Parmanto B, Arenth PM, Skidmore ERD, Wagner AK. Pilot feasibility of an mHealth system for conducting ecological momentary assessment of mood-related symptoms following traumatic brain injury. Brain Inj 2015; 29:1351-61. [PMID: 26287756 DOI: 10.3109/02699052.2015.1045031] [Citation(s) in RCA: 57] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE This study assessed pilot feasibility and validity of a mobile health (mHealth) system for tracking mood-related symptoms after traumatic brain injury (TBI). DESIGN A prospective, repeated measures design was used to assess compliance with daily ecological momentary assessments (EMA) conducted via a smartphone application over an 8-week period. METHODS An mHealth system was developed specifically for individuals with TBI and utilized previously validated tools for depressive and anxiety symptoms (Patient Health Questionnaire-9, Generalized Anxiety Disorder-7). Feasibility was assessed in 20 community-dwelling adults with TBI via an assessment of compliance, satisfaction and usability of the smartphone applications. The authors also developed and implemented a clinical patient safety management mechanism for those endorsing suicidality. RESULTS Participants correctly completed 73.4% of all scheduled assessments, demonstrating good compliance. Daily assessments took <2 minutes to complete. Participants reported high satisfaction with smartphone applications (6.3 of 7) and found them easy to use (6.2 of 7). Comparison of assessments obtained via telephone-based interview and EMA demonstrated high correlations (r = 0.81-0.97), supporting the validity of conducting these assessments via smartphone application in this population. CONCLUSIONS EMA conducted via smartphone demonstrates initial feasibility among adults with TBI and presents numerous opportunities for long-term monitoring of mood-related symptoms in real-world settings.
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Affiliation(s)
- Shannon B Juengst
- a Department of Physical Medicine & Rehabilitation , School of Medicine
| | - Kristin M Graham
- b Department of Rehabilitation Science & Technology , School of Health and Rehabilitation Sciences
| | - I Wayan Pulantara
- c Department of Health Information Management , School of Health and Rehabilitation Sciences
| | - Michael McCue
- b Department of Rehabilitation Science & Technology , School of Health and Rehabilitation Sciences
| | - Ellen M Whyte
- a Department of Physical Medicine & Rehabilitation , School of Medicine .,d Department of Psychiatry
| | - Brad E Dicianno
- a Department of Physical Medicine & Rehabilitation , School of Medicine .,b Department of Rehabilitation Science & Technology , School of Health and Rehabilitation Sciences
| | - Bambang Parmanto
- c Department of Health Information Management , School of Health and Rehabilitation Sciences
| | - Patricia M Arenth
- a Department of Physical Medicine & Rehabilitation , School of Medicine
| | - Elizabeth R D Skidmore
- a Department of Physical Medicine & Rehabilitation , School of Medicine .,e Department of Occupational Therapy , School of Health and Rehabilitation Sciences
| | - Amy K Wagner
- a Department of Physical Medicine & Rehabilitation , School of Medicine .,f Center for Neuroscience , and.,g Safar Center for Resuscitation Research, University of Pittsburgh , Pittsburgh , PA , USA
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Charters E, Gillett L, Simpson GK. Efficacy of electronic portable assistive devices for people with acquired brain injury: a systematic review. Neuropsychol Rehabil 2014; 25:82-121. [PMID: 25121394 DOI: 10.1080/09602011.2014.942672] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A systematic review was conducted to evaluate the efficacy of electronic portable assistive devices (EPADs) for people with acquired brain injury. A systematic database search (OVID, CINAHL) found 541 citations published between 1989 and the end of 2012. A total of 23 reports met the inclusion/exclusion criteria, namely intervention studies (group, n-of-1) testing the efficacy of EPADs as compensatory devices for cognitive impairment for people with acquired brain injury aged 16-65 years. Study quality was rated by the PEDro (Physiotherapy Evidence Database) scale, (randomised controlled trials), the Downes and Black tool (other group intervention studies), and the Single Case Experimental Design tool (single participant studies). Levels of evidence were determined using five levels of classification based on the Spinal Cord Injury Rehabilitation Evidence table. Results found no Level 1 studies (RCTs with PEDro score ≥ 6), four Level 2 studies and 10 Level 3 studies. There was insufficient evidence to recommend any practice standards, but sufficient evidence to recommend the use of electronic reminder systems in supporting the everyday functioning of people with acquired brain injury as a practice guideline. Higher quality studies are required to support a broader range of compensatory roles that EPADs have the potential to play in neurorehabilitation and the long-term support of people with acquired brain injury.
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Affiliation(s)
- E Charters
- a Department of Speech Pathology , Royal Prince Alfred Hospital , Camperdown , NSW , Australia
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Evaluation of treatment in the Smart Home IRIS in terms of functional independence and occupational performance and satisfaction. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2013; 2013:926858. [PMID: 24348748 PMCID: PMC3857826 DOI: 10.1155/2013/926858] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2013] [Revised: 10/02/2013] [Accepted: 10/09/2013] [Indexed: 11/17/2022]
Abstract
The development of assistive technologies, home modifications, and smart homes has rapidly advanced in the last two decades. Health professionals have recognised the benefits of these technologies in improving individual's quality of life. The Smart Home IRIS was established in 2008 within the University Rehabilitation Institute in Ljubljana with the aim to enable persons with disabilities and elderly people to test various assistive technologies and technical solutions for their independent living. We investigated the effect of treatments in the Smart Home IRIS. A convenience sample of 59 persons with disabilities and elderly people (aged 24–81 years) who were treated in the Smart Home IRIS from April to December 2011 participated. Standardised instruments—the Canadian Occupational Performance Measure (COPM) and the Functional Independence Measure (FIM)—were administered at the first assessment in the Smart Home IRIS and at a second assessment at the participant's home after 6–12 months. All the outcomes statistically significantly improved from the first to the second assessment. The treatments in the Smart Home IRIS appeared to contribute to higher occupational performance and satisfaction with performance and higher functional independence of persons with disabilities and elderly people.
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Kassberg AC, Malinowsky C, Jacobsson L, Lund ML. Ability to manage everyday technology after acquired brain injury. Brain Inj 2013; 27:1583-8. [DOI: 10.3109/02699052.2013.837196] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Arthanat S, Simmons CD, Favreau M. Exploring occupational justice in consumer perspectives on assistive technology. The Canadian Journal of Occupational Therapy 2012; 79:309-19. [DOI: 10.2182/cjot.2012.79.5.7] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Background. Occupational justice is an emerging paradigm in the provision of occupational therapy services. Assistive technology (AT) services, a key practice domain in occupational therapy, facilitate the participation of individuals with disabilities in all major occupations. Purpose. The goal of this study was to explore personal meanings of occupational justice among consumers of AT and to propose strategies that integrate values of occupational justice in AT services. Methods A content analysis of interviews with seven consumers of AT devices was employed. Themes relevant to the four conceptual definitions of occupational injustice, namely marginalization, alienation, deprivation, and imbalance, were identified. Findings. Four corresponding themes were inherent in the consumer experiences: ability to exercise choices through use of AT devices, using AT to achieve optimum occupational potential, empowerment through AT services, and personal relation to the AT device. Specific issues within these themes are classified and described according to the four conceptual definitions of occupational justice. Implications. The application of occupational justice is essential to promote client-centred AT services particularly in evaluation of needs, selection and acquisition of AT devices, and training and support for use of AT devices.
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Affiliation(s)
- Sajay Arthanat
- Department of Occupational Therapy, College of Health and Human Services, 4 Library Way, Hewitt Hall, University of New Hampshire, Durham, New Hampshire, USA, 03824
| | - C. Douglas Simmons
- Department of Occupational Therapy, College of Health and Human Services, 4 Library Way, Hewitt Hall, University of New Hampshire, Durham, New Hampshire, USA, 03824
| | - Megan Favreau
- Occupational Therapist, Starr Farm Nursing Center, 98 Starr Farm Road, Burlington, Vermont, USA, 05408
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Lancioni GE, O'Reilly MF, Singh NN, Green VA, Oliva D, Buonocunto F, Colonna F, Navarro J. Special text messaging communication systems for persons with multiple disabilities. Dev Neurorehabil 2012; 15:31-8. [PMID: 22256832 DOI: 10.3109/17518423.2011.631594] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To expand recently-developed text messaging systems with new technology-based solutions so as to allow persons with multiple disabilities to write messages. METHOD Two case studies were conducted. In Study I, the new technology-based solution involved vocal scanning of the alphabet letters to allow letter selection/writing and was assessed with a woman with blindness and extensive motor disability. In Study II, the new technology-based solution involved a touch-screen superimposed on letter symbols arranged alphabetically and was assessed with a man with acquired brain injury, motor disability and lack of speech. Each study involved an ABAB design. RESULTS Participants learned to write their messages, to send them out and to listen to incoming messages during intervention sessions of nearly 30 and 20 minutes, respectively. CONCLUSION Text messaging systems can be developed that allow participants with multiple disabilities to write messages.
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Affiliation(s)
- Giulio E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, Bari, Italy.
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Abstract
The relationship between assistive technology for cognition (ATC) and cognitive function was examined using a systematic review. A literature search identified 89 publications reporting 91 studies of an ATC intervention in a clinical population. The WHO International Classification of Functioning, Disability and Health (ICF) was used to categorize the cognitive domains being assisted and the tasks being performed. Results show that ATC have been used to effectively support cognitive functions relating to attention, calculation, emotion, experience of self, higher level cognitive functions (planning and time management) and memory. The review makes three contributions: (1) It reviews existing ATC in terms of cognitive function, thus providing a framework for ATC prescription on the basis of a profile of cognitive deficits, (2) it introduces a new classification of ATC based on cognitive function, and (3) it identifies areas for future ATC research and development.
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de Joode E, Proot I, Slegers K, van Heugten C, Verhey F, van Boxtel M. The use of standard calendar software by individuals with acquired brain injury and cognitive complaints: a mixed methods study. Disabil Rehabil Assist Technol 2011; 7:389-98. [DOI: 10.3109/17483107.2011.644623] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Larsson Lund M, Lövgren-engström AL, Lexell J. Using everyday technology to compensate for difficulties in task performance in daily life: experiences in persons with acquired brain injury and their significant others. Disabil Rehabil Assist Technol 2011; 6:402-11. [DOI: 10.3109/17483107.2011.574309] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Brandt A, Samuelsson K, Töytäri O, Salminen AL. Activity and participation, quality of life and user satisfaction outcomes of environmental control systems and smart home technology: a systematic review. Disabil Rehabil Assist Technol 2010; 6:189-206. [PMID: 21110728 DOI: 10.3109/17483107.2010.532286] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To examine activity and participation, quality of life, and user satisfaction outcomes of environmental control systems (ECSs) and smart home technology (SHT) interventions for persons with impairments. METHOD A systematic review. Seventeen databases, three conference proceedings, and two journals were searched without language or study design restrictions covering the period January 1993 - June 2009. Reviewers selected studies, extracted data, and assessed the methodological quality independently. RESULT Of 1739 studies identified, five effect studies and six descriptive studies were included. One study was on SHT and the remainder on ECS; functionalities were overlapping. The studies varied in most aspects, and no synthesis could be drawn. However, ECS/SHT tended to increase study participants' independence, instrumental activities of daily living, socialising, and quality of life. Two studies showed high user satisfaction. The level of evidence was regarded as low, mainly due to small study sizes, lacking confounder control, and a majority of descriptive studies. CONCLUSION Due to few and small studies and study diversity, it was not possible to determine whether ECS/SHT have positive outcomes for persons with impairment, even though the technologies seem to be promising. High quality outcomes studies such as randomised controlled trials, when feasible, and large longitudinal multi-centre studies are required.
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Affiliation(s)
- Ase Brandt
- The Danish Centre for Assistive Technology, Århus, Denmark.
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Lindén A, Lexell J, Larsson Lund M. Improvements of task performance in daily life after acquired brain injury using commonly available everyday technology. Disabil Rehabil Assist Technol 2010; 6:214-24. [DOI: 10.3109/17483107.2010.528142] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Lancioni GE, Singh NN, O’Reilly MF, Sigafoos J, Signorino M, Oliva D, Alberti G, Carrella L, de Tommaso M. A special messaging technology for two persons with acquired brain injury and multiple disabilities. Brain Inj 2010; 24:1236-43. [DOI: 10.3109/02699052.2010.506857] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Boman IL, Bartfai A, Borell L, Tham K, Hemmingsson H. Support in everyday activities with a home-based electronic memory aid for persons with memory impairments. Disabil Rehabil Assist Technol 2010; 5:339-50. [DOI: 10.3109/17483100903131777] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Boman IL, Lindberg Stenvall C, Hemmingsson H, Bartfai A. A training apartment with a set of electronic memory aids for patients with cognitive problems. Scand J Occup Ther 2010; 17:140-8. [DOI: 10.3109/11038120902875144] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Lindén A, Lexell J, Lund ML. Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scand J Occup Ther 2009; 17:267-75. [DOI: 10.3109/11038120903265022] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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