scholarly journals Usability, occupational performance and satisfaction evaluation of a smart environment controlled by infrared oculography by people with severe motor disabilities

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256062
Author(s):  
Mariana Midori Sime ◽  
Alexandre Luís Cardoso Bissoli ◽  
Daniel Lavino-Júnior ◽  
Teodiano Freire Bastos-Filho
Keyword(s):  
Assistive Technology ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Smart Environment ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Motor Disabilities ◽  
Canadian Occupational Performance Measure ◽  
Severe Motor

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.

Routine use proportion and determining factors of the Canadian Occupational Performance Measure in the real-world setting: A retrospective cross-sectional study in Japan

2020 ◽  
Vol 83 (8) ◽  
pp. 538-544 ◽  
Author(s):  
Tatsunori Sawada ◽  
Kounosuke Tomori ◽  
Yumi Kimori ◽  
Moe Kato ◽  
Minori Wakabayashi ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Multiple Logistic Regression ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Determining Factors

Introduction The aim of this retrospective cross-sectional study is to examine the routine use proportion and factors determining the use of the Canadian Occupational Performance Measure in the real-world subacute rehabilitation setting. Methods This study retrospectively collected data from all inpatients and occupational therapists at a single Japanese subacute rehabilitation ward during 2017, including Functional Independence Measure motor/cognitive scores, years of experience, and rate of Canadian Occupational Performance Measure administration (that is, Canadian Occupational Performance Measure proportion). Multiple logistic regression analyses were used to identify the determining factors of daily routine Canadian Occupational Performance Measure use/non-use, after which cut-off values were calculated. Results Of the 619 included clients, the Canadian Occupational Performance Measure was applied in 232 cases (37%). A multiple logistic regression analysis revealed two significant determining factors of its use: Canadian Occupational Performance Measure proportion (odds ratio, 1.06) and Functional Independence Measure cognitive item (odds ratio, 1.22). The cut-off value, sensitivity, and specificity, respectively, were 35.4%, 0.73, and 0.36 ( p < 0.0001) for the Canadian Occupational Performance Measure proportion and 25.5, 0.84, and 0.45 ( p < 0.0001) for the Functional Independence Measure cognitive score. Conclusion The client’s high-level cognitive skill and occupational therapist’s attitude may determine the use of the Canadian Occupational Performance Measure.

Reliability and validity of the Assessment of Client's Enablement (ACE)

2018 ◽  
Vol 81 (7) ◽  
pp. 369-375 ◽  
Author(s):  
Tatsunori Sawada ◽  
Taeko Kitahashi ◽  
Ayami Kose ◽  
Samantha Ashby ◽  
Yu Karamatsu ◽  
...  
Keyword(s):  
Convergent Validity ◽  
Intraclass Correlation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Occupational Therapist ◽  
Occupational Performance ◽  
Retest Reliability ◽  
Canadian Occupational Performance Measure ◽  
Test Retest Reliability

Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings.

Clinical Report: Use of the Canadian Occupational Performance Measure in Vision Technology

2005 ◽  
Vol 72 (5) ◽  
pp. 309-312 ◽  
Author(s):  
Linda S. Petty ◽  
Laurie McArthur ◽  
Jutta Treviranus
Keyword(s):  
Assistive Technology ◽  
Performance Measure ◽  
Funding Agency ◽  
Clinical Report ◽  
Occupational Performance ◽  
Wide Acceptance ◽  
Canadian Occupational Performance Measure ◽  
Technology Service ◽  
Client Needs

Background. The Canadian Occupational Performance Measure (COPM) has gained wide acceptance in general occupational therapy research and practice, however, the use of the COPM in assistive technology assessments and outcomes is not as well documented. Purpose. This clinical report discusses the utility of the COPM in assistive technology, as illustrated by the assessment and follow-up of clients requiring high technology vision aids. Results. The COPM makes important contributions to the outcomes of providing vision aids. The COPM ensures a needs review that incorporates all areas of occupational performance, which in turn directs the clinician to match the technology to client needs. From a clinical perspective, the quantitative follow-up data are helpful to determine clients' improvement in occupational performance as well as their satisfaction with the assistive technology. For administrative purposes, the COPM results provides accountability to the funding agency. Practice Implications. The COPM can be readily integrated into the assessment and follow-up of assistive technology service delivery and adds value to both components of the process.

scholarly journals Evaluation of Treatment in the Smart Home IRIS in terms of Functional Independence and Occupational Performance and Satisfaction

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Julija Ocepek ◽  
Anne E. K. Roberts ◽  
Gaj Vidmar
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Smart Home ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Assistive Technologies ◽  
Occupational Performance ◽  
Convenience Sample ◽  
Persons With Disabilities

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.

scholarly journals How children and their parents value using the Canadian Occupational Performance Measure (COPM) with children themselves

2020 ◽  
pp. 1-11
Author(s):  
Gijs J.Q. Verkerk ◽  
Lisanne van der Molen-Meulmeester ◽  
Mattijs W. Alsem
Keyword(s):  
Outcome Measure ◽  
Multiple Choice ◽  
Performance Measure ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Canadian Occupational Performance Measure ◽  
Multiple Choice Questionnaire ◽  
Spss Software ◽  
The Impact

PURPOSE: Although the Canadian Occupational Performance Measure (COPM) is used with children, it is unclear how they and their parents experience this. This study aims to investigate the opinions of children and their parents about the COPM when it is used with children. METHODS: Semi-structured interviews were performed with 23 children varying in age between 8 and 18 years. The transcripts of the interviews were analysed using MAXQDA software to discover overarching themes. Parents’ responses to an eight-item multiple-choice questionnaire were analysed using SPSS software. RESULTS: Five themes extracted from the interviews with the children show: My way of doing the COPM; The COPM shows my own problems and wishes for change; The COPM is important for identifying the support I need; The influence of my parents and my therapist; and The COPM is suitable for me. The children experienced the COPM as a valuable tool for determining and measuring the impact of an intervention. The parents experienced the COPM as suitable for their child and judged that the child’s scores were useful for showing the outcome of an intervention. CONCLUSION: Both the children and their parents valued the COPM as an outcome measure for intervention.

Measuring the Outcomes of Word Cueing Technology

2005 ◽  
Vol 72 (5) ◽  
pp. 301-308 ◽  
Author(s):  
Cynthia Tam ◽  
Janice Archer ◽  
Jennifer Mays ◽  
Gretchen Skidmore
Keyword(s):  
Assistive Technology ◽  
Change Score ◽  
Outcome Data ◽  
Performance Measure ◽  
Occupational Performance ◽  
Telephone Interviews ◽  
Canadian Occupational Performance Measure ◽  
Background Measurement ◽  
The Impact

Background. Measurement of assistive technology outcomes is complex because many factors (e.g., environment and model of service delivery) influence the successful use of the technology. Purpose. Using the example of measuring the outcomes of word cueing technology, this paper presents an approach for measuring assistive technology outcomes. Method. The Canadian Occupational Performance Measure (COPM) was administered to 29 children with physical and learning disabilities, between the ages of 3.9 and 19 years. Participants were provided with WordQ, a software program designed to assist the development of writing skills. Follow-up data were collected through telephone interviews. Results. The COPM findings supported the effectiveness of WordQ Version 1 to enhance written productivity, with a mean performance change score of 3.5 (SD = 1.5). The COPM was an effective tool for measuring clients' perceived outcome of word cueing technology. Telephone interview was considered a successful method for collecting outcome data. Practice Implications. A mix of tools and methodologies should be used to gain a comprehensive understanding of the impact of assistive technology.

scholarly journals Transitioning to Adulthood in Sweden: Comparing the Priorities of Immigrant Youths with Disabilities and Caregivers, from Middle-Eastern Countries

2018 ◽  
Vol 3 (1) ◽  
pp. 7
Author(s):  
E. Björquist ◽  
N. A. Almasri ◽  
I. Hallström ◽  
E. Nordmark
Keyword(s):  
Transition To Adulthood ◽  
Middle Eastern ◽  
Performance Measure ◽  
International Classification Of Functioning ◽  
Cultural Norms ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Major Life ◽  
Canadian Occupational Performance Measure ◽  
Arabic Speaking

<p><strong><em>Background:</em></strong><em> There is limited knowledge about perceived challenges during the transition to adulthood among immigrant youths who are originally from Arabic-speaking countries but now residing in Sweden. <strong>Aim:</strong> The aim of this study was to describe self-identified problems encountered by immigrant youths with disabilities from Middle Eastern countries who were living in Sweden during their transition to adulthood and to compare these descriptions to the problems identified by their caregivers.</em></p><p><strong><em>Methods:</em></strong><em> Seventeen semi-structured interviews using the Canadian Occupational Performance Measure were conducted with 17 immigrant youths with intellectual disabilities aged 13-24 years and 16 caregivers, originally from Middle Eastern countries. The participants’ prioritized problems were categorized using the International Classification of Functioning, Disability and Health-Children &amp; Youth Version, focusing on Activity and Participation.</em></p><p><strong><em>Results:</em></strong><em> A difference in priorities during transition was found when comparing the youths’ and the caregivers’ views. Most of the youths’ priorities were identified in the chapter “Major Life Area” about basic economic transactions and seeking employment, whilst the caregivers thought their youths’ prioritized “self-care”.</em></p><p><strong><em>Conclusion and implications for practice:</em></strong><em> Planning the best transition for immigrant youths with disabilities involves enabling them to identify their own preferences and needs while collaborating with caregivers and taking into consideration the cultural norms and traditions of collective caregiving.</em></p>

A gaming system with haptic feedback to improve upper extremity function: A prospective case series

2021 ◽  
pp. 1-12
Author(s):  
Hamilton Hernandez ◽  
Isabelle Poitras ◽  
Linda Fay ◽  
Ajmal Khan ◽  
Jean-Sébastien Roy ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Haptic Feedback ◽  
Low Cost ◽  
Case Series ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Prospective Case Series ◽  
Paediatric Rehabilitation ◽  
Therapeutic Settings

BACKGROUND: Video games can be used to motivate repetitive movements in paediatric rehabilitation. Most upper limb videogaming therapies do not however include haptic feedback which can limit their impact. OBJECTIVE: To explore the effectiveness of interactive computer play with haptic feedback for improving arm function in children with cerebral palsy (CP). METHODS: Eleven children with hemiplegic CP attended 12 therapist-guided sessions in which they used a gaming station composed of the Novint Falcon, custom-built handles, physical supports for the child’s arm, games, and an application to manage and calibrate therapeutic settings. Outcome measures included Quality of Upper Extremity Skills Test (QUEST) and Canadian Occupational Performance Measure (COPM). The study protocol is registered on clinicaltrials.gov (NCT04298411). RESULTS: Participants completed a mean of 3858 wrist extensions and 6665 elbow/shoulder movements during the therapist-guided sessions. Clinically important improvements were observed on the dissociated and grasp dimensions on the QUEST and the performance and satisfaction scales of the COPM (all p< 0.05). CONCLUSION: This study suggests that computer play with haptic feedback could be a useful and playful option to help improve the hand/arm capacities of children with CP and warrants further study. The opportunities and challenges of using low-cost, mainstream gaming software and hardware for therapeutic applications are discussed.

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