Applying Implementation Science to Support Active Collaboration in Noninvasive Brain–Computer Interface Development and Translation for Augmentative and Alternative Communication .

Purpose: The purpose of this article is to consider how, alongside engineering advancements, noninvasive brain–computer interface (BCI) for augmentative and alternative communication (AAC; BCI-AAC) developments can leverage implementation science to increase the clinical impact of this technology. W...

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Publicado en:American Journal of Speech-Language Pathology Vol. 31; no. 1; pp. 515 - 526
Autores principales: Pitt, Kevin M., Dietz, Aimee
Formato: Journal Article
Publicado: American Speech-Language-Hearing Association Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
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      pub: American Speech-Language-Hearing Association
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        154724892
        10.1044/2021_AJSLP-21-00152
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        atl: Applying Implementation Science to Support Active Collaboration in Noninvasive Brain–Computer Interface Development and Translation for Augmentative and Alternative Communication .
      aug:
        au:
          Pitt, Kevin M.
          Dietz, Aimee
        affil: Department of Special Education and Communication Disorders, University of Nebraska–Lincoln.
      sug:
        subj:
          Implementation Science
          Collaboration
          Brain-Computer Interfaces Utilization
          Alternative and Augmentative Communication
          Translations
          Program Implementation
          Conceptual Framework
          Adaptation, Psychological
          Cost Benefit Analysis
          Health Services Needs and Demand
          Program Development
          Outcome Assessment
          Socioeconomic Factors
          Health Resource Utilization
      ab: Purpose: The purpose of this article is to consider how, alongside engineering advancements, noninvasive brain–computer interface (BCI) for augmentative and alternative communication (AAC; BCI-AAC) developments can leverage implementation science to increase the clinical impact of this technology. We offer the Consolidated Framework for Implementation Research (CFIR) as a structure to help guide future BCI-AAC research. Specifically, we discuss CFIR primary domains that include intervention characteristics, the outer and inner settings, the individuals involved in the intervention, and the process of implementation, alongside pertinent subdomains including adaptability, cost, patient needs and recourses, implementation climate, other personal attributes, and the process of engaging. The authors support their view with current citations from both the AAC and BCI-AAC fields. Conclusions: The article aimed to provide thoughtful considerations for how future research may leverage the CFIR to support meaningful BCI-AAC translation for those with severe physical impairments. We believe that, although significant barriers to BCI-AAC development still exist, incorporating implementation research may be timely for the field of BCI-AAC and help account for diversity in end users, navigate implementation obstacles, and support a smooth and efficient translation of BCI-AAC technology. Moreover, the sooner clinicians, individuals who use AAC, their support networks, and engineers collectively improve BCI-AAC outcomes and the efficiency of translation, the sooner BCI-AAC may become an everyday tool in the AAC arsenal.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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