SlideShare a Scribd company logo
1 of 63
A few days after the presentation, we will send an evaluation and links to an archive
and resources.
We appreciate your feedback. To receive these emails, please enter your email
address in the chat box before we start the recording.
All chat will be recorded and archived.
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
www.eXtension.org/militaryfamilies

facebook.com/militaryfamilies

blogs.eXtension.org/militaryfamilies

twitter.com/MilFamLN

bit.ly/MFLNwebinars
To receive notifications of future webinars and other learning opportunities from the
Military Families Learning Network, sign up for the Military Families Learning Network
Email Mailing list at: http://bit.ly/MFLNlist
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers. 2010-48869-20685 and 2012-48755-20306.
*MFLN Military Caregiving has applied for 1 CE credit from
the National Association of Social Work (NASW). For those
interested in receiving NASW credit please send your name, the
name of the agency you are associated with and the state in
which you reside to woundedwarrior@ag.tamu.edu.

This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture,
and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers. 2010-48869-20685 and 2012-48755-20306.
What You Need to Know About
Assistive Technology But
Didn’t Know Who to Ask
Marcia Scherer, Ph.D.
12 December 2013

Military Families Learning Network Webinar

4
Marcia Scherer, Ph.D.
• President of the Institute for
Matching Person & Technology
• Professor of Physical Medicine and
Rehabilitation, University of
Rochester Medical Center
• Project Director, Burton Blatt
Institute, Syracuse University

5
Learning Objectives
1) Define assistive and cognitive support
technologies
2) List 3 key resources for locating relevant
products and local resources
3) Discuss a process for identifying the AT needs
of veterans with a variety of disabilities

6
What are we talking about?
• Assistive technology (AT)
– generally defined internationally as: Any item, piece of
equipment or product systems, whether acquired
commercially, off the shelf, modified or customized,
that is used to increase, maintain or improve
functional capabilities of individuals with disabilities.

• Cognitive Support Technologies
– a class of AT designed to help with memory,
attention, concentration, and so on.
Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co.

7
Assistive Technology
• A formal, legal definition of assistive technology was first
published in the Technology-Related Assistance for
Individuals with Disabilities Act of 1988 (The Tech Act). This
act was amended in 1994; in 1998, it was repealed and
replaced with the Assistive Technology Act of 1998 ("AT Act").
Throughout, the original definition of assistive technology
remained consistent.
– “Any item, piece of equipment, or product system, whether
acquired commercially off the shelf, modified, or customized, that
is used to increase, maintain, or improve functional capabilities
of individuals with disabilities."

• This definition focuses on functional capabilities and not
participation and contribution.
8
International Organization for
Standardization classification (ISO 9999)
definition:
• “An assistive product is any product (including devices,
equipment, instruments and software) especially
produced or generally available, used by or for persons
with disability
– for participation
– to protect, support, train, measure or substitute for body
functions/structures and activities, or
– to prevent impairments, activity limitations or participation
restrictions”

9
In both definitions, AT covers
• Products especially produced to compensate for a
disability as well as
• Those commercially available products with the purpose
of serving users in general, that is, mainstream or
everyday technology.

Whether a product should be viewed as AT or not,
is defined by the purpose for use, that is, whether
it meets a need related to a disability.
10
Service Members use a
Combination of:
• Personal Assistance
• Strategies
• Everyday Technologies
– Wristwatch, Smartphone

• Specialized Technologies
• E-pill alarm watch, jitterbug
phone

Photo Source: National Center for Telehealth & Technology

11
Because…
The individualized needs of the consumer are so
specific that a generalized AT device often does
not help and a specialized AT device often is too
complicated for easy use.

12
Sample Resources for Information on Apps for
Smartphones (e.g., iPhone and Google Android
phones) and Tablet Computers (e.g., iPad)
•

Tools, Apps and Resources for TBI:
– http://accesstechnews.wordpress.com/2011/02/09/tools-apps-and-resources-fortbi/

•

There's an App for That-iPod:iPad 101
– The PACER Center’s Simon Technology Center (STC) focuses on making
technology more accessible to children and adults with disabilities.
– www.pacer.org/stc/pubs/AllAboutAppsforEducationHandout.pdf

•

iPad Assistive Technology/Disability Round-Up:
– http://atmac.org/ipad-assistive-technology-disability-round-up

•

iPhone, iPad Apps for Special Education Organized by Category:
– http://www.scribd.com/doc/24470331/iPhone-iPad-and-iPod-touch-Apps-forSpecial-Education
Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co.

13
Advantages of everyday technologies
– User appears like everyone else, even “cool.”
– They are usually less expensive than specialized technologies.
– Because they are cheaper than specialized technologies, they
make an effective back-up or secondary device.

Disadvantages of everyday technologies
– They most likely will not be paid for by health insurance or
Centers for Medicare & Medicaid Services (CMS), which
administers Medicaid, Medicare, and the Children's Health
Insurance Program. The rationale is that they are not exclusive
to medical needs.
– They are made for the “average user’ and not those with
individual, particular needs.

Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co.

14
Because…
The individualized needs of the consumer are so
specific that a generalized AT device often does
not help and a specialized AT device often is too
complicated for easy use.

15
Assistive Technology Devices
… range from highly complex technology to simple
adjustments that can make life more dignified,
remove barriers and change lives.

16
The DOD’s Computer/Electronic Accommodations Program (CAP)
http://www.cap.mil/Default.aspx

17
What is www.AbleData.com?
• Comprehensive information source for assistive
technology:
– www.abledata.com

• Database of assistive technology with almost
40,000 assistive products.
• Product categories by intended function
classified in 20 areas.

18
19
20
21
ISO 9999 – Class 22 Assistive products for communication and
information
ISO 9999 – Class12.39 Assistive products for orientation
ICF - e125 – Products and technology for communication

• Blind and Low Vision
– Products for people with visual disabilities.
– Major Categories: Computers, Educational Aids, Health Care,
Information Storage, Kitchen Aids, Labeling, Magnification, Office
Equipment, Orientation and Mobility, Reading, Recreation, Sensors,
Telephones, Time, Tools, Travel, Typing, Writing (Braille).

• Deaf And Hard of Hearing
– Products for people with hearing disabilities.
– Major Categories: Amplification, Driving, Hearing Aids, Recreational
Electronics, Sign Language, Signal Switches, Speech Training,
Telephones, Time.

• Deaf Blind
– Products for people who are both deaf and blind.
22
Screen Magnifiers vs. Readers
Magnifiers

Readers

• MAGic

• JAWS

• ZoomText

• Window-Eyes

• Supernova

• HAL

23
Assistive Listening Devices
• Two types:
– personal use (PocketTalkers)
– group use (conference room
systems)

• Primary purpose:
– Amplification and concentration
of sound

• Goal:
– make desired sound stand out
from the
background noise
24
ISO 9999 – Class 09 Assistive products for personal care and
protection
ISO 9999 – Class 15 Assistive products for housekeeping
ICF - e115 - Products and technology for personal use in daily
living
• Aids for Daily Living
– Products to aid in activities of daily living.
– Major Categories: Bathing, Carrying, Child Care, Clothing, Dispenser
Aids, Dressing, Drinking, Feeding, Grooming/Hygiene, Handle Padding,
Health Care, Holding, Reaching, Time, Smoking, Toileting, Transfer.

• Housekeeping
– Products to that assist in cooking, cleaning, and other household
activities as well as adapted appliances.
– Major Categories: Food Preparation, Housekeeping General, Cleaning,
Ironing, Laundry, Shopping.

25
ISO 9999 – Class 09 Assistive products for personal care and
protection
ISO 9999 – Class 15 Assistive products for housekeeping
ICF - e115 - Products and technology for personal use in daily
living
• Computers
– Products to allow people with disabilities to use desktop and laptop
computers and other kinds of information technology.
– Major Categories: Software, Hardware, Computer Accessories.

• Controls
– Products that provide people with disabilities with the ability to start,
stop or adjust electric or electronic devices.
– Major Categories: Environmental Controls, Control Switches.

26
Simple devices can make
a big difference

27
Computer Input
Standard
–
–
–
–
–

Keyboard
Mouse
Joystick
Voice
Touch screen

Adapted
– Modifications to
keyboard, mouse
– Alternate keyboards
– Alternate mouse input
– Hands-free input

28
Alternate Mice
• Trackball
• Head Controlled (Camera Mice)
• Joystick

• Touch Pads
• Touch Screens

29
ICF - e120 - Products and technology for personal indoor and
outdoor mobility and transportation
ISO 9999 – Class 12 Assistive products for personal mobility
[does not include public transit]
• Walking
– Products to aid people with disabilities who are able to walk or stand
with assistance.
– Major Categories: Canes, Crutches, Standing, Walkers.

• Wheeled Mobility
– Products and accessories that enable people with mobility disabilities to
move freely indoors and outdoors.
– Major Categories: Wheelchairs (Manual, Sport, and Powered),
Wheelchair Alternatives (Scooters), Wheelchair Accessories, Carts,
Transporters, Stretchers.

30
ICF - e120 - Products and technology for personal indoor and
outdoor mobility and transportation
ISO 9999 – Class 12 Assistive products for personal mobility
[does not include public transit]
• Seating
– Products that assist people to sit comfortably and safely.
– Major Categories: Seating Systems, Cushions, Therapeutic Seats.

• Transportation
– Products to enable people with disabilities to drive or ride in cars, vans,
trucks and buses.
– Major Categories: Mass Transit Vehicles and Facilities, Vehicles,
Vehicle Accessories.

31
Mobility Devices - Manual
• Walking
– Crutches
– Walkers
– Fit with milieu is important
Photo Source: DVIDS (Marine)

• Manual wheelchair
–
–
–
–

Folding
Standing
Ultralight
Sports

Photo Source: DVIDS (Air Force)

32
Mobility Devices - Power
Includes Wheelchairs, Scooters
– Seating system + mobility base
– Positioning features: tilt, recline,
elevation

Drive Controls
–
–
–
–

Hand (joystick)
Breath (sip/puff)
Head (switch array)
Switch (any body part)

Photo Source: DVIDS (Marine)

33
ISO 9999 – class 18 Furnishings and adaptations to homes and
other premises
ISO 9999 – class 24 Assistive products for environmental
improvement and assessment
ICF - e150 - Design, construction and building products and
technology of buildings for public use
ICF - e155 - Design, construction and building products and
technology of buildings for private use
• Environmental Adaptations
– Products that make the built environment more accessible.
– Major Categories: Indoor Environment, Furniture, Outdoor
Environment, Vertical Accessibility, Houses, Specialties, Lighting, Signs.

• Safety and Security
– Products to protect health and home.
– Major Categories: Alarm and Security Systems, Child Proof Devices,
Electric Cords, Lights, Locks.
34
Environmental Adaptations
•
•
•
•
•

Ramp
Wide doorways, door sill removal
Stair lift, elevator
Grab bar
Aisle width,
furniture layout

35
Impaired Mental Capabilities
• Memory
– Short or long term, recall and
recognition

• Perception
– Attention, discriminating sensory
input

• Problem Solving
– Recognizing the problem,
implementing solutions and
evaluation

Photo Source: Defense Imagery

• Concepts
– Generalizing, skill development
36
But so far…
• Palm Pilots (for memory cueing),
• Automated pill-boxes (for taking medications on
schedule),
• Many products for way-finding or
orientation…have had disappointing success.

• Why???

37
FACT
Fewer than 25 percent of people with disabilities
who could be helped by assistive technology are
using it.
– Alliance for Technology Access

38
AT Devices
• In spite of all the availability of about 40,000
specialized products, and even more everyday
technologies …
• On average, almost 1/3 of them are unused or
discarded. This represents waste in…
– $$$
– Therapist/provider time and more

We need to reduce inappropriate use and non-use!
39
Difficulties Encountered in Choosing &
Using Technology
• Bewildering array of options/Devices are often
complex
• Fragmented information & service system
• Limited understanding of resources & options
• Decision making is complex & involves
compromises
• Lack of follow-up & training on AT use
• Limited funding
40
www.resna.org

41
42
Technology Non-Use : 30-50%
• Information about repair and maintenance
• Environmental obstacles
• Whether the device was seen as effective, reliable,
durable, comfortable and easy to use by the user
• Social acceptability of the device
• Degree to which the device heightens visibility of
disability
• ‘Hassle index’ functional gain vs. degree of hassle
43
Technology Non-Use : 30-50%
• Change in the priorities or needs of the user
• Performance of the device
• Consumer involvement in device selection
• Motivation to use the device or do the task
• Continued availability of the device
• Access to meaningful training

44
Technology is an important
resource, but…
Too often we see device non-use. It usually
arises from…a poor match of person and
technology!

45
SO…
– It’s NOT about the product or the device.
– It IS about its usefulness, its value.
It’s about its MATCH TO THE PERSON, not vice versa.

46
Clearly we have a problem.

What do we do?

47
Assistive Technology Service
“Any service that
directly assists an
individual with a
disability in the
selection, acquisition,
or use of an assistive
technology device”
(Title 29, Chapter 31,

3002(a))

Photo Source: DOD Flickr

48
Address Personal Factors &
Get an Evaluation
• All but the simplest
technology requires an
evaluation early in the
process of selecting
interventions and devices
• No one better for this than
rehabilitation psychologists
Photo Source: Fort Hood Sentinel

49
Questions Professionals Have :
• User’s goals and expectations
• User comfort and experience
with AT
• What the user tried that worked
out well
• What the user tried that did
NOT work out well
• The desirability of a no-tech,
low tech or high tech
intervention

Photo Source: DVIDS (Army)

50
Question Service Member
Has: How can I be helped to…
• Feel more self-confident
• Be independent, autonomous
• Participate as I wish in a variety
of roles and activities
• Achieve a high quality of life and
sense of well-being

Photo Source: Air Force Flickr

51
Questions Both Consumers AND
Providers Have:
• How can I know the
technology resources
that are available and
have confidence in
my knowledge of
available products
and their features?

• How can I follow a
systematic process to
ensure a good match
of person and most
appropriate
technology?

52
Find Out What the User Wants
•
•
•
•

Get the information
Organize the information
Use the information
Revise the information

53
A successful outcome begins early with choosing
the most appropriate AT for a person.
How can we best do that?

54
MPT is a G.O.O.D.
Assessment Process
• Gets the information needed for AT selection.
• Organizes the information in a standard way.
• Operationalizes steps in the process of matching
person with desired technology supports.
• Documents and standardizes questions for
following-up to assess effectiveness.

55
Environmental Factors
•
•
•
•

Availability of Products
Affordability of Products
Availability of appropriate professionals
Opportunities and services

Experiences:

• Handling challenges
• Health system
• Technologies

Expectations of
Benefit

Personal Preferences
and Priorities

Social and Economic Priorities
Legislation & Policies
Attitudes of Family/Friends & Key Others
Support from Family/Friends & Key Others

Support DecisionMaking & Selection

Personal Factors

Knowledge and
Information

•
•
•
•

Assessment of
Functional Need

Provider

Person with
Disability

Objective Need

Device
Comparison
& Trial use
• Device ratings
• Desired device

Assessment of
Predisposition
Subjective Need, incl:
•Task doworthiness
• AT useworthiness

modifications

• Training

needs/desires

• Written plan

Follow-Up
 Use
 Realization of
benefit
 Enhanced
performance of
activities
 Enhanced
participation
 Subjective wellbeing

Adapted from Scherer, M., Jutai, J., Fuhrer, M., Demers, L. & DeRuyter, F. (2007). A framework for modeling the selection of assistive
technology devices (ATDs). Disability and Rehabilitation: Assistive Technology, 2(1), 1-8.

56
57
This is the Matching Person
& Technology Process

MT
P
58
MT
P

59
MPT Assessment Process

MPT
Model

60
MPT Process & Portfolio of Assessments
• Step 1: Initial Worksheet

• Step 2: History of Support Use
• Step 3: Specific technology matching (assistive,
educational, workplace technologies and more)
• Step 4: Identification of factors that may indicate
problems with acceptance of the technology or
realization of benefit from use
• Step 5: Identification of intervention strategies

• Step 6: Action plan and documentation
• Step 7: Follow-up
61
Acknowledgements
The MPT materials have been developed through support from:
•
•
•
•
•

National Science Foundation
National Institutes of Health
Centers for Disease Control and Prevention
National Institute for Disability and Rehabilitation Research
As well as funding from Europe

62
Disability and Rehabilitation: Assistive Technology

Official Journal of the International Society of
Physical and Rehabilitation Medicine (ISPRM)
Published By: Informa Healthcare
Frequency: 6 online issues per year
Print ISSN: 1748-3107
Online ISSN: 1748-3115
63

More Related Content

Viewers also liked

AT Frameworks: The HAAT Model
AT Frameworks: The HAAT ModelAT Frameworks: The HAAT Model
AT Frameworks: The HAAT Model
Damian T. Gordon
 

Viewers also liked (11)

Project Career: Using Technology to Help Veteran College Students with Trauma...
Project Career: Using Technology to Help Veteran College Students with Trauma...Project Career: Using Technology to Help Veteran College Students with Trauma...
Project Career: Using Technology to Help Veteran College Students with Trauma...
 
Jaws
JawsJaws
Jaws
 
Helping Children with Visual Impairments Explore, Learn and Communicate Using...
Helping Children with Visual Impairments Explore, Learn and Communicate Using...Helping Children with Visual Impairments Explore, Learn and Communicate Using...
Helping Children with Visual Impairments Explore, Learn and Communicate Using...
 
Using the HAAT model to select an appropriate ECU for your client
Using the HAAT model to select an appropriate ECU for your clientUsing the HAAT model to select an appropriate ECU for your client
Using the HAAT model to select an appropriate ECU for your client
 
Outcomes in Occupational Therapy (& Assistive Technology)
Outcomes in Occupational Therapy (& Assistive Technology)Outcomes in Occupational Therapy (& Assistive Technology)
Outcomes in Occupational Therapy (& Assistive Technology)
 
AT Frameworks: The HAAT Model
AT Frameworks: The HAAT ModelAT Frameworks: The HAAT Model
AT Frameworks: The HAAT Model
 
A Power Point on Assistive Technology in Education
A Power Point on Assistive Technology in EducationA Power Point on Assistive Technology in Education
A Power Point on Assistive Technology in Education
 
Osteomyelitis of jaws
Osteomyelitis of jawsOsteomyelitis of jaws
Osteomyelitis of jaws
 
Human/AT Interface
Human/AT InterfaceHuman/AT Interface
Human/AT Interface
 
Operating Systems: Virtual Memory
Operating Systems: Virtual MemoryOperating Systems: Virtual Memory
Operating Systems: Virtual Memory
 
BlackBoard Learn Accessibility
BlackBoard Learn AccessibilityBlackBoard Learn Accessibility
BlackBoard Learn Accessibility
 

Similar to Military Caregiving: Assistive Technology Devices

Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
National Center for Telehealth & Technology
 
Assistive technology
Assistive technologyAssistive technology
Assistive technology
co01362
 
Faculty info jan 2014 final
Faculty info jan 2014 finalFaculty info jan 2014 final
Faculty info jan 2014 final
Glynda Doyle
 
Assistive technology presentation
Assistive technology presentationAssistive technology presentation
Assistive technology presentation
caleycopeland
 

Similar to Military Caregiving: Assistive Technology Devices (20)

Mobile Apps in Clinical Settings
Mobile Apps in Clinical SettingsMobile Apps in Clinical Settings
Mobile Apps in Clinical Settings
 
Finding the Funds for AAC
Finding the Funds for AACFinding the Funds for AAC
Finding the Funds for AAC
 
Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
Practicing in a Connected World: Tech Use Guidelines aka A Mobile Health Guid...
 
Assistive technology
Assistive technologyAssistive technology
Assistive technology
 
EMRAN Seminar June 2015 - Technology and Ageing
EMRAN Seminar June 2015 - Technology and AgeingEMRAN Seminar June 2015 - Technology and Ageing
EMRAN Seminar June 2015 - Technology and Ageing
 
How COVID-19 is Accelerating Digital Transformation in Health and Social Care?
How COVID-19 is Accelerating Digital Transformation in Health and Social Care?How COVID-19 is Accelerating Digital Transformation in Health and Social Care?
How COVID-19 is Accelerating Digital Transformation in Health and Social Care?
 
Lorraine morley slides recording age tech mkt and products
Lorraine morley slides recording  age tech mkt and productsLorraine morley slides recording  age tech mkt and products
Lorraine morley slides recording age tech mkt and products
 
Bame feasibility study
Bame feasibility studyBame feasibility study
Bame feasibility study
 
Assistive Technology "Principles and Practice"
Assistive Technology "Principles and Practice"Assistive Technology "Principles and Practice"
Assistive Technology "Principles and Practice"
 
Designing and Evaluating a Cognitive Prosthetic for People with Mild Dementia
Designing and Evaluating a Cognitive Prosthetic for People with Mild DementiaDesigning and Evaluating a Cognitive Prosthetic for People with Mild Dementia
Designing and Evaluating a Cognitive Prosthetic for People with Mild Dementia
 
Finding the Funds for Assistive Technology
Finding the Funds for Assistive TechnologyFinding the Funds for Assistive Technology
Finding the Funds for Assistive Technology
 
Assistive technology
Assistive technologyAssistive technology
Assistive technology
 
There's an App for That!
There's an App for That!There's an App for That!
There's an App for That!
 
Διαχείριση Ανοικτών Ερευνητικών Δεδομένων Υγείας - Π. Μπαμίδης
Διαχείριση Ανοικτών Ερευνητικών Δεδομένων Υγείας - Π. ΜπαμίδηςΔιαχείριση Ανοικτών Ερευνητικών Δεδομένων Υγείας - Π. Μπαμίδης
Διαχείριση Ανοικτών Ερευνητικών Δεδομένων Υγείας - Π. Μπαμίδης
 
Assistive technology nguyen
Assistive technology nguyenAssistive technology nguyen
Assistive technology nguyen
 
Faculty info jan 2014 final
Faculty info jan 2014 finalFaculty info jan 2014 final
Faculty info jan 2014 final
 
Assistive technology presentation
Assistive technology presentationAssistive technology presentation
Assistive technology presentation
 
Wearables are dead, long live wearables! the case for the contextual user e...
Wearables are dead, long live wearables!   the case for the contextual user e...Wearables are dead, long live wearables!   the case for the contextual user e...
Wearables are dead, long live wearables! the case for the contextual user e...
 
Providing Behavioral Resources to the Military Community: Mobile and Web-bas...
Providing Behavioral Resources to the Military Community: Mobile and Web-bas...Providing Behavioral Resources to the Military Community: Mobile and Web-bas...
Providing Behavioral Resources to the Military Community: Mobile and Web-bas...
 
Future Trends of Media and Information Activity 9
Future Trends of Media and Information Activity 9Future Trends of Media and Information Activity 9
Future Trends of Media and Information Activity 9
 

More from milfamln

More from milfamln (20)

Warrior Wellness: Mental Health and Women in the U.S. Military
Warrior Wellness: Mental Health and Women in the U.S. MilitaryWarrior Wellness: Mental Health and Women in the U.S. Military
Warrior Wellness: Mental Health and Women in the U.S. Military
 
Women in the Military: Special Contributions and Unique Challenges
Women in the Military: Special Contributions and Unique ChallengesWomen in the Military: Special Contributions and Unique Challenges
Women in the Military: Special Contributions and Unique Challenges
 
Focusing on Co-parenting: Strengthening Diverse Military Family Systems
Focusing on Co-parenting: Strengthening Diverse Military Family SystemsFocusing on Co-parenting: Strengthening Diverse Military Family Systems
Focusing on Co-parenting: Strengthening Diverse Military Family Systems
 
Family Systems Trends and Transitions: What They Mean For Military Families
Family Systems Trends and Transitions: What They Mean For Military FamiliesFamily Systems Trends and Transitions: What They Mean For Military Families
Family Systems Trends and Transitions: What They Mean For Military Families
 
Promoting Successful Home-to-School Transitions for Military Families with Yo...
Promoting Successful Home-to-School Transitions for Military Families with Yo...Promoting Successful Home-to-School Transitions for Military Families with Yo...
Promoting Successful Home-to-School Transitions for Military Families with Yo...
 
Home Is Where Your Heart Is | Kids Serve Too!
Home Is Where Your Heart Is | Kids Serve Too!Home Is Where Your Heart Is | Kids Serve Too!
Home Is Where Your Heart Is | Kids Serve Too!
 
PCS Series: Research and Tools for Supporting Military Transitions
PCS Series: Research and Tools for Supporting Military TransitionsPCS Series: Research and Tools for Supporting Military Transitions
PCS Series: Research and Tools for Supporting Military Transitions
 
SlideShare - Sesame Street Overview on Military Resources
SlideShare - Sesame Street Overview on Military Resources SlideShare - Sesame Street Overview on Military Resources
SlideShare - Sesame Street Overview on Military Resources
 
Up and Away: Building Child Language, Social Interactions, and Preliteracy S...
Up and Away:  Building Child Language, Social Interactions, and Preliteracy S...Up and Away:  Building Child Language, Social Interactions, and Preliteracy S...
Up and Away: Building Child Language, Social Interactions, and Preliteracy S...
 
Overindulgence In Parenting: How Much Is Too Much?
Overindulgence In Parenting:  How Much Is Too Much?Overindulgence In Parenting:  How Much Is Too Much?
Overindulgence In Parenting: How Much Is Too Much?
 
Employment Resources for Military Families
Employment Resources for Military FamiliesEmployment Resources for Military Families
Employment Resources for Military Families
 
Opportunities & Possibilities: Posttraumatic Growth in Research & Practice
Opportunities & Possibilities: Posttraumatic Growth in Research & Practice Opportunities & Possibilities: Posttraumatic Growth in Research & Practice
Opportunities & Possibilities: Posttraumatic Growth in Research & Practice
 
Coconut Oil: Super Food or Super Fad .pdf
Coconut Oil:  Super Food or Super Fad .pdfCoconut Oil:  Super Food or Super Fad .pdf
Coconut Oil: Super Food or Super Fad .pdf
 
Small Talk: Strategies to Support Child Communication Before Words Emerge
Small Talk: Strategies to Support Child Communication Before Words EmergeSmall Talk: Strategies to Support Child Communication Before Words Emerge
Small Talk: Strategies to Support Child Communication Before Words Emerge
 
From Communication to Conversations: Expanding Language Development in the E...
From Communication to Conversations:  Expanding Language Development in the E...From Communication to Conversations:  Expanding Language Development in the E...
From Communication to Conversations: Expanding Language Development in the E...
 
Entrepreneurial Opportunities for Military Families
Entrepreneurial Opportunities for Military FamiliesEntrepreneurial Opportunities for Military Families
Entrepreneurial Opportunities for Military Families
 
Getting to Know You: Early Communication Development from Birth to Three Years
Getting to Know You: Early Communication Development from Birth to Three YearsGetting to Know You: Early Communication Development from Birth to Three Years
Getting to Know You: Early Communication Development from Birth to Three Years
 
Income Tax Tips for PFMs Working with Military Families
Income Tax Tips for PFMs Working with Military FamiliesIncome Tax Tips for PFMs Working with Military Families
Income Tax Tips for PFMs Working with Military Families
 
The Blended Retirement System Launch: Questions & Answers
The Blended Retirement System Launch: Questions & Answers The Blended Retirement System Launch: Questions & Answers
The Blended Retirement System Launch: Questions & Answers
 
Beyond the Shape Sorter: Playful Interactions that Promote Strong Academic & ...
Beyond the Shape Sorter: Playful Interactions that Promote Strong Academic & ...Beyond the Shape Sorter: Playful Interactions that Promote Strong Academic & ...
Beyond the Shape Sorter: Playful Interactions that Promote Strong Academic & ...
 

Recently uploaded

ppt your views.ppt your views of your college in your eyes
ppt your views.ppt your views of your college in your eyesppt your views.ppt your views of your college in your eyes
ppt your views.ppt your views of your college in your eyes
ashishpaul799
 
Neurulation and the formation of the neural tube
Neurulation and the formation of the neural tubeNeurulation and the formation of the neural tube
Neurulation and the formation of the neural tube
SaadHumayun7
 

Recently uploaded (20)

size separation d pharm 1st year pharmaceutics
size separation d pharm 1st year pharmaceuticssize separation d pharm 1st year pharmaceutics
size separation d pharm 1st year pharmaceutics
 
[GDSC YCCE] Build with AI Online Presentation
[GDSC YCCE] Build with AI Online Presentation[GDSC YCCE] Build with AI Online Presentation
[GDSC YCCE] Build with AI Online Presentation
 
“O BEIJO” EM ARTE .
“O BEIJO” EM ARTE                       .“O BEIJO” EM ARTE                       .
“O BEIJO” EM ARTE .
 
Removal Strategy _ FEFO _ Working with Perishable Products in Odoo 17
Removal Strategy _ FEFO _ Working with Perishable Products in Odoo 17Removal Strategy _ FEFO _ Working with Perishable Products in Odoo 17
Removal Strategy _ FEFO _ Working with Perishable Products in Odoo 17
 
slides CapTechTalks Webinar May 2024 Alexander Perry.pptx
slides CapTechTalks Webinar May 2024 Alexander Perry.pptxslides CapTechTalks Webinar May 2024 Alexander Perry.pptx
slides CapTechTalks Webinar May 2024 Alexander Perry.pptx
 
Championnat de France de Tennis de table/
Championnat de France de Tennis de table/Championnat de France de Tennis de table/
Championnat de France de Tennis de table/
 
ppt your views.ppt your views of your college in your eyes
ppt your views.ppt your views of your college in your eyesppt your views.ppt your views of your college in your eyes
ppt your views.ppt your views of your college in your eyes
 
Gyanartha SciBizTech Quiz slideshare.pptx
Gyanartha SciBizTech Quiz slideshare.pptxGyanartha SciBizTech Quiz slideshare.pptx
Gyanartha SciBizTech Quiz slideshare.pptx
 
How to the fix Attribute Error in odoo 17
How to the fix Attribute Error in odoo 17How to the fix Attribute Error in odoo 17
How to the fix Attribute Error in odoo 17
 
Basic_QTL_Marker-assisted_Selection_Sourabh.ppt
Basic_QTL_Marker-assisted_Selection_Sourabh.pptBasic_QTL_Marker-assisted_Selection_Sourabh.ppt
Basic_QTL_Marker-assisted_Selection_Sourabh.ppt
 
NCERT Solutions Power Sharing Class 10 Notes pdf
NCERT Solutions Power Sharing Class 10 Notes pdfNCERT Solutions Power Sharing Class 10 Notes pdf
NCERT Solutions Power Sharing Class 10 Notes pdf
 
Telling Your Story_ Simple Steps to Build Your Nonprofit's Brand Webinar.pdf
Telling Your Story_ Simple Steps to Build Your Nonprofit's Brand Webinar.pdfTelling Your Story_ Simple Steps to Build Your Nonprofit's Brand Webinar.pdf
Telling Your Story_ Simple Steps to Build Your Nonprofit's Brand Webinar.pdf
 
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General QuizPragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
Pragya Champions Chalice 2024 Prelims & Finals Q/A set, General Quiz
 
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdfDanh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
Danh sách HSG Bộ môn cấp trường - Cấp THPT.pdf
 
How to Break the cycle of negative Thoughts
How to Break the cycle of negative ThoughtsHow to Break the cycle of negative Thoughts
How to Break the cycle of negative Thoughts
 
Features of Video Calls in the Discuss Module in Odoo 17
Features of Video Calls in the Discuss Module in Odoo 17Features of Video Calls in the Discuss Module in Odoo 17
Features of Video Calls in the Discuss Module in Odoo 17
 
Salient features of Environment protection Act 1986.pptx
Salient features of Environment protection Act 1986.pptxSalient features of Environment protection Act 1986.pptx
Salient features of Environment protection Act 1986.pptx
 
Basic Civil Engg Notes_Chapter-6_Environment Pollution & Engineering
Basic Civil Engg Notes_Chapter-6_Environment Pollution & EngineeringBasic Civil Engg Notes_Chapter-6_Environment Pollution & Engineering
Basic Civil Engg Notes_Chapter-6_Environment Pollution & Engineering
 
Neurulation and the formation of the neural tube
Neurulation and the formation of the neural tubeNeurulation and the formation of the neural tube
Neurulation and the formation of the neural tube
 
How to Manage Notification Preferences in the Odoo 17
How to Manage Notification Preferences in the Odoo 17How to Manage Notification Preferences in the Odoo 17
How to Manage Notification Preferences in the Odoo 17
 

Military Caregiving: Assistive Technology Devices

  • 1. A few days after the presentation, we will send an evaluation and links to an archive and resources. We appreciate your feedback. To receive these emails, please enter your email address in the chat box before we start the recording. All chat will be recorded and archived. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers 2010-48869-20685 and 2012-48755-20306.
  • 2. www.eXtension.org/militaryfamilies facebook.com/militaryfamilies blogs.eXtension.org/militaryfamilies twitter.com/MilFamLN bit.ly/MFLNwebinars To receive notifications of future webinars and other learning opportunities from the Military Families Learning Network, sign up for the Military Families Learning Network Email Mailing list at: http://bit.ly/MFLNlist This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers. 2010-48869-20685 and 2012-48755-20306.
  • 3. *MFLN Military Caregiving has applied for 1 CE credit from the National Association of Social Work (NASW). For those interested in receiving NASW credit please send your name, the name of the agency you are associated with and the state in which you reside to woundedwarrior@ag.tamu.edu. This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Family Policy, Children and Youth, U.S. Department of Defense under Award Numbers. 2010-48869-20685 and 2012-48755-20306.
  • 4. What You Need to Know About Assistive Technology But Didn’t Know Who to Ask Marcia Scherer, Ph.D. 12 December 2013 Military Families Learning Network Webinar 4
  • 5. Marcia Scherer, Ph.D. • President of the Institute for Matching Person & Technology • Professor of Physical Medicine and Rehabilitation, University of Rochester Medical Center • Project Director, Burton Blatt Institute, Syracuse University 5
  • 6. Learning Objectives 1) Define assistive and cognitive support technologies 2) List 3 key resources for locating relevant products and local resources 3) Discuss a process for identifying the AT needs of veterans with a variety of disabilities 6
  • 7. What are we talking about? • Assistive technology (AT) – generally defined internationally as: Any item, piece of equipment or product systems, whether acquired commercially, off the shelf, modified or customized, that is used to increase, maintain or improve functional capabilities of individuals with disabilities. • Cognitive Support Technologies – a class of AT designed to help with memory, attention, concentration, and so on. Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co. 7
  • 8. Assistive Technology • A formal, legal definition of assistive technology was first published in the Technology-Related Assistance for Individuals with Disabilities Act of 1988 (The Tech Act). This act was amended in 1994; in 1998, it was repealed and replaced with the Assistive Technology Act of 1998 ("AT Act"). Throughout, the original definition of assistive technology remained consistent. – “Any item, piece of equipment, or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve functional capabilities of individuals with disabilities." • This definition focuses on functional capabilities and not participation and contribution. 8
  • 9. International Organization for Standardization classification (ISO 9999) definition: • “An assistive product is any product (including devices, equipment, instruments and software) especially produced or generally available, used by or for persons with disability – for participation – to protect, support, train, measure or substitute for body functions/structures and activities, or – to prevent impairments, activity limitations or participation restrictions” 9
  • 10. In both definitions, AT covers • Products especially produced to compensate for a disability as well as • Those commercially available products with the purpose of serving users in general, that is, mainstream or everyday technology. Whether a product should be viewed as AT or not, is defined by the purpose for use, that is, whether it meets a need related to a disability. 10
  • 11. Service Members use a Combination of: • Personal Assistance • Strategies • Everyday Technologies – Wristwatch, Smartphone • Specialized Technologies • E-pill alarm watch, jitterbug phone Photo Source: National Center for Telehealth & Technology 11
  • 12. Because… The individualized needs of the consumer are so specific that a generalized AT device often does not help and a specialized AT device often is too complicated for easy use. 12
  • 13. Sample Resources for Information on Apps for Smartphones (e.g., iPhone and Google Android phones) and Tablet Computers (e.g., iPad) • Tools, Apps and Resources for TBI: – http://accesstechnews.wordpress.com/2011/02/09/tools-apps-and-resources-fortbi/ • There's an App for That-iPod:iPad 101 – The PACER Center’s Simon Technology Center (STC) focuses on making technology more accessible to children and adults with disabilities. – www.pacer.org/stc/pubs/AllAboutAppsforEducationHandout.pdf • iPad Assistive Technology/Disability Round-Up: – http://atmac.org/ipad-assistive-technology-disability-round-up • iPhone, iPad Apps for Special Education Organized by Category: – http://www.scribd.com/doc/24470331/iPhone-iPad-and-iPod-touch-Apps-forSpecial-Education Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co. 13
  • 14. Advantages of everyday technologies – User appears like everyone else, even “cool.” – They are usually less expensive than specialized technologies. – Because they are cheaper than specialized technologies, they make an effective back-up or secondary device. Disadvantages of everyday technologies – They most likely will not be paid for by health insurance or Centers for Medicare & Medicaid Services (CMS), which administers Medicaid, Medicare, and the Children's Health Insurance Program. The rationale is that they are not exclusive to medical needs. – They are made for the “average user’ and not those with individual, particular needs. Scherer MJ. (2012). Assistive Technologies and Other Supports for People with Brain Impairment. New York: Springer Publishing Co. 14
  • 15. Because… The individualized needs of the consumer are so specific that a generalized AT device often does not help and a specialized AT device often is too complicated for easy use. 15
  • 16. Assistive Technology Devices … range from highly complex technology to simple adjustments that can make life more dignified, remove barriers and change lives. 16
  • 17. The DOD’s Computer/Electronic Accommodations Program (CAP) http://www.cap.mil/Default.aspx 17
  • 18. What is www.AbleData.com? • Comprehensive information source for assistive technology: – www.abledata.com • Database of assistive technology with almost 40,000 assistive products. • Product categories by intended function classified in 20 areas. 18
  • 19. 19
  • 20. 20
  • 21. 21
  • 22. ISO 9999 – Class 22 Assistive products for communication and information ISO 9999 – Class12.39 Assistive products for orientation ICF - e125 – Products and technology for communication • Blind and Low Vision – Products for people with visual disabilities. – Major Categories: Computers, Educational Aids, Health Care, Information Storage, Kitchen Aids, Labeling, Magnification, Office Equipment, Orientation and Mobility, Reading, Recreation, Sensors, Telephones, Time, Tools, Travel, Typing, Writing (Braille). • Deaf And Hard of Hearing – Products for people with hearing disabilities. – Major Categories: Amplification, Driving, Hearing Aids, Recreational Electronics, Sign Language, Signal Switches, Speech Training, Telephones, Time. • Deaf Blind – Products for people who are both deaf and blind. 22
  • 23. Screen Magnifiers vs. Readers Magnifiers Readers • MAGic • JAWS • ZoomText • Window-Eyes • Supernova • HAL 23
  • 24. Assistive Listening Devices • Two types: – personal use (PocketTalkers) – group use (conference room systems) • Primary purpose: – Amplification and concentration of sound • Goal: – make desired sound stand out from the background noise 24
  • 25. ISO 9999 – Class 09 Assistive products for personal care and protection ISO 9999 – Class 15 Assistive products for housekeeping ICF - e115 - Products and technology for personal use in daily living • Aids for Daily Living – Products to aid in activities of daily living. – Major Categories: Bathing, Carrying, Child Care, Clothing, Dispenser Aids, Dressing, Drinking, Feeding, Grooming/Hygiene, Handle Padding, Health Care, Holding, Reaching, Time, Smoking, Toileting, Transfer. • Housekeeping – Products to that assist in cooking, cleaning, and other household activities as well as adapted appliances. – Major Categories: Food Preparation, Housekeeping General, Cleaning, Ironing, Laundry, Shopping. 25
  • 26. ISO 9999 – Class 09 Assistive products for personal care and protection ISO 9999 – Class 15 Assistive products for housekeeping ICF - e115 - Products and technology for personal use in daily living • Computers – Products to allow people with disabilities to use desktop and laptop computers and other kinds of information technology. – Major Categories: Software, Hardware, Computer Accessories. • Controls – Products that provide people with disabilities with the ability to start, stop or adjust electric or electronic devices. – Major Categories: Environmental Controls, Control Switches. 26
  • 27. Simple devices can make a big difference 27
  • 28. Computer Input Standard – – – – – Keyboard Mouse Joystick Voice Touch screen Adapted – Modifications to keyboard, mouse – Alternate keyboards – Alternate mouse input – Hands-free input 28
  • 29. Alternate Mice • Trackball • Head Controlled (Camera Mice) • Joystick • Touch Pads • Touch Screens 29
  • 30. ICF - e120 - Products and technology for personal indoor and outdoor mobility and transportation ISO 9999 – Class 12 Assistive products for personal mobility [does not include public transit] • Walking – Products to aid people with disabilities who are able to walk or stand with assistance. – Major Categories: Canes, Crutches, Standing, Walkers. • Wheeled Mobility – Products and accessories that enable people with mobility disabilities to move freely indoors and outdoors. – Major Categories: Wheelchairs (Manual, Sport, and Powered), Wheelchair Alternatives (Scooters), Wheelchair Accessories, Carts, Transporters, Stretchers. 30
  • 31. ICF - e120 - Products and technology for personal indoor and outdoor mobility and transportation ISO 9999 – Class 12 Assistive products for personal mobility [does not include public transit] • Seating – Products that assist people to sit comfortably and safely. – Major Categories: Seating Systems, Cushions, Therapeutic Seats. • Transportation – Products to enable people with disabilities to drive or ride in cars, vans, trucks and buses. – Major Categories: Mass Transit Vehicles and Facilities, Vehicles, Vehicle Accessories. 31
  • 32. Mobility Devices - Manual • Walking – Crutches – Walkers – Fit with milieu is important Photo Source: DVIDS (Marine) • Manual wheelchair – – – – Folding Standing Ultralight Sports Photo Source: DVIDS (Air Force) 32
  • 33. Mobility Devices - Power Includes Wheelchairs, Scooters – Seating system + mobility base – Positioning features: tilt, recline, elevation Drive Controls – – – – Hand (joystick) Breath (sip/puff) Head (switch array) Switch (any body part) Photo Source: DVIDS (Marine) 33
  • 34. ISO 9999 – class 18 Furnishings and adaptations to homes and other premises ISO 9999 – class 24 Assistive products for environmental improvement and assessment ICF - e150 - Design, construction and building products and technology of buildings for public use ICF - e155 - Design, construction and building products and technology of buildings for private use • Environmental Adaptations – Products that make the built environment more accessible. – Major Categories: Indoor Environment, Furniture, Outdoor Environment, Vertical Accessibility, Houses, Specialties, Lighting, Signs. • Safety and Security – Products to protect health and home. – Major Categories: Alarm and Security Systems, Child Proof Devices, Electric Cords, Lights, Locks. 34
  • 35. Environmental Adaptations • • • • • Ramp Wide doorways, door sill removal Stair lift, elevator Grab bar Aisle width, furniture layout 35
  • 36. Impaired Mental Capabilities • Memory – Short or long term, recall and recognition • Perception – Attention, discriminating sensory input • Problem Solving – Recognizing the problem, implementing solutions and evaluation Photo Source: Defense Imagery • Concepts – Generalizing, skill development 36
  • 37. But so far… • Palm Pilots (for memory cueing), • Automated pill-boxes (for taking medications on schedule), • Many products for way-finding or orientation…have had disappointing success. • Why??? 37
  • 38. FACT Fewer than 25 percent of people with disabilities who could be helped by assistive technology are using it. – Alliance for Technology Access 38
  • 39. AT Devices • In spite of all the availability of about 40,000 specialized products, and even more everyday technologies … • On average, almost 1/3 of them are unused or discarded. This represents waste in… – $$$ – Therapist/provider time and more We need to reduce inappropriate use and non-use! 39
  • 40. Difficulties Encountered in Choosing & Using Technology • Bewildering array of options/Devices are often complex • Fragmented information & service system • Limited understanding of resources & options • Decision making is complex & involves compromises • Lack of follow-up & training on AT use • Limited funding 40
  • 42. 42
  • 43. Technology Non-Use : 30-50% • Information about repair and maintenance • Environmental obstacles • Whether the device was seen as effective, reliable, durable, comfortable and easy to use by the user • Social acceptability of the device • Degree to which the device heightens visibility of disability • ‘Hassle index’ functional gain vs. degree of hassle 43
  • 44. Technology Non-Use : 30-50% • Change in the priorities or needs of the user • Performance of the device • Consumer involvement in device selection • Motivation to use the device or do the task • Continued availability of the device • Access to meaningful training 44
  • 45. Technology is an important resource, but… Too often we see device non-use. It usually arises from…a poor match of person and technology! 45
  • 46. SO… – It’s NOT about the product or the device. – It IS about its usefulness, its value. It’s about its MATCH TO THE PERSON, not vice versa. 46
  • 47. Clearly we have a problem. What do we do? 47
  • 48. Assistive Technology Service “Any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device” (Title 29, Chapter 31, 3002(a)) Photo Source: DOD Flickr 48
  • 49. Address Personal Factors & Get an Evaluation • All but the simplest technology requires an evaluation early in the process of selecting interventions and devices • No one better for this than rehabilitation psychologists Photo Source: Fort Hood Sentinel 49
  • 50. Questions Professionals Have : • User’s goals and expectations • User comfort and experience with AT • What the user tried that worked out well • What the user tried that did NOT work out well • The desirability of a no-tech, low tech or high tech intervention Photo Source: DVIDS (Army) 50
  • 51. Question Service Member Has: How can I be helped to… • Feel more self-confident • Be independent, autonomous • Participate as I wish in a variety of roles and activities • Achieve a high quality of life and sense of well-being Photo Source: Air Force Flickr 51
  • 52. Questions Both Consumers AND Providers Have: • How can I know the technology resources that are available and have confidence in my knowledge of available products and their features? • How can I follow a systematic process to ensure a good match of person and most appropriate technology? 52
  • 53. Find Out What the User Wants • • • • Get the information Organize the information Use the information Revise the information 53
  • 54. A successful outcome begins early with choosing the most appropriate AT for a person. How can we best do that? 54
  • 55. MPT is a G.O.O.D. Assessment Process • Gets the information needed for AT selection. • Organizes the information in a standard way. • Operationalizes steps in the process of matching person with desired technology supports. • Documents and standardizes questions for following-up to assess effectiveness. 55
  • 56. Environmental Factors • • • • Availability of Products Affordability of Products Availability of appropriate professionals Opportunities and services Experiences: • Handling challenges • Health system • Technologies Expectations of Benefit Personal Preferences and Priorities Social and Economic Priorities Legislation & Policies Attitudes of Family/Friends & Key Others Support from Family/Friends & Key Others Support DecisionMaking & Selection Personal Factors Knowledge and Information • • • • Assessment of Functional Need Provider Person with Disability Objective Need Device Comparison & Trial use • Device ratings • Desired device Assessment of Predisposition Subjective Need, incl: •Task doworthiness • AT useworthiness modifications • Training needs/desires • Written plan Follow-Up  Use  Realization of benefit  Enhanced performance of activities  Enhanced participation  Subjective wellbeing Adapted from Scherer, M., Jutai, J., Fuhrer, M., Demers, L. & DeRuyter, F. (2007). A framework for modeling the selection of assistive technology devices (ATDs). Disability and Rehabilitation: Assistive Technology, 2(1), 1-8. 56
  • 57. 57
  • 58. This is the Matching Person & Technology Process MT P 58
  • 61. MPT Process & Portfolio of Assessments • Step 1: Initial Worksheet • Step 2: History of Support Use • Step 3: Specific technology matching (assistive, educational, workplace technologies and more) • Step 4: Identification of factors that may indicate problems with acceptance of the technology or realization of benefit from use • Step 5: Identification of intervention strategies • Step 6: Action plan and documentation • Step 7: Follow-up 61
  • 62. Acknowledgements The MPT materials have been developed through support from: • • • • • National Science Foundation National Institutes of Health Centers for Disease Control and Prevention National Institute for Disability and Rehabilitation Research As well as funding from Europe 62
  • 63. Disability and Rehabilitation: Assistive Technology Official Journal of the International Society of Physical and Rehabilitation Medicine (ISPRM) Published By: Informa Healthcare Frequency: 6 online issues per year Print ISSN: 1748-3107 Online ISSN: 1748-3115 63

Editor's Notes

  1. What came through so loud and clear from all the consumers who I have worked with over the years is that a device can be great as far as its technical characteristics, but still be a very poor match for that person
  2. Assistive Technology Service is key in the success of implementation and effective use of AT. Often times it is not put in the IEP, and therefore a lack of implementation of device training and use results.