Essential elements for assessment of persons with severe neurological impairments for computer access utilizing assistive technology devices: a Delphi study.

Purpose. The objective of this study was to determine prospective elements that should comprise a comprehensive and valid assessment of persons with severe disabilities for access to computers utilizing assistive technology (AT). Currently, there is a lack of guidelines regarding areas that permit a...

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Published in:Disability & Rehabilitation: Assistive Technology Vol. 1; no. 1/2; pp. 3 - 17
Main Author: Hoppestad BS
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jan-Jun2006
Online Access:View this record in EBSCOhost
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      dt: Jan-Jun2006
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        2009156332
        10.1080/09638280500167019
        106445927
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        atl: Essential elements for assessment of persons with severe neurological impairments for computer access utilizing assistive technology devices: a Delphi study.
      aug:
        au: Hoppestad BS
        affil: Assistive Technology Specialist, National HealthCare Inc., Tennessee; brianhoppestad@comcast.net
      sug:
        subj:
          Nervous System Diseases
          Computers and Computerization Utilization
          Assistive Technology Devices
          Patient Assessment Methods
          Needs Assessment
          Clinical Assessment Tools
          Delphi Technique
          Neurosciences
          Rehabilitation
          Education
          Questionnaires
          Expert Clinicians
          Assistive Technology
          Descriptive Statistics
          Benchmarking
          Physical Therapists
          Occupational Therapists
          Speech-Language Pathologists
          Muscle Weakness
          Paralysis
          Cognition Disorders
          Mental Processes
          Motor Skills
          Affect
          Functional Status
          Human
      ab: Purpose. The objective of this study was to determine prospective elements that should comprise a comprehensive and valid assessment of persons with severe disabilities for access to computers utilizing assistive technology (AT). Currently, there is a lack of guidelines regarding areas that permit a satisfactory measure of a person's need for AT devices to enable computer access, resulting in substandard services.Method. A list of criteria for elements that should be incorporated into an instrument for determining AT for computer access was compiled from a literature review in the areas of neuroscience, rehabilitation, and education; and a Delphi study using an electronic survey form that was e-mailed to a panel of experts in the field of AT. Only those areas rated as essential to the assessment process ('very important' or 'important' by 80% of the respondents) were chosen as important criteria for an assessment instrument.Results. The initial Delphi survey contained 22 categories (54 subcategories or elements) for incorporation into an assessment for computer access. The second round of the survey completed the Delphi process resulting in a consensus for inclusion of 39 of the elements in an assessment instrument.Conclusions. There are inherent obstacles to prescribing the proper AT device to assist disabled persons with computer access due to the complexity of his/her condition, and the multitude of technological devices available to aid persons in accomplishing diverse tasks. This study reveals the intricacy of the assessment process, especially in persons with severe disabilities associated with neurological conditions. An assessment instrument should be broad ranging, integrating both intrinsic and extrinsic factors, considering the multidimensional nature of AT prescription for computer access.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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