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Factors influencing the use of electronic technology for persons following Traumatic Brain Injury

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Gemma Duffield

on 1 May 2013

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Transcript of Factors influencing the use of electronic technology for persons following Traumatic Brain Injury

Gemma Duffield, Jacinta Douglas, and Robyn O'Halloran Factors influencing the use of electronic technology for persons following Traumatic Brain Injury Smart Technology Most effective approach to rehabilitation for memory impairment following TBI (DePompei 2008) 5 Themes identified: Client Team Device Training Task [no one] had ever heard to Google Calender, nor had any previous experience with using the system (McDonald et al., 2011) Individualised Task Training Device Client Team Consider cognitive and physical profile Tasks should be simple, repeated, individualised, and important The device should be simple, logical, consistent, fun, and include support The team need to be open-minded, comfortable, trained and own a device personally Training should be individualised, structured, frequent, holistic and ongoing "Pleasant change not to have to remind her husband to take his tablets" "Lack of technical knowledge or the time were not considered to be important obstacles" "Only 18 of the 63 who didn’t use devices themselves reported using them with patients" The critical design factor has been an interface that presents explicit and unambiguous option, enabling people to make sensible guesses about which buttons will accomplish goals… rather than having to remember a sequence of steps (Wright et al., 2001) "his motivation to act..showering and brushing his teeth was not particularly high, as they were identified by his mother". (McDonald et al., 2011) " the specific tasks respondents said they would be interested in performing with devices were not necessarily the ones for which they reported less than perfect success with their current strategies (Hart, Buchhofer, & Vaccaro, 2004)" "If one simplifies the tasks and provides enough teaching, sufficiently frequent with enough structure some patients with problems in acquiring new information may be able to learn to use a computer." (Kim, 2000) What is your technology to you? Executive skills Language Social skills Recall Interest Fun Memories Connection Message Exchange Information Types of Devices 2000-2012 Timeframe of studies 2000: 5-6% worlds population
use the internet 2007: 20% worlds population 2012: 34.3% or 2,405 million people Facebook launched Google peak (84.7%)
of all search requests First Apple iphone Google calender out of beta
Facebook overtakes myspace
as most used Wi-fi offered in shops 1991: First PDA 1992-6: PDA
+ phone 1995: Internet
commercialised 13 Databases July 2012 Search Terms Brain injury, Acquired Brain Injury, Traumatic Brain Injury
Emerging technology, Smart technology, Assistive Technology
Cognitive Rehabilitation
Communication Semi structured interviews Descriptive Case Studies Aim: to determine the factors which facilitate and present a barrier to the use of personal electronic technology (for persons post TBI) Results http://www.braininjurypeervisitor.org/ http://atmac.org/ http://www.brainline.org/content/2011/05/23-lifechanging-iphone-ipad-apps-for-people-with-brain-injury.html http://www.speechtechie.com/ http://pinterest.com/lasenders/apps-for-memory-tbi/ http://www.tbistafftraining.info/SmartPhones/SmartPhones1.html Independence / Quality of Life Practice Guideline Enhancing social connection DeJoode (2010), DePompei (2008) DeJoode (2010), Cicerone (2010) Tsaousides (2011) Memory Rehabilitation 2000-2012 Timeframe of studies 2000: 5-6% worlds population
use the internet 2012: 34.3% or 2,405 million people 1991: First PDA Initiation "individuals who are more dependent have less need to remember to complete activities" Motivation and perceived importance "no participant exercised this option [to take a short break]. The data didn't reveal any attention lapses" Prior use of technology "All used at least one of their own" Emotional coping skills "ABI patients were as able as healthy participant...but they seemed to become upset more easily" (DeJoode, 2012) Individualised, structured Frequent "(average 37min) was less than the typical... suggesting more frequent sessions may be optimal to facilitate learning" (Ehlhardt, 2005) (Sohlberg, 2003) (Stapleton, 2007) (Linden, 2010) Interpersonal Communication Software Instruction Cognition Perceived Needs (O'Neil-Pirozzi et al., 2004) (Wade, 2001) (De Joode et al. 2012)
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