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Geraldo A, Dores AR, Carvalho IP, Guerreiro S, Castro-Caldas A, Barbosa F. At-distance neurocognitive rehabilitation during COVID-19 pandemic: A first glance of patients' perspectives about the process and an online platform. APPLIED NEUROPSYCHOLOGY. ADULT 2024; 31:974-983. [PMID: 35856884 DOI: 10.1080/23279095.2022.2100993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Despite the use of digital communication technologies in neurocognitive rehabilitation has been widely used in face-to-face interventions, the difficulties of using ICT-based tools to provide rehabilitation services and the unfamiliarity of the neuropsychologists with internet interventions limited the use of these kinds of interventions in their clinical practices. The lockdown and mitigating measures associated with the COVID-19 pandemic, on the other hand, forced the use of at-distance and online interventions as a means to mitigate the impact of those measures on the mental health and rehabilitation processes of people with neurological disorders. Overall, little is known about the perspectives of patients with acquired neurological conditions about rehabilitation services delivered at distance. Therefore, the main goal of this study was to explore the perceptions that patients with neurological disorders have on at-distance online neurocognitive rehabilitation, namely during the COVID-19 pandemic. Sixteen patients with acquired neurological conditions attending an online neurocognitive rehabilitation program in a Portuguese rehabilitation center filled in an online questionnaire during the mandatory lockdown. The results of this study highlight the potential of delivering rehabilitation services at distance, presenting its advantages and limitations from patients' perspectives, as well as suggestions for improving both neurorehabilitation processes and the online rehabilitation platform used.
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Affiliation(s)
- Andreia Geraldo
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Artemisa R Dores
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
- School of Health, Polytechnic Institute of Porto, Porto, Portugal
| | - Irene P Carvalho
- Department of Clinical Neurosciences and Mental Health, School of Medicine, University of Porto (FMUP), Porto, Portugal
| | - Sandra Guerreiro
- CRPG - Centro de Reabilitação Profissional de Gaia [CRPG - Vocational Rehabilitation Center], Institute of Health Sciences, Catholic University of Portugal, Lisbon, Portugal
- Institute of Health Sciences, Catholic University of Portugal, Lisbon, Portugal
| | | | - Fernando Barbosa
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
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Grewal J, Vu Nguyen S, Nonis N, Singh H. A qualitative study of individuals with acquired brain injury' and program facilitators' experiences in virtual acquired brain injury community support programs. Disabil Rehabil 2024:1-10. [PMID: 39077894 DOI: 10.1080/09638288.2024.2383398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 07/16/2024] [Accepted: 07/17/2024] [Indexed: 07/31/2024]
Abstract
PURPOSE Acquired brain injury (ABI) community support programs aim to help support long-term needs through informational and psychosocial support. Due to the COVID-19 pandemic, many support programs adopted virtual program delivery. However, the experiences of facilitators and people with ABI who participate in virtual support programs are understudied. This study aimed to describe the experiences of people with ABI and program facilitators participating in virtual ABI community support programs. MATERIALS AND METHODS This was a qualitative descriptive study. Semi-structured interviews were conducted with people with ABI and program facilitators who participated in virtual ABI community support programs. Data were analyzed using inductive thematic analysis. RESULTS In total, 16 participants were included in this study. Of the 16 participants, 14 were people with ABI (three of whom were also program facilitators) and two were program facilitators without ABI. Our analysis generated three themes including perceived benefits (theme 1), perceived challenges (theme 2), and considerations to improve program quality (theme 3). Each theme outlines subthemes relaying the experiences of participants. CONCLUSIONS These findings highlight the need for stakeholders to implement guidelines and training for program facilitators and attendees of virtual ABI support programs to maximize accessibility, usability, inclusivity and safety.IMPLICATIONS FOR REHABILITATIONThis study described the experiences of people with acquired brain injury and facilitators who participated in virtual support programs.Benefits of virtual support programs include connecting with peers, increased access to resources, and enhanced feasibility and accessibility.Difficulties with virtual support programs include intrapersonal (e.g., increased side effects), interpersonal (e.g., communication barriers), and environmental and contextual (e.g., privacy concerns) challenges.Suggestions to improve program quality include creating a safe and respectful environment, fostering engagement and managing challenging situations, and enhancing accessibility and inclusivity.
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Affiliation(s)
- Jasleen Grewal
- Rehabilitation Sciences Graduate Program, University of British Columbia, Vancouver, British Columbia, Canada
- Rehabilitation Research Program, Centre for Aging SMART at Vancouver Coastal Health, Vancouver, British Columbia, Canada
| | - Sarah Vu Nguyen
- Brain Injury Association of Peel & Halton, Mississauga, Ontario, Canada
| | - Nichola Nonis
- Brain Injury Association of Peel & Halton, Mississauga, Ontario, Canada
| | - Hardeep Singh
- Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- KITE Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
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Grieb EJ, Schmid AA, Riggs NR, Stephens JA. Executive Function After Yoga: Adults With Acquired Brain Injury-A Pilot Study. Am J Occup Ther 2024; 78:7802180130. [PMID: 38407977 DOI: 10.5014/ajot.2024.050403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2024] Open
Abstract
IMPORTANCE Acquired brain injury (ABI) may result in deficits in executive function (EF), which affects engagement in occupations. OBJECTIVE To explore the impact of group yoga on EF in people with ABI. DESIGN Single-arm pilot study with preyoga assessments and postyoga assessments (after 8 wk of yoga). SETTING Yoga classes and assessments were completed within university buildings on a college campus. PARTICIPANTS Twelve participants with chronic ABI (>6 mo post-ABI) were recruited through convenience and purposive strategies from the local community. INTERVENTION An 8-wk adaptive group yoga intervention was provided by an adaptive yoga specialist. Yoga classes were 60 min and occurred once per week. OUTCOMES AND MEASURES EF was assessed before and after the yoga intervention using the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) self-report form. Normative data were analyzed with paired sample t tests. RESULTS Nine participants completed all study procedures. Results from paired sample t tests showed significant improvements on the Behavioral Regulation Index of the BRIEF-A (p = .046). No significant improvements were found on individual EF scales, the Metacognition Index, or the Global Executive Composite (ps > .05). CONCLUSIONS AND RELEVANCE Group-based yoga may improve some aspects of EF for adults with chronic ABI; however, further research with larger sample sizes is needed. Plain-Language Summary: Yoga, an intervention increasingly used in occupational therapy practice, may be beneficial in improving behavioral regulation (an executive function) for adults with acquired brain injury.
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Affiliation(s)
- Emily J Grieb
- Emily J. Grieb, MS, OTR, is Occupational Therapist, Peaks & Bounds, Inc., Fort Collins, CO. At the time this research was completed, Grieb was Occupational Therapy Student, Department of Occupational Therapy, Colorado State University, Fort Collins;
| | - Arlene A Schmid
- Arlene A. Schmid, PhD, OTR, FAOTA, is Professor, Department of Occupational Therapy, Colorado State University, Fort Collins
| | - Nathaniel R Riggs
- Nathaniel R. Riggs, PhD, is Professor, Department of Human Development and Family Studies, Colorado State University, Fort Collins
| | - Jaclyn A Stephens
- Jaclyn A. Stephens, PhD, OTR, is Associate Professor, Department of Health and Exercise Science, Colorado State University, Fort Collins
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Eriksson G, Tistad M, Elf M, Fors U, von Koch L, Ytterberg C, Guidetti S. Study protocol of a non-randomised controlled trial evaluating the effectiveness of the F@ce 2.0 programme: a person-centred, ICT-supported and interdisciplinary rehabilitation intervention after stroke. BMJ Open 2022; 12:e058748. [PMID: 35926996 PMCID: PMC9358950 DOI: 10.1136/bmjopen-2021-058748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Knowledge is missing on use of information and communication technology (ICT), for example, mobile phones/tablets in rehabilitation after stroke. F@ce 2.0 is a person-centred, interdisciplinary intervention supported by ICT. The components of F@ce 2.0 intend to increase performance in daily activities and participation in everyday life for patients with stroke and their significant others. Based on previous feasibility studies, a full-scale evaluation is planned in Sweden. The aim is to implement and evaluate F@ce 2.0, regarding performance of daily activities and participation in everyday life, in comparison with ordinary rehabilitation among persons who have had stroke and significant others. Second, to increase knowledge about how the programme leads to a potential change by studying the implementation process and mechanisms of impact. METHODS AND ANALYSIS Twelve rehabilitation teams (intervention n=7; control n=5) will recruit patients (n=160) who receive rehabilitation at home after stroke and their significant others. F@ce 2.0 is an 8-week intervention where patients, together with the team, formulate three activity goals regarding what they need and want to do in daily lives. The patients will receive short messages service (SMS) each morning reminding about goals, and in the evening to rate their performance during the day. Primary outcomes for patients: self-efficacy measured by the Self-Efficacy Scale; perceived performance in daily activities measured by the Canadian Occupational Performance Measure. Significant others: perceived caregiver burden measured by Caregiver Burden Scale. Qualitative interviews with team members delivering, patients receiving intervention and significant others will explore experiences of F@ce 2.0. A process evaluation applying a case-study design using mixed methods will be conducted. ETHICS AND DISSEMINATION Approved by the Swedish Ethical Review Authority, Stockholm. Knowledge will be created for using ICT for rehabilitation of people after stroke in self-selected activities. Dissemination will include peer-reviewed publications, presentations at conferences, and information to stakeholders. TRIAL REGISTRATION NUMBER DETAILS NCT04351178 .
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Affiliation(s)
- Gunilla Eriksson
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Malin Tistad
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- School of Health and Welfare, Dalarna University, Falun, Sweden
| | - Marie Elf
- School of Health and Welfare, Dalarna University, Falun, Sweden
| | - Uno Fors
- Department of Computer and Systems Sciences (DSV), Stockholm University, Stockholm, Sweden
| | - Lena von Koch
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Neuro Theme, Karolinska University Hospital, Stockholm, Sweden
| | - Charlotte Ytterberg
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden
| | - Susanne Guidetti
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
- Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden
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Moradi V, Babaee T, Esfandiari E, Lim SB, Kordi R. Telework and telerehabilitation programs for workers with a stroke during the COVID-19 pandemic: A commentary. Work 2021; 68:77-80. [PMID: 33427710 DOI: 10.3233/wor-203356] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Due to the coronavirus disease 2019 (COVID-19) pandemic, rehabilitation facilities have become less accessible for patients with a stroke. Lack of early, intensive rehabilitation misses the opportunity for recovery during the critical time window of endogenous plasticity and improvement post-stroke. OBJECTIVES The purpose of this commentary was to highlighting the benefits of telework and telerehabilitation programs for workers with a stroke during the COVID-19 pandemic. METHODS Relevant publications regarding the management of individuals with a stroke, telerehabilitation and teleworking in the setting of COVID-19 were reviewed. RESULTS Previous studies showed that telerehabilitation can effectively provide an alternate method of promoting recovery for patients with a stroke. With the physical distancing precautions in place for mitigating viral spread, teleworking can also provide a method for long term recovery and improvements in quality of life after a stroke. CONCLUSIONS Overall, this commentary addresses the benefits of physically distant, safe and effective alternatives to support individuals who live with a stroke during COVID-19 pandemic.
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Affiliation(s)
- Vahideh Moradi
- Rehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.,Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Taher Babaee
- Rehabilitation Research Center, Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Elham Esfandiari
- Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Shannon B Lim
- Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, BC, Canada
| | - Ramin Kordi
- Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Ramirez-Hernandez D, Stolwyk RJ, Chapman J, Wong D. The experience and acceptability of smartphone reminder app training for people with acquired brain injury: a mixed methods study. Neuropsychol Rehabil 2021; 32:1263-1290. [PMID: 33563100 DOI: 10.1080/09602011.2021.1879875] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Smartphones are useful compensatory memory aids, yet training on how to use them is seldom offered as part of rehabilitation for acquired brain injuries (ABIs). We aimed to explore the experience and acceptability of a smartphone training intervention in 26 people with ABI who participated in a pilot randomized controlled trial comparing three skills training approaches. Participants completed questionnaire ratings and a semi-structured interview, six weeks post-training. Most participants rated the training as enjoyable (80.8%) and reasonable in duration (88.5%). Others reported that more than one training session was needed to learn the app (34.6%). Five themes were identified from qualitative data through thematic analysis: (1) Attitudes and pre-existing factors, (2) Experiencing the intervention, (3) Tailoring the intervention to the individual, (4) Facilitators and barriers to implementation and (5) Enhancing smartphone use in everyday life. These themes were juxtaposed with a theoretical framework of acceptability, which indicated that some elements (e.g., having a structured session and a supportive trainer) contributed to the acceptability of the intervention by minimizing training burden and increasing self-efficacy. Tailoring the training to the individual's technological skills and lifestyle, providing post-training resources and involving family members were identified as factors that could improve intervention acceptability.
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Affiliation(s)
- Diana Ramirez-Hernandez
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.,Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia
| | - Renerus J Stolwyk
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.,Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia
| | - Jodie Chapman
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.,School of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia
| | - Dana Wong
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Australia.,Monash-Epworth Rehabilitation Research Centre, Melbourne, Australia.,School of Psychology and Public Health, La Trobe University, Melbourne, Australia
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Guidetti S, Gustavsson M, Tham K, Andersson M, Fors U, Ytterberg C. F@ce: a team-based, person-centred intervention for rehabilitation after stroke supported by information and communication technology - a feasibility study. BMC Neurol 2020; 20:387. [PMID: 33096984 PMCID: PMC7583214 DOI: 10.1186/s12883-020-01968-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 10/16/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Globally, there is a growing use of Information and Communication Technology (ICT), including mobile phones, tablets and computers, which are being integrated into people's daily activities. An ICT-based intervention called F@ce was developed in order to provide a structure for the process in stroke rehabilitation and facilitate change by integrating a global problem-solving strategy using SMS alerts. The aim of the study was to evaluate the feasibility of i) F@ce within in-patient and primary care rehabilitation after stroke, ii) the study design and outcome measures used, and iii) the fidelity, adherence and acceptability of the intervention. METHODS Three teams comprising occupational therapists and physiotherapists who work in neurological rehabilitation participated in a preparatory workshop on F@ce and then enrolled 10 persons with stroke to participate in the intervention. Goals were set using the Canadian Occupational Performance Measure (COPM) and the participants with stroke rated their performance and satisfaction with the activities associated with the three goals every day for 8 weeks. Data were collected at inclusion, at four and 8 weeks, using the COPM, Stroke Impact Scale, Frenchay Activities Index, Life Satisfaction Checklist, Self-Efficacy Scale, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, follow-up survey, daily ratings on the web platform and logbooks. RESULTS All of the participants showed increased scores in the primary outcome (COPM) and a clinically meaningful improvement of ≥2 points was found in four participants regarding performance and in six participants regarding satisfaction. Overall fidelity to the components of F@ce was good. The response rates to the F@ce web platform were 44-100% (mean 78%). All of the participants stated that F@ce had supported their rehabilitation. CONCLUSION The results indicate that the most beneficial part of F@ce was the person-centred, goal-setting process and SMS alerts. All participants were satisfied with F@ce and highlighted the benefits of receiving daily alerts about their goals. This encouraged them to be more active. The only downside mentioned was that they felt under an obligation to practice, although this was described as "a positive obligation".
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Affiliation(s)
- Susanne Guidetti
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Martha Gustavsson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Kerstin Tham
- Faculty of Health and Society, Malmö University, Malmö, Sweden
| | - Magnus Andersson
- Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden
| | - Uno Fors
- Department of Computer and Systems Sciences (DSV), Stockholm University, Stockholm, Sweden
| | - Charlotte Ytterberg
- Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
- Function Area Occupational Therapy & Physiotherapy, Karolinska University Hospital, Stockholm, Sweden
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Madsen J, Josephsson S, Kanstrup AM. Presenting an analytic framework facilitating a situationally oriented analysis of the use of digital technology for engagement in occupation. Scand J Occup Ther 2020; 28:631-642. [PMID: 33030974 DOI: 10.1080/11038128.2020.1829038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Digital technology is closely intertwined with and influences people's everyday lives. Within occupational science and occupational therapy, research is therefore warranted into situationally oriented analysis of the use of digital technology for engagement in occupation. OBJECTIVE To contribute with an analytic framework facilitating a situationally oriented analysis of the use of digital technology for engagement in occupation. MATERIAL AND METHODS An operationalisation of Dewey's theory of transaction and inquiry in conjunction with an occupational science approach served as the analytical framework for exploring how underprivileged adults use digital technology for engaging in health-related occupation. FINDINGS The analytical framework proved useful for a situationally oriented analysis of digital technology use for engagement in occupation: by fostering identification and registration of digital technology artefacts used for engagement in occupation, by making transparent the complexity that the situation creates for the participant, by identifying problems with and needs for inquiries in relation to engagement in occupation and, finally, by facilitating a situation-oriented analytical language. CONCLUSION The analytical framework presented is useful for conducting a situationally oriented analysis of digital technology use for engagement in occupation. Future research and validation of the analytical framework are needed.
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Affiliation(s)
- Jacob Madsen
- Division of Health Studies, Department of Occupational Therapy, Professionshøjskolen University College Nordjylland, Aalborg, Denmark
| | - Staffan Josephsson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
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Gustavsson M, Ytterberg C, Guidetti S. Exploring future possibilities of using information and communication technology in multidisciplinary rehabilitation after stroke - a grounded theory study. Scand J Occup Ther 2019; 27:223-230. [PMID: 31545665 DOI: 10.1080/11038128.2019.1666918] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Background: Using Information and Communication Technology (ICT) could increase the intensity of rehabilitation, the level of patient activity and participation in everyday life after stroke and is in line with having a person-centred approach.Aim: To explore how healthcare professionals use and could potentially use ICT to enable a person-centred rehabilitation process after stroke.Methods: Six individual and two focus group interviews were conducted with a group of healthcare professionals working within rehabilitation after stroke. A grounded theory approach was used to collect and analyze the data.Results: The professionals described their current use of ICT as well as their vision of how ICT could be incorporated as a tool in rehabilitation for sharing in four categories: (1) Sharing of information, (2) Collaborating from a distance, (3) Having transparency in the documentation and (4) Supporting patients' use of ICT.Conclusion: Professionals state that using ICT solutions in rehabilitation after stroke could increase sharing between professionals and their patients and increase patient participation in the rehabilitation process.Significance: This study highlights the importance of developing ICT that healthcare professionals could use along with a person-centred approach. The results will be used to develop an ICT-supported multidisciplinary intervention for rehabilitation after stroke.
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Affiliation(s)
- Martha Gustavsson
- Division of Occupational Therapy. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Charlotte Ytterberg
- Division of Physiotherapy. Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.,Function Area Occupational Therapy & Physiotherapy, 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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Zonneveld M, Patomella AH, Asaba E, Guidetti S. The use of information and communication technology in healthcare to improve participation in everyday life: a scoping review. Disabil Rehabil 2019; 42:3416-3423. [PMID: 30966833 DOI: 10.1080/09638288.2019.1592246] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Background and purpose: The increase in use of everyday information and communication technologies can lead to the need for health professionals to incorporate technology use competencies in practice. Information and communication technologies has the potential to improve participation in daily life among people with disability. The aim was to review and describe evidence of the use of information and communication technology, including mobile technology, for improving participation in everyday life. A secondary aim was to describe how study outcomes were related to participation.Materials and methods: A scoping review methodology was used to identify studies through databases as MEDLINE, CINAHL, Cochrane Library. Thereafter, the studies were screened and assessed for inclusion.Results: Eleven studies were included. The most commonly used technology were videoconferencing and the telephone. Ten of the 11 studies reported a change in participation in everyday life. Participation was mainly described as involvement in a life situation or related to activities of daily living.Conclusion: Delivering an intervention to improve participation through information and communication technology can be a valid option in rehabilitation. There is a need to measure and describe the intervention and its outcomes in relation to a definition of participation in future studies.IMPLICATIONS FOR REHABILITATIONThe use of an information and communication technology application seems to be as good as the face-to-face intervention.There is a need for defining the concept of participation related to outcome measures in future studies.
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Affiliation(s)
- Michael Zonneveld
- Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, Netherlands
| | - Ann-Helen Patomella
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Eric Asaba
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
| | - Susanne Guidetti
- Division of Occupational Therapy, Department of Neurobiology Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
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11
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Lemke M, Rodríguez Ramírez E, Robinson B, Signal N. Motivators and barriers to using information and communication technology in everyday life following stroke: a qualitative and video observation study. Disabil Rehabil 2019; 42:1954-1962. [PMID: 30686063 DOI: 10.1080/09638288.2018.1543460] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Purpose: Information and communication technology devices have become a ubiquitous part of everyday life and a primary means of communication. The aim of this study was to describe the experience of information and communication technology and to explore the barriers and motivators to its use following stroke.Materials and methods: This observational study used semi-structured individual interviews and video observation of information and communication technology device use with six people, four men, and two women age 60-82 years with upper limb disability following stroke. They were analyzed using thematic analysis.Results: Three themes were identified that relate to barriers: (i) Sensory and motor impairments; (ii) Limited vision and impaired speech; and (iii) Device-specific limitations. Six themes were identified as motivators: (i) Connect with others; (ii) Provide safety; (iii) Facilitate reintegration; (iv) Reinforce technology adoption; (v) Leisure activities; and (vi) Contribute to the rehabilitation process.Conclusion: All participants used some form of information and communication technology daily to promote safety, enable daily activities, and social interaction, and to a lesser extent engage in leisure and rehabilitation activities. Barriers to information and communication technology use were primarily related to stroke related impairments and device-specific requirements, which limited use, particularly of smartphones. These barriers should be addressed to facilitate the use of information and communication technology devices.Implications for rehabilitationThis research suggests that;People with stroke are highly motivated to use information and communication technology devices in daily activitiesStroke-specific and age-related impairments limit the use and functionality of information and communication technology devices for people with strokeInformation and communication technology devices do not appear to be promoted or used in the rehabilitation or as assistive technologies.
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Affiliation(s)
- Mailin Lemke
- School of Design, Victoria University of Wellington, Wellington, New Zealand
| | | | - Brian Robinson
- Graduate School of Nursing, Midwifery and Health, Victoria University of Wellington, Wellington, New Zealand
| | - Nada Signal
- Health and Rehabilitation Research Institute, AUT University, Auckland, New Zealand
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12
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Stern BZ, Goverover Y. Everyday technology use for men with multiple sclerosis: An occupational perspective. Br J Occup Ther 2018. [DOI: 10.1177/0308022618777985] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Brocha Z Stern
- PhD Candidate, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, USA
| | - Yael Goverover
- Associate Professor, Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, USA
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13
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Kaptain RJ, Kottorp A, Patomella AH, Helle T. Inter-rater and test-retest reliability of the Danish version of the everyday technology use questionnaire. Scand J Occup Ther 2017; 26:226-234. [PMID: 29073836 DOI: 10.1080/11038128.2017.1395910] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
BACKGROUND Everyday technologies are naturally integrated in people's daily life. For older adults and adults living with a chronic disease like chronic obstructive pulmonary disease (COPD), the ability to use technologies for health management has become increasingly important. The aim of this study was to investigate inter-rater and test-retest reliability of the Danish version of the Everyday Technology Use Questionnaire (ETUQ) in a sample of older adults with (n = 23) and without (n = 24) COPD. MATERIAL AND METHOD The ETUQ was initially translated in accordance with the dual panel approach and then administered to a sample of 47 participants. Svensson's method for paired ordinal data was utilized to calculate and analyze reliability. RESULTS Overall, inter-rater and test-retest reliability of the Danish version of the ETUQ demonstrated excellent percentage agreement (PA) (>75%), although for test-retest reliability, nine items demonstrated fair (53%) to good (73%) agreement. CONCLUSION This study supports the use of the Danish version of the ETUQ in a sample of older adults with or without COPD. Application to practice: The Danish version of the ETUQ is an evidence-based evaluation that can reliably contribute to clinical occupational therapy and research in Denmark focusing on everyday technology use.
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Affiliation(s)
- Rina Juel Kaptain
- a Department of Occupational Therapy, Department of Research and Development , University College North , Aalborg , Denmark.,b Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
| | - Anders Kottorp
- b Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden.,c Department of Occupational Therapy , College of Applied Health Sciences, University of Illinois at Chicago , Chicago , IL , USA
| | - Ann-Helen Patomella
- b Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
| | - Tina Helle
- a Department of Occupational Therapy, Department of Research and Development , University College North , Aalborg , Denmark.,b Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy , Karolinska Institutet , Stockholm , Sweden
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Gustavsson M, Ytterberg C, Nabsen Marwaa M, Tham K, Guidetti S. Experiences of using information and communication technology within the first year after stroke – a grounded theory study. Disabil Rehabil 2016; 40:561-568. [DOI: 10.1080/09638288.2016.1264012] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Martha Gustavsson
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Charlotte Ytterberg
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
- Department of Physiotherapy, Karolinska University Hospital, Stockholm, Sweden
| | - Mille Nabsen Marwaa
- Department of Physiotherapy Education, University College South Denmark, Esbjerg, Denmark
| | - Kerstin Tham
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | - Susanne Guidetti
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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15
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Melrose RJ, Brommelhoff JA, Narvaez T, Natta L, Riskin-Jones HH, Sakhai S, Wong L, Curtis S, Horning SM. The use of Information and Communication technology when completing instrumental activities of daily living. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.05.045] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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16
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Larsson-Lund M, Kottorp A, Malinowsky C. Return to work in people with acquired brain injury: association with observed ability to use everyday technology. Scand J Occup Ther 2016; 24:281-289. [DOI: 10.1080/11038128.2016.1194466] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Maria Larsson-Lund
- Luleå University of Technology, Department of Health Sciences, Occupational Therapy, Luleå, Sweden
| | - Anders Kottorp
- Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Stockholm, Sweden
- University of Zurich, Zurich, Switzerland
| | - Camilla Malinowsky
- Luleå University of Technology, Department of Health Sciences, Occupational Therapy, Luleå, Sweden
- Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Occupational Therapy, Stockholm, Sweden
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Kamwesiga JT, Tham K, Guidetti S. Experiences of using mobile phones in everyday life among persons with stroke and their families in Uganda - a qualitative study. Disabil Rehabil 2016; 39:438-449. [PMID: 26939597 DOI: 10.3109/09638288.2016.1146354] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Aim The aim of this study was to describe the experiences and meaning of using mobile phones in everyday life after stroke, among persons with stroke and their family members. Methods Qualitative semi-structured interviews were conducted among 11 persons with stroke and 9 family members 2 months to 2 years after the stroke. The interviews were analysed by using constant comparative grounded theory (GT) approach. Results Seven categories were identified from the analysis of the participants' experiences. The mobile phone: (1) as an enabler of communication and connections with other people, (2) a source of inspiration for agency, (3) structuring routine and activities in daily life, (4) as a facilitator of social and economic wellbeing of an individual or family, (5) promoter of belonging and participation in social relationships, (6) facilitator of reintegration to community living and (7) enabler of family members to feel secure. From these categories, a core category emerged: The mobile phone as a "life line" and an extension of the body enabling connection, belonging and agency to act in a complex everyday life situation. Conclusion The study gives support for the possibility of using mobile phones to facilitate change and community integration in the rehabilitation process after stroke. Implications for Rehabilitation Stroke leads to decreased functioning in everyday life due to impairments, activity limitations and participation restrictions as well caregiver burden. Mobile phones seem to be an accessible and affordable technology used in daily life of persons with stroke and family members and connects them to the needed services and social relationships. The mobile phone technology reduces resource and infrastructural challenges and increases accessibility to rehabilitation interventions. The mobile phone was an important instrument that facilitated the quality of life of persons with stroke and their family members and could increase their participation in rehabilitation interventions.
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Affiliation(s)
- Julius T Kamwesiga
- a Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Stockholm , Sweden.,b Occupational Therapy School , Uganda Institute of Allied Health and Management Sciences-Mulago , Kampala , Uganda
| | - Kerstin Tham
- a Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Stockholm , Sweden
| | - Susanne Guidetti
- a Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Stockholm , Sweden
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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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Kassberg AC, Prellwitz M, Malinowsky C, Larsson-Lund M. Interventions aimed at improving the ability to use everyday technology in work after brain injury. Scand J Occup Ther 2015; 23:147-57. [PMID: 26651230 DOI: 10.3109/11038128.2015.1122835] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The aim of this study was to explore and describe how client-centred occupational therapy interventions may support and improve the ability to use everyday technology (ET) in work tasks in people with acquired brain injury (ABI). METHOD A qualitative, descriptive multiple-case study was designed, and occupation-based interventions were provided to three working-age participants with ABI. Multiple sources were used to collect data throughout the three intervention processes, including assessments, field notes, and interviews. The Canadian Occupational Performance Measure and the Management of Everyday Technology Assessment were administered before the interventions, after the interventions and at a follow-up session 2-3 months subsequent to the interventions. RESULTS The three intervention processes initially consisted of similar actions, but subsequently the actions took on a different focus and intensity for each case. All of the goals in each of the three case processes were achieved, and both perceived and observed abilities to use ET in work tasks improved. CONCLUSIONS Client-centred occupational therapy interventions might have the potential to improve the ability to use ET in work tasks in people with ABI.
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Affiliation(s)
- Ann-Charlotte Kassberg
- a Department of Research , Norrbotten County Council , Luleå , Sweden ;,b Department of Health Sciences, Division of Occupational Therapy , Luleå University of Technology , Luleå , Sweden
| | - Maria Prellwitz
- b Department of Health Sciences, Division of Occupational Therapy , Luleå University of Technology , Luleå , Sweden
| | - Camilla Malinowsky
- c Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden
| | - Maria Larsson-Lund
- b Department of Health Sciences, Division of Occupational Therapy , Luleå University of Technology , Luleå , Sweden
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20
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Fallahpour M, Kottorp A, Nygård L, Lund ML. Participation after acquired brain injury: Associations with everyday technology and activities in daily life. Scand J Occup Ther 2015; 22:366-76. [DOI: 10.3109/11038128.2015.1011229] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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21
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Goverover Y, DeLuca J. Actual reality: Using the Internet to assess everyday functioning after traumatic brain injury. Brain Inj 2015; 29:715-21. [DOI: 10.3109/02699052.2015.1004744] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Yael Goverover
- Department of Occupational Therapy, New York University, New York, NY, USA,
- Kessler Foundation, West Orange, NJ, USA, and
| | - John DeLuca
- Kessler Foundation, West Orange, NJ, USA, and
- Department of Physical Medicine and Rehabilitation, Rutgers University, New Jersey Medical School, Newark, NJ, USA
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Sunagawa K, Nakagawa Y, Funayama M. Effectiveness of Use of Button-Operated Electronic Devices Among Persons With Bálint Syndrome. Am J Occup Ther 2015; 69:6902290050. [DOI: 10.5014/ajot.2015.014522] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
OBJECTIVE. Little is known about how visuospatial deficits affect the use of electronic devices operated by pressing spatially interspersed buttons. This study aimed to determine whether people with Bálint syndrome can effectively use such devices.
METHOD. We quantified the ability of 7 study participants with Bálint syndrome to use button-operated electronic devices by measuring the time required to input digit sequences into three different types of devices. Control groups were 8 participants with amnesia and 8 healthy participants.
RESULTS. Participants with Bálint syndrome took longer to input a digit sequence on all three devices than did those in the two control groups. Although we found no significant differences with respect to type of device, 2 of 3 participants with severe Bálint syndrome were able to input one- to five-digit sequences with the electronic calculator.
CONCLUSION. Distinctive design features might positively affect the performance of people with Bálint syndrome.
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Affiliation(s)
- Kosaku Sunagawa
- Kosaku Sunagawa, MSc, OTR, is Occupational Therapy Practitioner, Department of Occupational Therapy, Edogawa Hospital, Tokyo, Japan;
| | - Yoshitaka Nakagawa
- Yoshitaka Nakagawa, MSc, RST, is Chief, Department of Speech Therapy, Edogawa Hospital, Tokyo, Japan;
| | - Michitaka Funayama
- Michitaka Funayama, MD, is Chief, Department of Neuropsychiatry, Ashikaga Red Cross Hospital, Tochigi, Japan;
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Malinowsky C, Kassberg AC, Larsson-Lund M, Kottorp A. Stability of person ability measures in people with acquired brain injury in the use of everyday technology: the test–retest reliability of the Management of Everyday Technology Assessment (META). Disabil Rehabil Assist Technol 2014; 11:395-9. [DOI: 10.3109/17483107.2014.968812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden,
| | - Ann-Charlotte Kassberg
- Department of Research, Norrbotten County Council, Luleå, Sweden, and
- Department of Health Sciences, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Maria Larsson-Lund
- Department of Health Sciences, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Anders Kottorp
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden,
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Malinowsky C, Lund ML. The association between perceived and observed ability to use everyday technology in people of working age with ABI. Scand J Occup Ther 2014; 21:465-72. [DOI: 10.3109/11038128.2014.919020] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Hällgren M, Nygård L, Kottorp A. Everyday technology use among people with mental retardation: relevance, perceived difficulty, and influencing factors. Scand J Occup Ther 2013; 21:210-8. [DOI: 10.3109/11038128.2013.862295] [Citation(s) in RCA: 10] [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, Nygård L, Kottorp A. Perceived difficulty in the use of everyday technology: relationships with everyday functioning in people with acquired brain injury with a special focus on returning to work. Disabil Rehabil 2013; 36:1618-25. [DOI: 10.3109/09638288.2013.863388] [Citation(s) in RCA: 17] [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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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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28
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Patomella AH, Kottorp A, Nygård L. Design and Management Features of Everyday Technology That Challenge Older Adults. Br J Occup Ther 2013. [DOI: 10.4276/030802213x13782044946229] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction: The management of everyday technologies could present too difficult a challenge for older adults with cognitive impairments, leading to their exclusion from participation. The present study aims to identify and describe features that make everyday technologies more or less difficult for older adults, whether with or without cognitive difficulties. Methods: A pre-existent, empirically generated hierarchy of more to less difficult everyday technologies was analysed. A mixed methods design was used to investigate predefined assumptions. Findings: Correlation analysis indicated that the more difficult everyday technologies required a higher frequency of skill actions; a positive correlation between the difficulty of an everyday technology and the need to perform actions in a logical sequence when using it was identified. The analysis indicated that feedback provided to users by less difficult everyday technologies consisted of different modes of stimuli (visual, auditory and tactile), while that from more difficult everyday technologies provided a high frequency of complex visual feedback. The less difficult everyday technologies were designed in a manner that was more intuitive; the design guided the user and fewer errors could be made. Conclusion: This study presents several features in the design of everyday technologies, and the skills required in using them, that could make their management more difficult for older adults.
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Affiliation(s)
- Ann-Helen Patomella
- Senior Lecturer, Karolinska Institutet, Occupational Therapy, Stockholm, Sweden
| | - Anders Kottorp
- Associate Professor, Karolinska Institutet, Occupational Therapy, Stockholm, Sweden
| | - Louise Nygård
- Professor of Occupational Therapy, Karolinska Institutet, Occupational Therapy, Stockholm, Sweden
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Lexell EM, Alkhed AK, Olsson K. The group rehabilitation helped me adjust to a new life: Experiences shared by persons with an acquired brain injury. Brain Inj 2013; 27:529-37. [DOI: 10.3109/02699052.2013.765598] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Kassberg AC, Prellwitz M, Larsson Lund M. The challenges of everyday technology in the workplace for persons with acquired brain injury. Scand J Occup Ther 2012; 20:272-81. [DOI: 10.3109/11038128.2012.734330] [Citation(s) in RCA: 21] [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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Larsson Lund M, Lövgren Engström AL, Lexell J. Response actions to difficulties in using everyday technology after acquired brain injury. Scand J Occup Ther 2011; 19:164-75. [DOI: 10.3109/11038128.2011.582651] [Citation(s) in RCA: 16] [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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