Evaluation of the feasibility of an error-minimized approach to powered wheelchair skills training using shared control.
Powered wheelchairs promote participation for people with mobility limitations. For older adults with cognitive impairment, existing training methods may not address learning needs, leading to difficulty with powered wheelchair skills. Error-minimized training, facilitated by shared control technolo...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 18; no. 3; pp. 333 - 343 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162840370&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162840370 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Apr2023 vid: 18 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 162840370 162840370 162840370 10.1080/17483107.2020.1849434 162840370 ppf: 333 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of the feasibility of an error-minimized approach to powered wheelchair skills training using shared control. aug: au: Smith, Emma M. Miller, William C. Mitchell, Ian Mortenson, W. Ben Mihailidis, Alex affil: Assisting Living and Learning (ALL) Institute, Maynooth University, Maynooth, Ireland sug: subj: Wheelchairs, Powered Assistive Technology Devices Cognition Disorders Rehabilitation Residential Facilities Skill Acquisition Persons with Disabilities Human Multimethod Studies Pilot Studies Randomized Controlled Trials Random Assignment Semi-Structured Interview Aged Aged: 65+ years ab: Powered wheelchairs promote participation for people with mobility limitations. For older adults with cognitive impairment, existing training methods may not address learning needs, leading to difficulty with powered wheelchair skills. Error-minimized training, facilitated by shared control technology, may provide learning opportunities more suited to this population. The objective of this study was to evaluate the feasibility of an error-minimized approach to powered wheelchair skills training using shared control in residential care. Feasibility indicators were hypothesized a priori to be feasible for use in a definitive RCT. A 2 × 2 factorial RCT compared an error-minimized powered wheelchair skills training program (Co-pilot) to a control intervention at two doses (6 sessions vs. 12 sessions). Data were collected on the feasibility of study processes (e.g., recruitment), resources (e.g., participant time), management (e.g., technology reliability), and training outcomes (e.g., adverse events, clinical outcomes). Twenty-five older adults with cognitive impairment participated in the study. Technical issues were encountered in 14.5% of training sessions. Participants receiving 6 sessions of training adhered better to the treatment than those receiving 12 sessions. All participants learned the skills required for PWC use with minor errors, regardless of the training method or dose. Co-pilot participants and trainers reported feelings of safety and training benefits with the use of shared control technology. Individuals with mild to moderate cognitive impairment are able to learn the skills required to drive a powered wheelchair in as few as six training sessions. Further evaluation of the Co-pilot training program is required. Shared control teleoperation technology may be used to augment learning in older adults with cognitive impairments. Evaluation of the feasibility of use of novel rehabilitation technologies is critical prior to engaging in large-scale clinical research. Individuals with cognitive impairment are able to learn the required skills for operation of a powered wheelchair. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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