Difficulties in using everyday technology after acquired brain injury: a qualitative analysis

Engström, Ann-Louice Lövgreen; Lexell, Jan; Lund, Maria Larsson

doi:10.1080/11038120903191806

Cited by 12 publications

(4 citation statements)

References 31 publications

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“…Most of our participants reported needing help with MT at least several times a month. Difficulties using MT have been reported in people both with and without disabilities, even though they may have basic knowledge (Ackerman et al, 2001; Engström et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Attitudes and use patterns for mobile technology and upper extremity home exercises in stroke survivors in the United States

Kim

2022

British Journal of Occupational Therapy

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Introduction The use of mobile technology (MT) in home-based occupational therapy is expected to continue growing. This study describes daily use patterns for MT and upper extremity (UE) home exercise programs (HEPs) for community-dwelling stroke survivors in the United States. Method Cross-sectional survey. Data were analyzed using descriptive statistics and bivariate comparisons. Results N = 61 (30 stroke and 31 controls). Individuals with stroke had similar levels of knowledge, skill, and use of MT compared with non-disabled age-matched adults. Stroke participants used MT more frequently for information searching, social media, and reminders compared to control participants. Stroke participants were motivated to improve UE function (93.3%) and reported a need for additional HEP training (56.7%). Perceived facilitators to improve UE use included talking to peers (73.3%), getting more information (73.3%), and talking to a therapist (63.3%). Conclusions MT may have multiple potential benefits when integrated into occupational therapy practice including supporting instrumental ADLs, facilitating social connection, and increasing adherence to UE HEPs. Future work should focus on maximizing adherence and providing performance feedback through the use of social media to promote peer support and consistent remote communication using text messaging, phone calls, or video calls to deliver information and reminders on exercises.

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Section: Discussionmentioning

confidence: 99%

Attitudes and use patterns for mobile technology and upper extremity home exercises in stroke survivors in the United States

Kim

2022

British Journal of Occupational Therapy

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“…However, adherence to daily assessment was observed to be low, which was attributed to errors in data that subsequently had to be excluded from the evaluation results. To resolve this issue, it was suggested that prior training with the technology should be provided for participants, as it is often the case that brain-injured individuals find technology difficult to use due to their condition [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of a Smartphone-Based Approach to In Situ Cognitive Fatigue Assessment

Price¹,

Ge²,

Galway³

et al. 2017

JMIR Mhealth Uhealth

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BackgroundAcquired Brain Injuries (ABIs) can result in multiple detrimental cognitive effects, such as reduced memory capability, concentration, and planning. These effects can lead to cognitive fatigue, which can exacerbate the symptoms of ABIs and hinder management and recovery. Assessing cognitive fatigue is difficult due to the largely subjective nature of the condition and existing assessment approaches. Traditional methods of assessment use self-assessment questionnaires delivered in a medical setting, but recent work has attempted to employ more objective cognitive tests as a way of evaluating cognitive fatigue. However, these tests are still predominantly delivered within a medical environment, limiting their utility and efficacy.ObjectiveThe aim of this research was to investigate how cognitive fatigue can be accurately assessed in situ, during the quotidian activities of life. It was hypothesized that this assessment could be achieved through the use of mobile assistive technology to assess working memory, sustained attention, information processing speed, reaction time, and cognitive throughput.MethodsThe study used a bespoke smartphone app to track daily cognitive performance, in order to assess potential levels of cognitive fatigue. Twenty-one participants with no prior reported brain injuries took place in a two-week study, resulting in 81 individual testing instances being collected. The smartphone app delivered three cognitive tests on a daily basis: (1) Spatial Span to measure visuospatial working memory; (2) Psychomotor Vigilance Task (PVT) to measure sustained attention, information processing speed, and reaction time; and (3) a Mental Arithmetic Test to measure cognitive throughput. A smartphone-optimized version of the Mental Fatigue Scale (MFS) self-assessment questionnaire was used as a baseline to assess the validity of the three cognitive tests, as the questionnaire has already been validated in multiple peer-reviewed studies.ResultsThe most highly correlated results were from the PVT, which showed a positive correlation with those from the prevalidated MFS, measuring 0.342 (P<.008). Scores from the cognitive tests were entered into a regression model and showed that only reaction time in the PVT was a significant predictor of fatigue (P=.016, F=2.682, 95% CI 9.0-84.2). Higher scores on the MFS were related to increases in reaction time during our mobile variant of the PVT.ConclusionsThe results show that the PVT mobile cognitive test developed for this study could be used as a valid and reliable method for measuring cognitive fatigue in situ. This test would remove the subjectivity associated with established self-assessment approaches and the need for assessments to be performed in a medical setting. Based on our findings, future work could explore delivering a small set of tests with increased duration to further improve measurement reliability. Moreover, as the smartphone assessment tool can be used as part of everyday life, additional sources of data relating to physiological, psycho...

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“…In addition to targeting specific cognitive domains, rehabilitation research examines ways to improve overall cognitive function, or daily cognition. One daily cognitive activity that is difficult for individuals with TBI is using technology – including electronic, technical and mechanical equipment (Engstrom, Lexell, & Lund, 2010). Rehabilitation professionals must address these difficulties with interventions that promote successful technology use.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed since 2006 only around 20 empirical articles addressed remediatory or compensatory approaches in this population(Boman, et al, 2010; Couillet, et al, 2010; D. R. Dawson et al, 2009; de Joode, et al, 2012; Dvorkin, et al, 2013; Engstrom, et al, 2010; Giuffrida, et al, 2009; Goverover, et al, 2009; Goverover, et al, 2010; Jacoby, et al, 2013; Kang, et al, 2012; Y. H. Kim, et al, 2009; Ng, et al, 2013; Pastotter, et al, 2013; Pero, et al, 2006; Potvin, et al, 2011; Roche, et al, 2007; Roediger & Karpicke, 2006; Schmidt, et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Cognitive Rehabilitation After Traumatic Brain Injury

Stephens

Williamson

Berryhill

2015

OTJR: Occupation, Participation and Health

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Nearly 1.7 million Americans sustain a traumatic brain injury (TBI) each year. These injuries can result in physical, emotional, and cognitive consequences. While many individuals receive cognitive rehabilitation from occupational therapists (OTs), the interdisciplinary nature of TBI research makes it difficult to remain up-to-date on relevant findings. We conducted a literature review to identify and summarize interdisciplinary evidence-based practice targeting cognitive rehabilitation for civilian adults with TBI. Our review summarizes TBI background, and our cognitive remediation section focuses on the findings from 37 recent (since 2006) empirical articles directly related to cognitive rehabilitation for individuals (i.e., excluding special populations such as veterans or athletes). This manuscript is offered as a tool for OTs engaged in cognitive rehabilitation and as a means to highlight arenas where more empirical, interdisciplinary research is needed.

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Difficulties in using everyday technology after acquired brain injury: a qualitative analysis

Cited by 12 publications

References 31 publications

Attitudes and use patterns for mobile technology and upper extremity home exercises in stroke survivors in the United States

Attitudes and use patterns for mobile technology and upper extremity home exercises in stroke survivors in the United States

Validation of a Smartphone-Based Approach to In Situ Cognitive Fatigue Assessment

Cognitive Rehabilitation After Traumatic Brain Injury

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