Application of an access technology delivery protocol to two children with cerebral palsy.

Purpose:This study further delineates the merits and limitations of the Access Technology Delivery Protocol (ATDP) through its application to two children with severe disabilities.Method:We conducted mixed methods case studies to demonstrate the ATDP with two children with no reliable means of acces...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 11; no. 2; pp. 166 - 176
Autores principales: Mumford, Leslie, Chau, Tom
Formato: case study pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2016
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/17483107.2015.1063017
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        atl: Application of an access technology delivery protocol to two children with cerebral palsy.
      aug:
        au:
          Mumford, Leslie
          Chau, Tom
        affil: Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada and
      sug:
        subj:
          Cerebral Palsy
          Children with Disabilities
          Assistive Technology
          Health Services Accessibility Methods
          Human
          Case Studies
          Multimethod Studies
          Male
          Female
          Adolescence
          Interviews
          Questionnaires
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose:This study further delineates the merits and limitations of the Access Technology Delivery Protocol (ATDP) through its application to two children with severe disabilities.Method:We conducted mixed methods case studies to demonstrate the ATDP with two children with no reliable means of access to an external device. Evaluations of response efficiency, satisfaction, goal attainment, technology use and participation were made after 8 and 16 weeks of training with custom access technologies.Results:After 16 weeks, one child's switch offered improved response efficiency, high teacher satisfaction and increased participation. The other child's switch resulted in improved satisfaction and switch effectiveness but lower overall efficiency. The latter child was no longer using his switch by the end of the study.Conclusions:These contrasting findings indicate that changes to any contextual factors that may impact the user's switch performance should mandate a reassessment of the access pathway. Secondly, it is important to ensure that individuals who will be responsible for switch training be identified at the outset and engaged throughout the ATDP. Finally, the ATDP should continue to be tested with individuals with severe disabilities to build an evidence base for the delivery of response efficient access solutions.Implications for RehabilitationA data-driven, comprehensive access technology delivery protocol for children with complex communication needs could help to mitigate technology abandonment.Successful adoption of an access technology requires personalized design, training of the technology user, the teaching staff, the caregivers and other communication partners, and integration with functional activities.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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