scholarly journals Evaluation of Treatment in the Smart Home IRIS in terms of Functional Independence and Occupational Performance and Satisfaction

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Julija Ocepek ◽  
Anne E. K. Roberts ◽  
Gaj Vidmar
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Smart Home ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Assistive Technologies ◽  
Occupational Performance ◽  
Convenience Sample ◽  
Persons With Disabilities

The development of assistive technologies, home modifications, and smart homes has rapidly advanced in the last two decades. Health professionals have recognised the benefits of these technologies in improving individual’s quality of life. The Smart Home IRIS was established in 2008 within the University Rehabilitation Institute in Ljubljana with the aim to enable persons with disabilities and elderly people to test various assistive technologies and technical solutions for their independent living. We investigated the effect of treatments in the Smart Home IRIS. A convenience sample of 59 persons with disabilities and elderly people (aged 24–81 years) who were treated in the Smart Home IRIS from April to December 2011 participated. Standardised instruments—the Canadian Occupational Performance Measure (COPM) and the Functional Independence Measure (FIM)—were administered at the first assessment in the Smart Home IRIS and at a second assessment at the participant’s home after 6–12 months. All the outcomes statistically significantly improved from the first to the second assessment. The treatments in the Smart Home IRIS appeared to contribute to higher occupational performance and satisfaction with performance and higher functional independence of persons with disabilities and elderly people.

scholarly journals Usability, occupational performance and satisfaction evaluation of a smart environment controlled by infrared oculography by people with severe motor disabilities

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256062
Author(s):  
Mariana Midori Sime ◽  
Alexandre Luís Cardoso Bissoli ◽  
Daniel Lavino-Júnior ◽  
Teodiano Freire Bastos-Filho
Keyword(s):  
Assistive Technology ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Smart Environment ◽  
Occupational Performance ◽  
Structured Interviews ◽  
Motor Disabilities ◽  
Canadian Occupational Performance Measure ◽  
Severe Motor

A smart environment is an assistive technology space that can enable people with motor disabilities to control their equipment (TV, radio, fan, etc.) through a human-machine interface activated by different inputs. However, assistive technology resources are not always considered useful, reaching quite high abandonment rate. This study aims to evaluate the effectiveness of a smart environment controlled through infrared oculography by people with severe motor disabilities. The study sample was composed of six individuals with motor disabilities. Initially, sociodemographic data forms, the Functional Independence Measure (FIMTM), and the Canadian Occupational Performance Measure (COPM) were applied. The participants used the system in their domestic environment for a week. Afterwards, they were reevaluated with regards to occupational performance (COPM), satisfaction with the use of the assistive technology resource (QUEST 2.0), psychosocial impact (PIADS) and usability of the system (SUS), as well as through semi-structured interviews for suggestions or complaints. The most common demand from the participants of this research was ‘control of the TV’. Two participants did not use the system. All participants who used the system (four) presented positive results in all assessment protocols, evidencing greater independence in the control of the smart environment equipment. In addition, they evaluated the system as useful and with good usability. Non-acceptance of disability and lack of social support may have influenced the results.

Routine use proportion and determining factors of the Canadian Occupational Performance Measure in the real-world setting: A retrospective cross-sectional study in Japan

2020 ◽  
Vol 83 (8) ◽  
pp. 538-544 ◽  
Author(s):  
Tatsunori Sawada ◽  
Kounosuke Tomori ◽  
Yumi Kimori ◽  
Moe Kato ◽  
Minori Wakabayashi ◽  
...  
Keyword(s):  
Functional Independence Measure ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Performance Measure ◽  
Multiple Logistic Regression ◽  
Occupational Performance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Canadian Occupational Performance Measure ◽  
Determining Factors

Introduction The aim of this retrospective cross-sectional study is to examine the routine use proportion and factors determining the use of the Canadian Occupational Performance Measure in the real-world subacute rehabilitation setting. Methods This study retrospectively collected data from all inpatients and occupational therapists at a single Japanese subacute rehabilitation ward during 2017, including Functional Independence Measure motor/cognitive scores, years of experience, and rate of Canadian Occupational Performance Measure administration (that is, Canadian Occupational Performance Measure proportion). Multiple logistic regression analyses were used to identify the determining factors of daily routine Canadian Occupational Performance Measure use/non-use, after which cut-off values were calculated. Results Of the 619 included clients, the Canadian Occupational Performance Measure was applied in 232 cases (37%). A multiple logistic regression analysis revealed two significant determining factors of its use: Canadian Occupational Performance Measure proportion (odds ratio, 1.06) and Functional Independence Measure cognitive item (odds ratio, 1.22). The cut-off value, sensitivity, and specificity, respectively, were 35.4%, 0.73, and 0.36 ( p < 0.0001) for the Canadian Occupational Performance Measure proportion and 25.5, 0.84, and 0.45 ( p < 0.0001) for the Functional Independence Measure cognitive score. Conclusion The client’s high-level cognitive skill and occupational therapist’s attitude may determine the use of the Canadian Occupational Performance Measure.

Reliability and validity of the Assessment of Client's Enablement (ACE)

2018 ◽  
Vol 81 (7) ◽  
pp. 369-375 ◽  
Author(s):  
Tatsunori Sawada ◽  
Taeko Kitahashi ◽  
Ayami Kose ◽  
Samantha Ashby ◽  
Yu Karamatsu ◽  
...  
Keyword(s):  
Convergent Validity ◽  
Intraclass Correlation ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Performance Measure ◽  
Occupational Therapist ◽  
Occupational Performance ◽  
Retest Reliability ◽  
Canadian Occupational Performance Measure ◽  
Test Retest Reliability

Introduction Goal-setting in client-centred occupational therapy is often problematic. The Assessment of Client's Enablement was developed to measure the gap between an occupational therapist's and client's ratings of occupational performance. This study examines the reliability and convergent validity of the assessment. Method The assessment was used by 22 occupational therapists with 44 clients. Convergent validity was examined between the assessment (client, occupational therapist and gap scores), Canadian Occupational Performance Measure performance and Functional Independence Measure scores. Test–retest reliability was assessed by intraclass correlation coefficient. Forty-four clients participated in the test–retest reliability study. Findings Good-to-moderate correlation was found in the assessment scores (intraclass correlation coefficients of 0.86, 0.95 and 0.78 for client, occupational therapist and gap scores, respectively). The validation study was completed by 34 clients. The correlation between Canadian Occupational Performance Measure and Assessment of Client's Enablement scores was significant (client score, Spearman’s Rank Order Correlation (rs) = 0.47; occupational therapist score, rs = 0.45). The correlation between Functional Independence Measure and the assessment's occupational therapist scores was significant (rs = 0.43). Conclusion The study confirms the reliability and convergent validity of the Assessment of Client's Enablement. The assessment requires less time to administer than similar instruments and requires no formal training, making it feasible in rehabilitation settings.

Assistive Technologies and Computers

2016 ◽  
pp. 444-464
Author(s):  
Thais Pousada ◽  
Betania Groba ◽  
Laura Nieto ◽  
Javier Pereira ◽  
Alejandro Pazos
Keyword(s):  
Functional Diversity ◽  
Environmental Context ◽  
Assistive Technologies ◽  
International Classification Of Functioning ◽  
Technology Support ◽  
Occupational Performance ◽  
Persons With Disabilities ◽  
Social Environmental ◽  
The Individual

The International Classification of Functioning, Disability and Health (ICF) (WHO, 2001) provides the term disability as a part of the multi-aspects of the interaction between the individual and social environmental context in which it operates. Therefore a disabled person is a person who has impairment, activity limitation or participation restriction. A person in this situation can present difficulties in occupational performance. It is necessary to develop a set of resources, technological or otherwise, to offset these difficulties, decrease the distance between exclusion and participation and contribute to the integration of people with functional diversity in society. These resources are called support products or technology support, but do not eliminate the deficits, they can eliminate the limitation of the performance of persons with disabilities.

scholarly journals Correlation between balance and the level of functional independence among elderly people

2012 ◽  
Vol 130 (2) ◽  
pp. 97-101 ◽  
Author(s):  
Melina Galetti Prata ◽  
Marcos Eduardo Scheicher
Keyword(s):  
Elderly People ◽  
Functional Independence ◽  
Berg Balance Scale ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Daily Activities ◽  
Cross Sectional ◽  
Persons With Disabilities ◽  
Physical Independence ◽  
The Mean

CONTEXT AND OBJECTIVE: As the overall number of elderly people increases there is a corresponding rise in the number of older persons with disabilities. In order to examine whether there is any relationship between balance and activities of daily living, we evaluated balance and daily activities among elderly people living in the community. DESIGN AND SETTING: Cross-sectional study at Universidade Estadual Paulista (Unesp), Marília, São Paulo, Brazil. METHODS: The study included 70 community-dwelling elderly people aged 65 and over. Balance was evaluated using the Berg Balance Scale (BBS) and physical independence in daily activities was evaluated using the Barthel Index (BI). The Spearman correlation coefficient was used to examine the relationship between the parameters evaluated. Significance was set at the level of 5% (P < 0.05). RESULTS: The population's mean age was 70.5 ± 5 years. The mean BBS score was 50.9 ± 4.1, whereas the mean BI score was 98.1 ± 2.8. Statistically significant relationships were found between the BBS and BI (r = 0.41; P = 0.0004); between age and BI (r = -0.24; P = 0.04); and between age and BBS (r = -0.57; P = 0.0001). CONCLUSIONS: The results showed that among elderly people, there are correlations between age, balance and independence level.

scholarly journals Prevalence and factors associated with functional dependency in homebound elderly people in Brazil

2017 ◽  
Vol 27 (2) ◽  
pp. 235
Author(s):  
Gracielle Pampolim ◽  
Christiane Lourenço ◽  
Vanezia Gonçalves da Silva ◽  
Maria Carlota De Rezende Coelho ◽  
Luciana Carrupt Machado Sogame
Keyword(s):  
Logistic Regression ◽  
Elderly People ◽  
Low Income ◽  
Functional Independence Measure ◽  
Binary Logistic Regression ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
Functional Dependency ◽  
Cross Sectional ◽  
Low Education

Introduction: Population ageing is a worldwide reality that requires attention, and a concern for healthy and functional ageing is increasingly the focus of government policies and programmes.Objective: To identify the prevalence of homebound elderly people, and the influence of sociodemographic and economic characteristics on their functional dependency.Methods: Cross-sectional study with 178 homebound elderly people assisted by a family healthcare unit in Vitória, ES, Brazil. Functional independence was measured by the Functional Independence Measure (FIM) and the sociodemographic and economic variables were collected by a questionnaire developed by the authors. Binary logistic regression was used to determine the influence of the sociodemographic and economic characteristics on the risk of being functionally dependent.Results: Forty-eight percent of the participants were functional dependents, 80% were female, 72% belonged to the fourth age, 74% were white, 63% were widowed, 78% had retired, 90% had children, 83% had a caregiver, 52% had low education and 40% had low income. Logistic regression indicated that having a caregiver increased by 40 times the chance of being functionally dependent (OR = 40.2; 95%CI 4.8–355.4) and having between one to eight years of education decreased the chance of functional dependency (OR = 0.2; 95%CI 0.04-0.9).Conclusions: The prevalence of functional dependency was very high in this sample, and since the presence of a caregiver was the strongest and significant predictor of functional dependency, we suggest that guidance and support should be offered to caregivers, followed   by a family healthcare strategy, to make consistent efforts with the objective of improving  functional recovery and independence of homebound elderly.

scholarly journals Spotlight on Siblings: Considering Social Context in Home Modification Practice

Societies ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. 30
Author(s):  
Moller ◽  
Schneider ◽  
Steel
Keyword(s):  
Social Context ◽  
Independent Living ◽  
People With Disabilities ◽  
Practical Experience ◽  
Assistive Technologies ◽  
National Standards ◽  
Policy And Practice ◽  
Persons With Disabilities ◽  
Home Modification ◽  
Modification Process

The United Nations Convention on the Rights of Persons with Disabilities (CRPD) recognizes the role of Assistive Technologies (AT) in enabling independent living and inclusion of people with disabilities. Research into the provision of AT and disability services in general has highlighted the importance of social context and its influence on individual outcomes. However, there is little recognition of sibling roles, relationships and rights in the guidance available for practitioners. This paper explores the socio-technical context of home modification practice and the importance of involving siblings. The international context and concepts behind AT provision, including home modifications, and issues emerging from practice in Australia’s new National Disability Insurance Scheme (NDIS) are discussed. Based on extensive practical experience and peer review, the “5 S’s for Siblings” is presented as a practice approach for involving siblings in the home modification process. Policy and practice implications are presented, including communication strategies for working in partnership with individuals and their families, and alignment with national standards and human rights principles. Involving siblings in the home modification process recognizes the important role they play in the lives of people with disabilities, both now and in the future.

Sign in / Sign up

Export Citation Format

Share Document