“…This study supports and extends findings from Angelo [6] who successfully used NGT to identify expert consensus regarding key components of single switch assessment, providing clear guidance for clinicians undertaking an assessment of those devices. It also supports findings from the literature review which emphasised the importance of family-led goals and a multi-disciplinary approach to assessment [7,11,12].…”
Section: Discussionsupporting
confidence: 80%
“…The importance of a multi-disciplinary approach to DAT assessments, involving the family and child is well documented in the literature [11,7]. Holmqvist and Buchholz [12] propose a model for eye gaze assessment, outlining key components of an effective assessment.…”
Aims: Patients with bipolar disorder often experience disability in terms of cognitive impairments and activity limitations even in remission. However, knowledge is sparse concerning the ability to perform Activities of Daily Living (ADL) during remission. The aim of this study was to (1) investigate the observed and self-reported ability to perform ADL tasks and (2) examine the association between observed and self-reported ability to perform ADL in patients with bipolar disorder in remission.
Methods: The observed ADL ability was assessed with the Assessment of Motor and Process Skills, a standardized assessment providing interpretation of ADL ability in relation to competence, independence, and normative age expectations. Self-reported ADL ability was assessed with the standardized ADL-Questionnaire.
Results: Forty-three patients with bipolar disorder in remission (median age 35 years, range 19–58 years) were assessed and overall, they displayed decreased observed ADL motor and ADL process ability relative to normative age. They exhibited increased physical effort, clumsiness or fatigue and/or inefficiency, there was concern for safe task performance and one-third may need assistance to live in the community. While participants reported decreased ADL ability, especially within instrumental ADL, they had a tendency towards evaluating themselves as more competent than what was observed. No relationships between measures of observed and self-reported ADL ability were found.
Conclusion: Overall, patients with bipolar disorder in remission showed decreased ability to perform ADL. Clinical practice and future studies are recommended to use both observation-based and self-reported assessments of the ability to perform ADL tasks to fully capture disability in bipolar disorder.
“…This study supports and extends findings from Angelo [6] who successfully used NGT to identify expert consensus regarding key components of single switch assessment, providing clear guidance for clinicians undertaking an assessment of those devices. It also supports findings from the literature review which emphasised the importance of family-led goals and a multi-disciplinary approach to assessment [7,11,12].…”
Section: Discussionsupporting
confidence: 80%
“…The importance of a multi-disciplinary approach to DAT assessments, involving the family and child is well documented in the literature [11,7]. Holmqvist and Buchholz [12] propose a model for eye gaze assessment, outlining key components of an effective assessment.…”
Aims: Patients with bipolar disorder often experience disability in terms of cognitive impairments and activity limitations even in remission. However, knowledge is sparse concerning the ability to perform Activities of Daily Living (ADL) during remission. The aim of this study was to (1) investigate the observed and self-reported ability to perform ADL tasks and (2) examine the association between observed and self-reported ability to perform ADL in patients with bipolar disorder in remission.
Methods: The observed ADL ability was assessed with the Assessment of Motor and Process Skills, a standardized assessment providing interpretation of ADL ability in relation to competence, independence, and normative age expectations. Self-reported ADL ability was assessed with the standardized ADL-Questionnaire.
Results: Forty-three patients with bipolar disorder in remission (median age 35 years, range 19–58 years) were assessed and overall, they displayed decreased observed ADL motor and ADL process ability relative to normative age. They exhibited increased physical effort, clumsiness or fatigue and/or inefficiency, there was concern for safe task performance and one-third may need assistance to live in the community. While participants reported decreased ADL ability, especially within instrumental ADL, they had a tendency towards evaluating themselves as more competent than what was observed. No relationships between measures of observed and self-reported ADL ability were found.
Conclusion: Overall, patients with bipolar disorder in remission showed decreased ability to perform ADL. Clinical practice and future studies are recommended to use both observation-based and self-reported assessments of the ability to perform ADL tasks to fully capture disability in bipolar disorder.
“…This special edition contains articles about adapting activities to the needs of the individual be they physical [4] or cognitive [10]. It also addresses adaptations to leisure through computer use [1] and creativity [6] based leisure occupations and the use of sensory stimulation as a leisure tool through activities such as multi sensory environments [5], music [9] and a sensory spectacular [12] are proposed. It also addresses adaptation to disability through leisure [8] of the right type for the individual [11] and which is meaningful to the individual; and leisure programme design based around the sensory diet [7].…”
Section: The Benefits and Barriers To Leisure Occupationsmentioning
“…It is a great opportunity to broaden their lives. With the aid of computer technologies, such individuals can increase their independence in their performance of both vocational and daily living tasks and have more opportunities to broaden their lives and raise their overall level of competency [1][2][3][4][5][6][7][8].…”
Through adjusting the curriculum, comprehensive learning environment design, and information technology aids to effectively integrate disabled students with learning, in order to assist them to control environment or communicate with people, and to improve their ability of independent living. Orange technology is the current trend to advocate that high-tech should be emphasized on human and social care, and to create happiness technology. However, whether these various assistive devices and the blueprint of living and teaching can bring the true happiness to disabled students needs to be considered. Therefore, this project proposes a design of single mouse with multiple cursors to assist these disabled students who have poor control of hand movements or poor hand-eye coordination, and who have difficult to move the cursor to click or enter commands and data. This design is able disabled students to shorten the computer operating time through quickly moving the mouse cursor to the position, and the experimental teaching is also carried out. Not only to analyze the effectiveness of the proposed design, but also to realize whether the design is effectively integrated into the comprehensive learning environment of special students under the experimental teaching process, and whether the design is able to improve disabled students' successful learning experience and to enhance their curriculum participation and happiness.
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