Smart-speaker technology and intellectual disabilities: agency and wellbeing.

Mainstream intelligent personal assistants (IPAs, e.g., Amazon Echo and Google Home) offer an unprecedented opportunity to enhance agency and wellbeing among vulnerable groups across health and social care. However, unintended consequences and barriers to use are possible. We conducted a mixed-metho...

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Published in:Disability & Rehabilitation: Assistive Technology Vol. 18; no. 4; pp. 432 - 443
Main Authors: Smith, Elizabeth, Sumner, Petroc, Hedge, Craig, Powell, Georgina
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd May2023
Online Access:View this record in EBSCOhost
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      dt: May2023
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      pub: Taylor & Francis Ltd
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        atl: Smart-speaker technology and intellectual disabilities: agency and wellbeing.
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          Smith, Elizabeth
          Sumner, Petroc
          Hedge, Craig
          Powell, Georgina
        affil: School of Psychology, Cardiff University, Cardiff, UK
      sug:
        subj:
          Intellectual Disability
          Persons with Disabilities Psychosocial Factors
          Voice Recognition Systems
          Assistive Technology Devices
          Quality of Life
          Human
          Random Assignment
          Randomized Controlled Trials
          Multimethod Studies
          Semi-Structured Interview
          Thematic Analysis
          Psychological Well-Being
          Social Values
          Wales
          Special Populations
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Scales
          Female
          Male
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: Mainstream intelligent personal assistants (IPAs, e.g., Amazon Echo and Google Home) offer an unprecedented opportunity to enhance agency and wellbeing among vulnerable groups across health and social care. However, unintended consequences and barriers to use are possible. We conducted a mixed-methods semi-randomized controlled trial among individuals with intellectual disability (ID), providing IPAs to an intervention group (N = 22), but not a control group (N = 22). Semi-structured interviews on device use and daily life were conducted with individuals with ID. Observation surveys were also collected from support staff. Key themes were identified using thematic analysis. We also collected quantitative agency and wellbeing data. A separate group of 40 individuals who had already received IPAs were additionally assessed, as well as their support staff. Four themes were identified: (1) social value, (2) entertainment, (3) perceived agency, (4) challenges, perseverance, training/support needs. Opinions regarding IPAs were overwhelmingly positive. Most individuals qualitatively reported improved sense of agency and IPAs enabled many individuals to access features associated with wellbeing, but there was no significant change in the quantitative measure. Some individuals experienced challenges related to pronouncing and remembering IPA phrases; however, perseverance was common. This study increases our understanding of the ways smart speakers can be used to enhance life quality among individuals with ID, and the nature of barriers faced. In conclusion, IPAs are cost-effective complementary support for vulnerable populations, but additional training is required to realize all potential benefits. Individuals with intellectual disability (ID) in supported living are able to use mainstream smart-speakers to access features associated with supporting wellbeing and social communication. They also reported that smart speakers made them feel better able to do things for themselves. A number of individuals with ID and their support staff identified a need for training and support to get the most out of smart speakers in future.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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