Assistive Technologies for People with Cognitive Impairments – Which Factors Influence Technology Acceptance?

2018 ◽  
pp. 503-516 ◽  
Author(s):  
Susanne Dirks ◽  
Christian Bühler
Keyword(s):  
Technology Acceptance ◽  
Cognitive Impairments ◽  
Assistive Technologies

scholarly journals They don't care about us! Care personnel's perspectives on Ambient Assisted Living technology usage: a scenario-based quantitative study (Preprint)

2018 ◽  
Author(s):  
Julia Offermann-van Heek ◽  
Martina Ziefle
Keyword(s):  
Technology Acceptance ◽  
Assisted Living ◽  
Ambient Assisted Living ◽  
Assistive Technologies ◽  
Care Staff ◽  
Technology Usage ◽  
Disabled People ◽  
Data Types ◽  
Online Questionnaire ◽  
Professional Care

BACKGROUND Demographic change represents enormous burdens for the care sectors resulting in high proportions of (older) people in need of care and a lack of care staff. Ambient Assisted Living (AAL) technologies have the potential to support the bottlenecks in care supply, but are not yet in widespread use in professional care contexts. OBJECTIVE The study aims for investigating professional caregivers' AAL technology acceptance, their perception of specific technologies, data handling, perceived benefits, and barriers. In particular, the study focuses on perspectives on AAL technologies differing between care professionals working in diverse care contexts in order to examine to what extent the care context influences the acceptance of assistive technologies. METHODS An scenario-based online questionnaire (n = 170) was carried out focusing on professional care givers in medical, geriatric, and care of disabled people. The participants were asked for their perceptions concerning specific technologies, specific types of gathered data, potential benefits, and barriers of AAL technology usage. RESULTS The care context significantly impacted the evaluations of AAL technologies (F(14,220) = 2.514; P = .002). Professional caregivers of disabled people had a significantly more critical attitude towards AAL technologies than medical and geriatric caregivers: indicated by a) being the only caregiver group with rejecting evaluations of AAL technology acceptance (F(2,118) = 4.570; P = .01) and specific technologies (F(2,118) = 11.727; P = .000) applied for gathering data and b) by the comparatively lowest agreements referring to the evaluations of data types (F(2,118) = 4.073; P = .02) which are allowed to be gathered. CONCLUSIONS AAL technology acceptance is seen critical out of technology implementation reasons, especially in the care of people with disabilities. AAL technologies in care contexts have to be tailored to care professional's needs and concerns ("care about us"). The results contribute to a broader understanding of professional caregivers needs referring to specific data and technology configurations and encloses major differences concerning diverse care contexts. Integrating these findings into user group-tailored technology concepts and communication strategies will support a sustainable adoption of AAL systems in professional care contexts.

Investigating Assistive Technologies using Computers to Simulate Basic Curriculum for Individuals with Cognitive Impairments

2010 ◽  
pp. 61-75 ◽  
Author(s):  
Carolyn Kinsell
Keyword(s):  
Assistive Technology ◽  
Transfer Of Learning ◽  
Cognitive Impairments ◽  
Assistive Technologies ◽  
Cognitively Impaired ◽  
Traditional Classrooms ◽  
Active Participant ◽  
Knowledge And Skills ◽  
Computer Based ◽  
Theoretical Foundations

Providing assistive technologies to cognitively impaired students, in the form of computer-based simulations, may improve the transfer of learning at a greater rate than other training media. The underlying premise for using computer-based simulations is that the cognitively impaired student is no longer the passive learner normally found in traditional classrooms. Instead, the cognitively impaired student becomes an active participant with the simulation and learning. In addition, this type of assistive technology provides the student with an opportunity for repeated exposure and practice at a speed in which the student feels comfortable. This chapter discusses the benefits of using computer-based simulations, defines the theoretical foundations that support the transfer of learning, and presents the processes that facilitate individual acquisition and refinement of knowledge and skills. It concludes with a review of the cognitive elements in the creation of mental models and schema.

scholarly journals PERSONS LIVING WITH COGNITIVE IMPAIRMENT SHARE THEIR VIEWS ON TECHNOLOGY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S953-S953
Author(s):  
Susan Wehry ◽  
Regula H Robnett
Keyword(s):  
Digital Technology ◽  
Cognitive Impairments ◽  
Assistive Technologies ◽  
Great Promise ◽  
End User ◽  
Current Technology ◽  
Digital Devices ◽  
Care Partners ◽  
Set Up

Abstract The purpose of this study was to examine the experience of adults living with cognitive impairments and that of their care partners with digital technology including current use of, ease with and openness to using smart assistive technologies (SATs). SATs for older adults with (and without) cognitive impairments have become increasingly commonplace. Research on various digital devices has focused primarily on supporting users’ independence and care partner concerns for safety and security. Our qualitative, interview-based research project provided digital devices chosen by participants to address a specific personal goal. Interviews were conducted in the home and set-up assistance was provided during the initial interview. At the conclusion of the trial period, a second interview was conducted in the home. We describe the participants’ commendations for, expectations of, and frustrations with current technology as well as recommendations for potential, helpful digital technology. Current technology offers great promise but a disconnect between the design of digital technologies and the needs and wishes of the end-user still exists. This study will help inform additional user-driven application SATs, including those aimed at enhancing enjoyment and a higher quality of life.

scholarly journals They Don’t Care About Us! Care Personnel’s Perspectives on Ambient Assisted Living Technology Usage: Scenario-Based Survey Study

10.2196/10424 ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. e10424 ◽  
Author(s):  
Julia Offermann-van Heek ◽  
Martina Ziefle
Keyword(s):  
Technology Acceptance ◽  
Assisted Living ◽  
Technology Implementation ◽  
Ambient Assisted Living ◽  
Assistive Technologies ◽  
Care Staff ◽  
Survey Study ◽  
Technology Usage ◽  
Data Types ◽  
Professional Care

Background Demographic change represents enormous burdens for the care sectors, resulting in high proportions of (older) people in need of care and a lack of care staff. Ambient Assisted Living (AAL) technologies have the potential to support the bottlenecks in care supply but are not yet in widespread use in professional care contexts. Objective The objective of our study was to investigate professional caregivers’ AAL technology acceptance and their perception regarding specific technologies, data handling, perceived benefits, and barriers. In particular, this study focuses on the perspectives on AAL technologies differing between care professionals working in diverse care contexts to examine the extent to which the care context influences the acceptance of assistive technologies. Methods A Web-based survey (N=170) was carried out focusing on professional caregivers including medical, geriatric, and disabled people’s caregivers. Based on a scenario, the participants were asked for their perceptions concerning specific technologies, specific types of gathered data, and potential benefits of and barriers to AAL technology usage. Results The care context significantly impacted the evaluations of AAL technologies (F14,220=2.514; P=.002). Professional caregivers of disabled people had a significantly more critical attitude toward AAL technologies than medical and geriatric caregivers, indicated (1) by being the only caregiver group that rejected evaluations of AAL technology acceptance (F2,118=4.570; P=.01) and specific technologies (F2,118=11.727; P<.001) applied for gathering data and (2) by the comparatively lowest agreements referring to the evaluations of data types (F2,118=4.073, P=.02) that are allowed to be gathered. Conclusions AAL technology acceptance is critical because of technology implementation reasons, especially in the care of people with disabilities. AAL technologies in care contexts have to be tailored to care professional’s needs and concerns (“care about us”). The results contribute to a broader understanding of professional caregivers’ needs referring to specific data and technology configurations and enclose major differences concerning diverse care contexts. Integrating these findings into user group-tailored technology concepts and communication strategies will support a sustainable adoption of AAL systems in professional care contexts.

Exoscore: A Design Tool to Evaluate Factors Associated With Technology Acceptance of Soft Lower Limb Exosuits by Older Adults

2019 ◽  
Vol 62 (3) ◽  
pp. 391-410 ◽  
Author(s):  
Linda Shore ◽  
Valerie Power ◽  
Bernard Hartigan ◽  
Samuel Schülein ◽  
Eveline Graf ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Technology Acceptance ◽  
Lower Limb ◽  
Evaluation Method ◽  
Assistive Technologies ◽  
Design Tool ◽  
Face Validity ◽  
Design Evaluation ◽  
Evaluation Tool

Objective This pilot study proposed and performs initial testing with Exoscore, a design evaluation tool to assess factors related to acceptance of exoskeleton by older adults, during the technology development and testing phases. Background As longevity increases and our aging population continues to grow, assistive technologies such as exosuits and exoskeletons can provide enhanced quality of life and independence. Exoscore is a design and prototype stage evaluation method to assess factors related to perceptions of the technology, the aim being to optimize technology acceptance. Method In this pilot study, we applied the three-phase Exoscore tool during testing with 11 older adults. The aims were to explore the feasibility and face validity of applying the design evaluation tool during user testing of a prototype soft lower limb exoskeleton. Results The Exoscore method is presented as part of an iterative design evaluation process. The method was applied during an exoskeleton research and development project. The data revealed the aspects of the concept design that rated favorably with the users and the aspects of the design that required more attention to improve their potential acceptance when deployed as finished products. Conclusion Exoscore was effectively applied to three phases of evaluation during a testing session of a soft exoskeleton. Future exoskeleton development can benefit from the application of this design evaluation tool. Application This study reveals how the introduction of Exoscore to exoskeleton development will be advantageous when assessing technology acceptance of exoskeletons by older adults.

scholarly journals Innovative Assisted Living Tools, Remote Monitoring Technologies, Artificial Intelligence-Driven Solutions, and Robotic Systems for Aging Societies: Systematic Review

JMIR Aging ◽  
10.2196/15429 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e15429 ◽  
Author(s):  
A Hasan Sapci ◽  
H Aylin Sapci
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Patient Monitoring ◽  
Medical Science ◽  
Home Monitoring ◽  
Primary Objective ◽  
Assistive Technologies ◽  
Level Of Evidence ◽  
Aging Societies

Background The increase in life expectancy and recent advancements in technology and medical science have changed the way we deliver health services to the aging societies. Evidence suggests that home telemonitoring can significantly decrease the number of readmissions, and continuous monitoring of older adults’ daily activities and health-related issues might prevent medical emergencies. Objective The primary objective of this review was to identify advances in assistive technology devices for seniors and aging-in-place technology and to determine the level of evidence for research on remote patient monitoring, smart homes, telecare, and artificially intelligent monitoring systems. Methods A literature review was conducted using Cumulative Index to Nursing and Allied Health Literature Plus, MEDLINE, EMBASE, Institute of Electrical and Electronics Engineers Xplore, ProQuest Central, Scopus, and Science Direct. Publications related to older people’s care, independent living, and novel assistive technologies were included in the study. Results A total of 91 publications met the inclusion criteria. In total, four themes emerged from the data: technology acceptance and readiness, novel patient monitoring and smart home technologies, intelligent algorithm and software engineering, and robotics technologies. The results revealed that most studies had poor reference standards without an explicit critical appraisal. Conclusions The use of ubiquitous in-home monitoring and smart technologies for aged people’s care will increase their independence and the health care services available to them as well as improve frail elderly people’s health care outcomes. This review identified four different themes that require different conceptual approaches to solution development. Although the engineering teams were focused on prototype and algorithm development, the medical science teams were concentrated on outcome research. We also identified the need to develop custom technology solutions for different aging societies. The convergence of medicine and informatics could lead to the development of new interdisciplinary research models and new assistive products for the care of older adults.

Designing with Vulnerable Children

Gamification ◽  
2015 ◽  
pp. 611-629
Author(s):  
Alma Leora Culén ◽  
Anna Karpova
Keyword(s):  
Occupational Therapy ◽  
Design Process ◽  
Cognitive Impairments ◽  
Assistive Technologies ◽  
User Group ◽  
Vulnerable Children ◽  
Complex Design ◽  
Secondary Objective ◽  
Ipad App ◽  
App Design

In this chapter, the authors consider a researcher's perspective in projects involving design of assistive technologies for and with children who have moderate to severe limitations, such as cognitive impairments, impulse control issues, strongly reduced vision, or speech problems. The secondary objective is to introduce the concept of vulnerability in such complex design contexts, exploring it in relation to researchers, the user group, and other stakeholders. They argue that awareness of diverse risks can lead to a design process that reduces or even eliminates some of these risks, empowering both researchers and users in the process. The case used as a basis for discussion is that of an iPad app design for and with children in a special education class, and later, with children in occupational therapy.

scholarly journals Prontuário eletrônico do cidadão: aceitação e facilidade de uso pelos cirurgiões-dentistas da atenção básica

2020 ◽  
Vol 9 (5) ◽  
pp. 414-419
Author(s):  
Danilo Vieira Barbosa ◽  
Waleska Fernanda Souto Nóbrega ◽  
Gustavo Correia Basto da Silva ◽  
Osires de Medeiros Melo Neto ◽  
Faldryene de Souza Queiroz Feitosa
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Pay For Performance ◽  
Rio Grande ◽  
Assistive Technologies ◽  
Rio Grande Do Sul ◽  
Porto Alegre ◽  
Belo Horizonte ◽  
Acceptance Model ◽  
De Medicina

Objetivo: Avaliar a aceitação e facilidade de uso do Prontuário Eletrônico do Cidadão pelos Cirurgiões Dentistas da Atenção Básica. Metodologia: O estudo foi do tipo transversal, descritivo e analítico, tendo como população alvo os Cirurgiões Dentistas que atuam nas Unidades Básicas de Saúde de uma cidade do interior do Nordeste. Para coleta de dados foi utilizado um formulário estruturado, com questões objetivas e autoadministradas. Os dados obtidos através dos questionários respondidos foram digitados e tabulados no software SPSS 22.0 e analisados com base em estatísticas descritivas e análise inferencial através do teste qui-quadrado admitindo-se significância de 5% (p≤0,05). Resultados: A maioria dos entrevistados era do sexo feminino (63%), com idade entre 31-50 anos (44,4%), formados entre 0-5 anos (51,9), com menos de 5 anos de trabalho nas unidades (63%). A maioria (63%) julgou o prontuário eletrônico fácil de usar. Houve diferença estatisticamente relevante na questão sobre dificuldade do uso do PEC e o tempo de atuação na Unidade, entre o esforço utilizado para adaptação ao PEC e o tempo de formação e ainda entre achar o PEC de difícil uso em geral com a idade do participante. Conclusão: O PEC foi, em geral, bem aceito e amplamente utilizado pelos profissionais da saúde bucal, havendo algumas lacunas para melhoria do uso como o tempo de treinamento.Descritores: Registros Eletrônicos de Saúde; Atenção Primária à Saúde; Sistemas de Informação.ReferênciasMorais AC. Prontuário Eletrônico do Paciente. Curitiba: Universidade Federal do Paraná, 2006.Galvão MCB, Ricarte ILM. O prontuário eletrônico do paciente no século XXI: contribuições necessárias da ciência da informação. InCID Rev Ci Inf Doc. 2011;2(2):77-100. Lopes VJ, Carvalho D. KDD Na avaliação da usabilidade do prontuário eletrônico do paciente por profissionais da enfermagem.  R Bras Inov Tecnol Saúde. 2016;6(3):21-31.Muylder CF, Carneiro SD, Barros LC, Oliveira JG. Prontuário eletrônico do paciente: aceitação de tecnologia por profissionais da saúde da região metropolitana de Belo Horizonte. RAHIS. 2017;14(1):40-52.Pinto VB. Prontuário eletrônico do paciente: documento técnico de informação e comunicação do dominio da saúde . Eletr Bibliotecon Ci Inf. 2006;2(21):34-48.Saraiva AS. A importância do prontuário odontológico – com ênfase nos documentos digitais. Rev Bras Odontol. 2011;68(2):157-60.Machado MJF. Prontuário Eletrônico do cidadão. Fortaleza: Encontros Universitários da UFC, v. 1, 2016.Brasil. Ministério da Saúde. Resolução nº 7, de 24 de novembro de 2016. Brasil. Ministério da Saúde. Departamento as Atenção Básica. Prontuário eletrônico do cidadão, 2016.Fraige A. Prontuário eletrônico do centro de atendimento a pacientes especiais: desenvolvimento e implementação [tese]. São Paulo: Faculdade de Odontologia da USP; 2007.Majewski CC. Pesquisa de satisfação de usuários do sistema de prontuário eletrônico do complexo hospitalar Santa Casa de Misericórdia de Porto Alegre [dissertação]. Porto Alegre: Escola de Engenharia, URGS; 2003.Davis JR, Fred D. A Technology acceptance model for empirically testing new end-userinformation system: theory and results – MIT, 1986.Beiguelman B. Curso prático de bioestatística – 4. ed. Ribeirão Preto: Sociedade Brasileira de Genética; 1996.Lolli LF. Documentos digitais em Odontologia – aspectos de legalidade, conhecimento e utilização por cirurgiões-dentistas. UNI Review. 2011;8(2):112-21.Souza RS. Prontuário eletrônico: ótica do profissional de saúde da atenção primária [dissertação]. Porto Alegre: Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Programa de Pós-Graduação em Ensino na Saúde; 2017.Silveira LGG. Avaliação do uso da informática pelo CD e acadêmico em Odontologia. RGO. 2006;54(2):119-22.Fontanella V, Schardosim M, Lara M. Tecnologias de informação e comunicação no ensino da odontologia. Rev ABENO. 2007;7(1):76-81.Dotta EAV, Serra MC. Conhecimento e utilização da informática pelo cirurgião-dentista como ferramenta de trabalho. RGO (Porto Alegre). 2006;54(2):99-102.Santos RPS. Análise da competência em informação mediante a transição do prontuário físico para o eletrônico. Rev Cub Inf Cienc Salud. 2017;28(4):1-13.Greiver M, Barnsley J, Glazier RH, Moineddin R, Harvey BJ. Implementation of electronic medical records: effect on the provision of preventive services in a pay-for-performance environment. Can Fam Physician. 2011;57(10):e381-89.Soranz D, Pinto LP, Camacho LAB. Análise dos atributos dos cuidados primários em saúde utilizando os prontuários eletrônicos na cidade do Rio de Janeiro. Ciênc saúde coletiva. 2017;22(3):819-830.Silva CA, Pereira MR. Estudo e Análise das Tecnologias de Informação e Comunicação (tic) na Odontologia no Rio Grande do Sul [monografia]. Porto Alegre: Universidade Federal do Rio Grande do Sul, UFRGS; 2013.Gregor P, Newell AF, Zagicek M. Designing for dynamic diversity - interfaces for older people. International ACM SIGCAPH Conference on Assistive Technologies. 2002:151-56.

Designing with Vulnerable Children

2014 ◽  
pp. 118-136 ◽  
Author(s):  
Alma Leora Culén ◽  
Anna Karpova
Keyword(s):  
Occupational Therapy ◽  
Design Process ◽  
Cognitive Impairments ◽  
Assistive Technologies ◽  
User Group ◽  
Vulnerable Children ◽  
Complex Design ◽  
Secondary Objective ◽  
Ipad App ◽  
App Design

In this chapter, the authors consider a researcher's perspective in projects involving design of assistive technologies for and with children who have moderate to severe limitations, such as cognitive impairments, impulse control issues, strongly reduced vision, or speech problems. The secondary objective is to introduce the concept of vulnerability in such complex design contexts, exploring it in relation to researchers, the user group, and other stakeholders. They argue that awareness of diverse risks can lead to a design process that reduces or even eliminates some of these risks, empowering both researchers and users in the process. The case used as a basis for discussion is that of an iPad app design for and with children in a special education class, and later, with children in occupational therapy.

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