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Piekema L, Ten Brug A, Waninge A, van der Putten A. From assistive to inclusive? A systematic review of the uses and effects of technology to support people with pervasive support needs. J Appl Res Intellect Disabil 2024; 37:e13181. [PMID: 38369310 DOI: 10.1111/jar.13181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 10/27/2023] [Accepted: 11/15/2023] [Indexed: 02/20/2024]
Abstract
BACKGROUND Although particular technologies can enhance the quality of life (QoL) of people with profound intellectual and multiple disabilities (we use the term pervasive support needs), their objectives and outcomes are understudied. A systematic literature review was therefore conducted to explore this topic. METHOD A search of four databases yielded 64 studies. Data were extracted on their general characteristics, methods and sample characteristics as well as the technology types, QoL domains and application within ecological systems. A narrative synthesis was subsequently developed. RESULTS Most of the studies applied assistive technology (AT) and focused on personal development and self-determination on an individual level. CONCLUSIONS Technology can enhance the QoL of people with pervasive support needs. There are indications that although MT and UD-based technology are used in practice, few studies have examined these technologies. Therefore, there is a knowledge gap regarding the kinds of technology that are used in practice.
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Affiliation(s)
- Lotte Piekema
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
| | - Annet Ten Brug
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
| | - Aly Waninge
- Hanze University of Applied Sciences Groningen, Research Group Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands
- Health Psychology Research, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Annette van der Putten
- Department of Inclusive and Special Needs Education, University of Groningen, Groningen, The Netherlands
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Stasolla F, Passaro A, Di Gioia M, Curcio E, Zullo A. Combined extended reality and reinforcement learning to promote healthcare and reduce social anxiety in fragile X syndrome: a new assessment tool and a rehabilitative strategy. Front Psychol 2023; 14:1273117. [PMID: 38179497 PMCID: PMC10765535 DOI: 10.3389/fpsyg.2023.1273117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 11/30/2023] [Indexed: 01/06/2024] Open
Affiliation(s)
| | - Anna Passaro
- University “Giustino Fortunato” of Benevento, Benevento, Italy
| | | | - Enza Curcio
- University “Giustino Fortunato” of Benevento, Benevento, Italy
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Stasolla F, Caffò AO, Bottiroli S, Ciarmoli D. An assistive technology program for enabling five adolescents emerging from a minimally conscious state to engage in communication, occupation, and leisure opportunities. Dev Neurorehabil 2022; 25:193-204. [PMID: 34895026 DOI: 10.1080/17518423.2021.2011457] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Post-coma patients emerging from a minimally conscious state may have extensive motor disabilities and pose serious challenges to medical centers and home settings. OBJECTIVES To promote academic performance and communication skills of post-coma individuals with traumatic brain injuries emerging from a minimally conscious state through an Assistive Technology setup. To evaluate its effects on the participants' positive participation. To generalize the learning process. To assess the intervention's clinical and social validity. METHOD Study I included five adolescents exposed to an Assistive Technology setup enabling them with targeted adaptive behaviors. Study II involved fifty external raters in a social validation assessment. RESULTS Data evidenced an improved performance of all the participants during the intervention, assessed through a concurrent multiple baseline design across participants. Social raters favorably scored the use of the technology. CONCLUSION An Assistive Technology setup may be helpful to enhance the performance and positive participation of adolescents with traumatic brain injuries emerging from a minimally conscious state.
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Affiliation(s)
| | - Alessandro O Caffò
- Department of Educational Sciences, Psychology, Communication, University "Aldo Moro", Bari, Italy
| | - Sara Bottiroli
- "Giustino Fortunato" University of Benevento, Benevento, Italy.,IRCCS Mondino Foundation, Pavia, Italy
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Stasolla F, Caffò AO, Perilli V, Boccasini A, Damiani R, D'Amico F. Assistive technology for promoting adaptive skills of children with cerebral palsy: ten cases evaluation. Disabil Rehabil Assist Technol 2018; 14:489-502. [DOI: 10.1080/17483107.2018.1467972] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Affiliation(s)
| | - Alessandro O. Caffò
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari, Italy
| | - Viviana Perilli
- Department of Neurosciences, University of Bari, Bari, Italy
| | - Adele Boccasini
- Department of Neurosciences, University of Bari, Bari, Italy
| | - Rita Damiani
- Department of Neurosciences, University of Bari, Bari, Italy
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Abstract
OBJECTIVES To extend the use of assistive technology (AT) for promoting a new adaptive response and to reduce hand mouthing, by three boys with fragile X syndrome. To monitor the effects of the intervention program on the positive mood. To carry out a three month follow-up phases. To conduct a social validation assessment involving 30 parents of children who presented multiple disabilities as raters. METHODS The study was implemented according to an ABAB experimental design, where A represented baseline phases (technology available but inactive) and B represented intervention phases (the technology ensured 7 s of positive stimulation). RESULTS All participants improved and consolidated their performance. Parents involved in the social validation assessment rated positively the use of such technology. CONCLUSION AT-based program was useful, affordable, and effective for enhancing constructive engagement, self-determination, and for improving quality of life by children with fragile X syndrome and severe to profound developmental disabilities.
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Affiliation(s)
| | | | - Rita Damiani
- c Department of Educational Sciences, Psychology, Communication , University of Bari , Bari , Italy
| | - Vincenza Albano
- c Department of Educational Sciences, Psychology, Communication , University of Bari , Bari , Italy
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Stasolla F, Caffò AO, Perilli V, Boccasini A, Stella A, Damiani R, Albano V, Damato C. A microswitch-based program for promoting initial ambulation responses: An evaluation with two girls with multiple disabilities. J Appl Behav Anal 2017; 50:345-356. [PMID: 28128442 DOI: 10.1002/jaba.374] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2015] [Accepted: 07/01/2016] [Indexed: 11/06/2022]
Abstract
We assessed the use of a microswitch-based program for promoting ambulation responses by two children with multiple disabilities. The goals of the study were to: (a) evaluate the importance of the contingency between the target behavior (forward step) and the programmed consequence (preferred stimuli), (b) measure effects of the intervention on indices of happiness, and (c) assess the social validation of the procedure using 20 physiotherapists as external raters. The intervention involved the automatic delivery of preferred stimuli contingent on forward steps. Results showed that both participants improved their performance (forward steps and indices of happiness) during contingent reinforcement phases compared to baseline and noncontingent reinforcement phases. Moreover, physiotherapists rated the intervention as socially valid.
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Affiliation(s)
| | - Alessandro O Caffò
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari (Italy)
| | | | - Adele Boccasini
- Lega del Filo d'Oro Research Center, Termini Imerese (Italy)
| | - Anna Stella
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari (Italy)
| | - Rita Damiani
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari (Italy)
| | - Vincenza Albano
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari (Italy)
| | - Concetta Damato
- Department of Educational Sciences, Psychology, Communication, University of Bari, Bari (Italy)
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Stasolla F, Perilli V, Di Leone A, Damiani R, Albano V, Stella A, Damato C. Technological aids to support choice strategies by three girls with Rett syndrome. Res Dev Disabil 2015; 36:36-44. [PMID: 25310833 DOI: 10.1016/j.ridd.2014.09.017] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Revised: 09/23/2014] [Accepted: 09/23/2014] [Indexed: 06/04/2023]
Abstract
This study was aimed at extending the use of assistive technology (i.e., photocells, interface and personal computer) to support choice strategies by three girls with Rett syndrome and severe to profound developmental disabilities. A second purpose of the study was to reduce stereotypic behaviors exhibited by the participants involved (i.e., body rocking, hand washing and hand mouthing). Finally, a third goal of the study was to monitor the effects of such program on the participants' indices of happiness. The study was carried out according to a multiple probe design across responses for each participant. Results showed that the three girls increased the adaptive responses and decreased the stereotyped behaviors during intervention phases compared to baseline. Moreover, during intervention phases, the indices of happiness augmented for each girl as well. Clinical, psychological and rehabilitative implications of the findings are discussed.
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Affiliation(s)
| | | | - Antonia Di Leone
- Department of Educational Sciences, Psychology, Communication, University of Bari, Italy
| | - Rita Damiani
- Department of Educational Sciences, Psychology, Communication, University of Bari, Italy
| | - Vincenza Albano
- Department of Educational Sciences, Psychology, Communication, University of Bari, Italy
| | - Anna Stella
- Department of Educational Sciences, Psychology, Communication, University of Bari, Italy
| | - Concetta Damato
- Department of Educational Sciences, Psychology, Communication, University of Bari, Italy
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Tai K, Blain S, Chau T. A Review of Emerging Access Technologies for Individuals With Severe Motor Impairments. Assist Technol 2008; 20:204-19; quiz 220-1. [PMID: 19160907 DOI: 10.1080/10400435.2008.10131947] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Lancioni GE, O'Reilly MF, Singh NN, Oliva D, Baccani S, Severini L, Groeneweg J. Micro-switch programmes for students with multiple disabilities and minimal motor behaviour: assessing response acquisition and choice. ACTA ACUST UNITED AC 2006; 9:137-43. [PMID: 16449072 DOI: 10.1080/13638490500235466] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This study assessed (a) whether three girls with multiple disabilities and minimal motor behaviour could acquire pairs of responses taught through micro-switch-based programmes and (b) how the girls would eventually choose between those responses. In relation to the choice issue, a response-choice analysis was conducted to find out whether possible differences in performance rates for the two responses were due to the stimuli linked to them and/or to potential response preferences. Results indicated that all three girls succeeded in the acquisition of the two responses programmed for them and showed clear response choices. The choices seemed to be largely motivated by the stimuli linked to the responses. Implications of these findings were discussed, including the need to assess their generality and extend the scope of the work in this area.
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Affiliation(s)
- G E Lancioni
- Department of Psychology, University of Bari, 70100 Bari, Italy.
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Lancioni GE, Singh NN, O'Reilly MF, Oliva D. Microswitch programs for persons with multiple disabilities: an overview of the responses adopted for microswitch activation. Cogn Process 2005; 6:177-88. [PMID: 18231820 DOI: 10.1007/s10339-005-0003-0] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2005] [Revised: 06/14/2005] [Accepted: 06/15/2005] [Indexed: 11/28/2022]
Abstract
BACKGROUND To introduce a person with multiple disabilities to a microswitch-aided program, one has to select a plausible response(s), that is, a response(s) that can be performed reliably and without excessive effort by the person and can successfully activate the microswitch(es) available (producing preferred stimuli). This paper provides an overview of the responses adopted for microswitch activation in research studies during the last 20 years. METHOD Computerized and manual searches were carried out to identify the studies published between 1986 and 2005. Forty-eight research studies were identified. They concerned the use of (1) a single (typical) response, (2) a single (non-typical) response, (3) multiple (typical and non-typical) responses, and (4) multiple (vocal) responses. RESULTS AND DISCUSSION The results showed that 151 of the 190 participants involved in the studies had a positive outcome (i.e., clear increases in their responding, which suggested that they had learned the association between responding and consequent preferred stimuli). Failures were largely concentrated in the first group of studies. The discussion focused on (a) the importance of selecting plausible responses for increasing the chances of success, (b) the need of non-typical responses for persons with minimal motor behavior, (c) implications of programs with multiple responses on engagement and choice, and (d) relevance of using vocal utterances. Some suggestions for future research concerning these points were also examined.
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Affiliation(s)
- Giulio E Lancioni
- Department of Psychology, University of Bari, Via Quintino Sella 268, 70100, Bari, Italy,
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