Computer Accessibility Issues for Older Adults with Disabilities: A Pilot Study

The number of adults older than 65 years is expected to increase dramatically during the next 30 years. Older adults have been described as one of the fastest growing groups of computer users, and have been shown to uniquely benefit from computer use. Given their increased susceptibility toward disabling conditions and age-related decline, older adults often face challenges regarding computer use and accessibility. The purpose of this pilot study was to explore computer use and accessibility issues of older adults with disabilities, focusing on relationships between workstation, performance, satisfaction, and self-reported pain. A sample of 32 older adults with disabilities who owned and used a personal computer were interviewed in their homes and observed during performance of a familiar computer task. Their computer workstations were also assessed for adherence to ergonomic principles. Satisfaction with their computer ability was found to be positively correlated with workstation design, their perception of the importance of a computer, duration of use per week, and participants' perception of performance. No significant differences were found between older adults who did and did not report pain associated with computer use. Results suggest that older adults with disabilities are using computers for many tasks, consider their computers important, perceive their performance as relatively good, and are generally satisfied with their ability to use their computer. There is a need for further research examining the correlates of older adults' satisfaction with their ability to use their computer.

Applying ergonomics to nurse computer workstations: review and recommendations

Nursing is associated with high rates of musculoskeletal disorders from patient handling, and nurses are at high risk for developing cumulative trauma disorders, which can result from computer usage. Although there are many benefits to using computers in the workplace, nurses need to incorporate ergonomic factors into work settings to promote safe workplace environments. This article reviews recent literature about computer workstation ergonomics, discusses related policies, and makes recommendations about computer workstation design and related research in nursing workplace settings.

The effect of disease prevention and health promotion on workplace productivity: a literature review

This report was prepared by the Center for Disease Prevention and Health Promotion in the Institute for Health and Productivity Management as part of an effort to improve understanding of the connection between employee health and performance and to begin to identify new strategies through which treating health as an investment in human capital can lead to greater business success. Computer database searches of peer-reviewed literature published between 1993 and 1998 and manual reviews of 20 journals were used to identify research on the link between employee health and performance. Data was extracted to summarize the overall findings on the magnitude of health problems addressed by health promotion and disease prevention programs, and the impact of interventions on improving health risk, reducing medical care cost, and improving worker performance. From this summary, major conclusions on early detection of disease, the impact of behavior change programs, and appropriate care-seeking were drawn. This systematic review is supplemented with summaries of 15 seminal articles and descriptions of five leading-practices programs. The influence of developments in work/family issues, complementary and alternative medicine, and quality of care and health outcomes research are briefly discussed. Finally, a conceptual framework for studying the impact of health and productivity is described.

Nintendonitis? A case report of repetitive strain injury in a child as a result of playing computer games

Repetitive strain injury is a common occupational hazard but has not been previously reported in a child. With the escalating use of computers both in the home for recreational purposes and in schools for teaching, the possible incidence of hand and wrist problems may need to be highlighted. Perhaps "hand care" instruction should be implemented in UK schools as prophylaxis.

[The construction of the "sick-subject" in RSI]

There is a running debate over the relationship between work and disease, namely the disease known as repetitive strain injury (RSI), or else work-related osteomuscular disturbances (in Portuguese DORT), as it was renamed in 1997 by the Instituto Nacional de Seguridade Social (INSS) in accordance with the Disability Assessment Norms. Standing out among the signs brought about by this new infirmity process is its restricted focus on the subjective aspects in the analysis of the disease. Underlying the INSS stance is the view of a sickness-prone subject and the notion of health as capacity for work. This paper analyzes the historical context which characterizes these health/work and body/disease notions. It also discusses the construction of the 'sick-subject' and the way in which such a subjectivizing process entraps the subject itself. Finally, we show the way in which the INSS in Rio de Janeiro has managed to stop this disease of its work-related characteristics, fighting and reducing the occurrences of RSI as well as the costs with work compensation claims.