Design and Rehabilitation - Report at three spinal injury centres

7/31/2019 Design and Rehabilitation - Report at three spinal injury centres

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Report on theRSA’s Design

& Rehabilitationproject at three

spinal injurycentres

Emily Campbell July 2012



Contents

Acknowledgements 2

Introduction 3

The partners 5

Approach or research questions o the partners 6

The project at each centre 9

Feedback, fndings and outcomes 17

The learning: adaptable models and accessible language 21



2

Acknowledgements

W many ank Sylva AamCaabl Tu an u an BukNw Unvy, Nanal Snal InjuCn a Sk Manvll Hal,

Glagw Sl A, SalyUnvy, Qun Elzab NanalSnal Inju Un a Sun GnalHal, Glagw, Sl HallamUnvy, Pn Ryal NanalSnal Inju Un a Nn GnalHal, Sl.

photo credits: ag 10–12 Buk NwUnvy; ag 14 Glagw Sl A; ag 15 Sl Hallam Unvy.

The Sylvia Adams Charitable Trust



Report on the RSA’s Design & Rehabilitation project at three spinal injury centres

Dgn & Rablan an RSAnav, bgun n 2009, a gn l w nal nju a au nnn, uuln

an ga nl v lv. T a n a l gnwk, -na by RSA, ablan nan an x-an nal njuy n nan w gn amn lal unv. Fun by Sylva Aam Caabl Tu, wk k la bwn Ob2011 an Fbuay 2012.

F 250 ya Ryal Sy nuagmn A, Manuau& Cmm a vguly u

g gn, nuagng nvnn ann mmn g. In 20 nuy, u wa a amnng g nal gnan xlln n ungaua gnuan. Wl an n-nu, RSA a al bgun xlw l – abv an byn ma nal xlln – y anbn m gn.

Dung my nu a D Dgn, RSA Pj I vl anagumn a gn nally a kn uuln: ably mak

mng unnal uul u wa’ avalabl. Dgn a lb-a an a n uulnan mak a lvng u . Bu RSAagu a uuln wul bb bu – an y nan

– gn w la m nawnn a a nal avy anug a mng a vyna m nal .

T RSA’ gn gamm - am l m l u gn ang wl. T Dgn &

Rablan j a nxaml nluv aa gn uan. In a, unv k u allng -vng a gn-anng ml lb n ablan nal njuy an lvng w njuy aag, wkng lly w UK’ lvn al un SCI.1

Ea j k nan m

gn wk y nNvmb 20102 by RSA an BaU, nanal ay nal njuy. T aan n wk

w m an nm wn a gn m by avnal. Ty w mlvavly gnng: mlng anaal ak an magnav al-lng. T wk wa ganaun nl bvan ananaly w a ual n gn anw la av bakug un. Luk Dlauny, BU vlun gu la, a a wk “Analyng an bak-ng mng wn a a gn l

yu nk ‘Wa an I nl ?’ Ia wul n”, wl Dan Hayan aan a, “I nk ’abluly bllan. Dabl lav a unqu v an gn l m u a lv wnul”.

Wl RSA wk waan nanal ml, malmlgy ang gn

Introduction



4

l n ablan man n nn, an RSA nv unv w gly ga gnaul aa:

n x an ma am-wk, n a qun, buanng nl a nal nju aan a mlv gn. T aa ab n llwng ag,alng w bak, nng anum gna by a j.

Emily Campbell Fm D Dgn, RSA Pjan Pj D RSA Dgn& Rablan

1. Snal C Injuy. SIU (Snal InjuyUn) anym u wly by NHS an ably a an n .

2. RSA : Dgn & Rablan: a ay wk n gn l wnal nju, Ma 2011 www.a.g/__aa/a/_l/0007/562642/Dgn-an-ab.




T j wa l by Buk NwUnvy, wkng w NanalSnal Inju Cn a Sk Manv-ll al n Bukngam. Buk

Nw Unvy knwn a an uan-ng nun ang unu& u gn an la nHg Wymb, anal n unu manuau. T jwa nv n llaban w Fauly Hal. T nwa l by Glagw Sl A anSaly Unvy wkng w Qun Elzab Nanal Snal InjuUn (QENSIU) Glagw’ SunGnal Hal. Glagw Sl A a bn n UK’ fag a

l n n a a GvnmnSl Dgn n 1845 an mv n n bulng gn by CalRnn Makn n 1909; Sa-ly nnanally gn a alang unvy ngnng. T j wa l by Sl HallamUnvy’ Lab4Lvng a nwkng w Pn Ryal SnalInju Cn a Sl’ Nn

Gnal Hal. Lab4Lvng bngala, gn & ngnng al- n llaban w mmb ubl, aulaly ang

allng agng an al.

The partners



6

Stoke Mandeville

Sk Manvll, lag nalnju n n UK an wlygn by ubl a a n xlln, nng nw aa ngang mn ‘l kll’ nablan alng m ab-l lmn yay anuanal ay. I gn ala nal njuy n an aav ma aan n alm xlun av-, an kn vl u al ngan an mlymn

an. D Alln Gaam, n-ulan yan a Sk Manvll,n knly RSA’ navan n gn a nally avy wul vl ang an an nkng kll a wul n-uag av an al ngagmnw yal wl; an n ma ul bm a vanal u a nw a an.

Sk Manvll abl a

uu an mlgy anggn w ul bm mannan a ml n llw. Iunk nga l n wkly ablan ul a SkManvll, a an makng annal vnng wkn avy. Byngang gn anng n wkng wk, D Gaam l a SkManvll ul man ang l ann bakn al an wlln mnvly,n ju a g wla-u.

D Aln Sv, Ha Sl Dgn, Ca an VualA a Buk Nw Unvy, kng valua al l an uly makng an gn-nkng, a a aa a wul nmb nal uu j n al,an ang an lanng n a angn. S ak w a quna u:

• Wa an w lan abu ang

a an gn u wn unug ngagng w a gamm ablan?

• Wa n nvnn mak nvual n gamm an wa a mlan u ablagamm nal njuan?

Buk Nw Unvy a gly aal gn gammn g n ‘ag gn’

– nuy magy, bvan,fn, nan an ng,nvnn, valuan, vw an

– a nang kng, -yng an kng a ay.

Alng aal gammy an analyal aa ang nvnn, akng wa an w bng ak an wy, n xl unlyng

Approach orresearch questions

o the partners




aumn lanng an angan u ma u a-umn n a gu l wav n ally vanallyn uy a an gn. Tywul b aulaly al ba unanng ngagmn an unn lanng um.

Rgnng a u a j wul

b ul valua, Sv a aa wul b gna ugu bvan an fn n vag av n njunnw a mall a am. Paanwul al b ak k a fvjunal/kbk v ngn unanng av,w mg b n u. A ulmnan -gamm Sv al a ugu un by an xn aan nal nju nu n Fauly Hal. A an nga aa unanng ma av- n nvual aang n gn gamm, x wulxl n gamma ma lv an au an.

GlasgowT Qun Elzab un a Glagw’Sun Gnal Hal nanalnal nju n Slan. IClnal D, Dav Allan, aw n RSA’ j an man n-

n m am by gn ‘mv’ lv l w nal nju. By makng anmlv n gn, ay, j av k gn m-nvng n abl l jng wn gn nn l n vy n uman.

2008 wa naugual ya u-bul Ra Mzzann w-n Glagw un. T S Cn Innvan n Snal C Injuynanly ngag w unv an

auy b ala -lnay av, an mvngwa ully nang a n ablan nvnmn an mmuny.

Cnulan n ablan DMal Pull a n u j: “T vy nn abl-an maxm a n’ y-al ylgal an al wll-bng.

Ingang gn, nally n na-n ablan gamm alngan ay, uanal ay anyay, wll gv an xakll m yal nalan qualy l n uu”.

Inng bvan lnal al, P AlaaManal, Sn Ra a

Glagw Sl A a -j n val ag, mmnng wang an mng w an gan a b unanng ‘a-way’ a an xn m au ag njuy ug abla-n ag, un m-muny, an nal -amn. Tunanng wul b a n gn by nung a -gn kll u vy uully n GSA j. Manal wa uugu j by PBn Cnway, Ha Bngnnga Saly Unvy w gulalywk w nlgy u a-blan; n an aam nvnmnw ngn an n ak an n-vgav aa n an nay a njuy.

Manal am unanan’ mnal an ylgalg an lw n ablan an wan wa xn yal aa-bl ul mv; knw m an’ wn ln an u-uln; unan mgng

mga an w, xaml,ab lly an mg qu aaula aa. H wul vual- ablan away laun an wk.

Manal mmnngw a nan an ana anmav gn ung n a u gn u n vau ng,mnanly bu n xluvly nala; llw by a un l an m u lba

a uuln nvualan m uv lan.T ag wa a n aa ngnng uuln an an bwn alv, an, an’ aml,n an mmuny v wulb man. T ulng unwul ny u a ul bxl ug a gn wk.

T gn wk wa an an a, an wul un m ‘bjyng’ u bmakng m vv vual, xaml: vual mang ab junvlng na l yan u ny un nnvan an mvmn; an‘wa …’ n lang a

gnan a ung gn kng, m, an ngan m an-n a yn

Ea ag j wul bu xl u llabanan aulaly n an mb ‘gn-n-n’ a QuElzab n w wul vlbm a a ab am, wng w a an an.

ShefeldT Pn Ryal nal njuyn a Sl’ Nn GnaHal n lag n uny a Sk Manvll anu a u-gn bulnga na a wk nbuby an: Clnal D DKangall Maw bv a RSA’ j a a ‘naual ’ w mn nal nju n u a. H an llagu aknwlga anng wul b uul gnabl agy an wk gn wn nvnmnan gag amma

al n.A g n nula

a un a ugn w, a n yal an nuv a mn, av a naual nn u gn. T n, wv, xn av a mv way l nk abu l w l wa y an , aan an’ . T nulan al a nal lnk ablan anmlymn ug j n lng m.

P Paul Camblan, Ha A an Dgn Ra Cn Lab4Lvng a Sl HallamUnvy w an xl n n-ngagmn an aay T n k w ubl ngag-mn n a vay a jn gn an al, xaml bymlyng l l a aa j n bam gn, n



8

gan au u-ng. Lab4Lvngn gn an ablanj Pn Ryal an RSAa a ‘v valuan’ an a l uya mg la a bgg nquy.

T a am umwan abl a wn j w SCI aan.Ty wul mak xl a a

wa a jn nquy; an uny a lanng an bak yal vw gn’ la ‘x’ a n lv un-nal blm n by u.Sl Hallam’ am an bjv n j w ummaz a:• allng n gn

amng nn-gn• nvga w gn an u

l-ay• unan un a

vlmn gn kllmg n nvual lvngw lng m abl

• u Lab4Lvng’ wk an ln l an valu -gnan aay gn

• nuag anably kll an knwlg

Sl Hallam am u8–12 aan wk a-la by a mnmum 3 a (SHUaam n gn an al) a an. Sx wk w lann,mng llua nan

m gn a an navav – b nvual an guwk – gv SCI-aan x-n an ng n l gnan ma n vyay l.

F nnuy, w SHU a wgn knwlg an kll (nlu-ng makng, mllng an yngkll, ga, au an v ngkll, gay, awng an llua-n) wul ngag n all n.Rlvan x mg b bug n n. A mmb

a am wul b ak w‘bng’ n n b; nyngan ng gnan mmn ann. Bwn 3–4 gaua u-n wul al u a n l aan n av.T l wul b ly alaa nu by aan, lavngall gn n aanmlv.

Ea n wul b ung v, an wul b l wnmal bak m aanakng m nn abu n (g unn, m ung,mmn ay). Ea nwul al b llw by a mmal b amng gna an lnal am.

Bau nally mallnumb an gula anan aan, an lavly m am uy, Camblangn a wul b ul abl manngul quanav aa.H an valuan agyu n qualav amn aan’ unanng gnan nal alan lv; nn lvl; an xn un anallng n by wk.




Stoke Mandeville

Bucks New University’s project com-bined an expansive vision or design aspsychologically ‘transormative’ withintense observation o physical unc-tions that could be aided by the designo devices. Since the patients who stayedthe course both had impaired use o their hands, the workshop graduallycentred on devices to aid writing draw-ing, playing board games and holdingdrinking glasses. A genuinely collabora-tive creative exercise, including a visit toBucks New University’s product design

workshops, resulted in intriguing proto-types or new product types.

Eg 2-u n w l auna lag mng abl n a wnwlbu laan f mng ma Sk Manvll Hal. Twk bgan w u vy avaan, an aan nallywnl w ugly ngag

yung mn, C Hayn an Alx

Jn w C5–C63 nju w n nlyv u gn wk Buk Nw Unvy, bu an j mnan vn a DgnCunl n Lnn. T aanw aman by an ‘nuag’ an an aan w nbuavly un an gn.

T n w l by mmb Buk Nw UnvyDgn Fauly: Cal Clkn (SnLu, Funu Dgn), Bll Sa (Damn Manag, Cav

& Vual Cmmunan) anLbby Calln (Sn Lu,Slvmng, Malwk & Jwlly),aman anally by unan a.

N a m Sk Manvllan wk.

T n w uu a u v ba ag -gn: nuy magy, bvan,

fn, nan an ng,

nvnn, valuan, vw an In aualy, n qu a g mvan n aun unabl an anan.

Cal Clkn n w a ga ganman wn n b many n an nvnn a an naynn-gn, w w, wv, agu gn. H llw an w xaml ‘ak nmal gn, an ma valu a w akl gu

bng avy gnng.T n n, ul a ‘

van’, n a b un bvan n gn allw by a v wa uby w an xamn a an allng y nBau aan all a -u ng-g a a ul njuy, kbk w abann

The project at

each centre



10

a l aung bvan anfn.

In n a m vu wk an wa v w x-an a l n fa a nal j wk n. Fuw l an ml agam w

u au a.T fa l bam

n n ang gnanal ng n u n.An nal un a l na a yng ‘akng’ avyung lgwg maal. T gnavy u n w a, unbl an umk a ul bl by mn w ma g.

On an bug n l a by uanal a, nlunga kn, an l bu, a wam an a w a n n-n a ng.

T gn an aan uam ba, a glu gun, a, l an

ma u a mv xng v. Sval y wma an unnaly, n-a u an llng mn.

In a b qu, yw valua an aan ak a n maalan lu. T gn am nun un gn n nalan an a, an

mmn ‘m ba’ a al aung nman.

T n m n an’wng kn – a mabl la wW-F a. Cal Clkn bgan by -mang uly nala-n a a u vng a gnlun, wng w bul a vualal nman abu yul

an yu n. T a uSugu wa nu, an a numb un a: aun a anxu nvy, m mvmn anl ang lvl SCI. Bll San an a a anl xnT w manng aan n- b mlv an am ba, n un w gn am.

Lbby Calln n n w a nan abu ag gn: nyng blm(bj, a ym); ung m an maal; xlng u n avbal x; an xlay ‘yl an

lk’ x; lln nng an al, an gw ‘nluv gn’; an m lnk -ganan lk Dgn Cunl anEnablbyDgn.4 T gn am anaan, mn ag n , ag a ng y wan vl: a g-abl n gla, a man wawngan ATM a, gam un nby g-abl ua Fu Palla ‘n’ a an an a-–un. T gn am ag -

y a n wk unvy.

T llwng wk C an Alxu unu wk BukNw Unvy an valua -y un vlmn, nlunga mal anl an a a n-l.T y w vw a g an nal n a SkManvll.

“T gn am nu gn n nalan ana, an mmn ‘m ba’ a a l aung nman”

1




1–2. Ru an y vby uanal ay a a SkManvll

3–9. Dvlng y w BukNw Unvy

2

4

3

6 75

8

9



12

10–12. Maal, k an ym Buk Nw Unvy wk

13. Fu Pall an Bakgammnun llua ‘Ea vuCallng’

14–16. Alx an C a Buk NwUnvy wk w Cal Clkn

10 13

15

16

14

11

12




a u, an llua w nn-gn an u gn l an - la a uuln nvual. MDnal n RSA’ gnal Dgn & Rablanj, Dgn Cunl’ RED

Pj,5 IDEO’ Human CnDgn Tlk an xn-ba - an aav gn m-lg a a-u.

Fbak m ag an SIU a mna wa laglyaubgaal: nvual un-ng wn njuy an

am aju a nw l w Pan w aulaly val abu ann m a abln. Dag an k maav lak uu abng n an SIU, unly avng la, an vn an ‘xn amlybng akn away – an g m anvnmn w l av ml

blm n n w y a alan x. I mg a ylal ann an b m manallngng an yal an m nvnmn, an l qu an xanv ang analgw gn: anang uan awll a aal u; umng anaang; nllng mag an ny; ang al xn a wa . T a akng a ‘buym m ‘y xn’ wa a aulaly xlgn ma.

Manal al aqu an 18-Au Sv Gal Plannng Ck

Past Lie Future Li

Previous Lie Incident Acute Rehab Unit Community/Home

Adaptation/adjustment to life in the unitAdaptation/adjustment to life at home(perhaps via nursing home)

Growing camaraderie with othersin the unit (sense of belonging) Sense of isolation

Increasing sense of being ‘normal’within a disabled community

‘Abnormal’ within an able-bodied communitystigmatising reactions

Support for improving physical condition (Lack of) support/physical de-conditioning

Growing feeling of safety and security Feeling of being exposed/isolated

Busy environment Quiet environment

Transition/biographical disruption 1:

previous lie to rehabilitation unit

Grieving for one’s past life and trepidationabout one’s future. Reinventing and

renegotiating one’s self and identity. Learning tobecome a member of the QENSIU community.

Transition/biographical disruption 2:

rehabilitation unit to community and home lie

Having coped with and adapted to the community andlife within QENSIU, SCI survivors are faced with anotherstage of adjustment without the peer and professionalsupport found in QENSIU

Glasgow

Glasgow School o Art’s project wasstructured in three phases: an ‘under-standing’ phase looking at literatureand materials on SCI rehabilitation, aseminar on the potential contribution o design to healthcare and rehabilitation,and a participatory design workshop;the latter two phases involving patients

and sta o the spinal injury unit. It wasdecided to begin the nal workshop bydeliberately distancing participants romtheir own disability in asking them torole-play. This process o seeing romsomeone else’s perspective, carriedthrough in visualisation and scenario-building exercises, was reinorced andnaturally evolved into a strong sense o design as an inherent re-imagining o one’s uture: a very strong analogy or rehabilitation.

T al-ay mna an wkw l n lag, lg ‘S-DwnUn’ QENSIU. Sx ag x-an an nan aa,nlung w an n b an anumb av mmb na-nal ay Snal Inju Slan,aa w n.

T mna an wk w lby P Alaa Manal aGlagw Sl A w nbu-n m Emly Cambll an BnCnway n nan; an an n by a mall numb

MA gn un a ala anvual.

Dav Allan, Clnal D QENSIU, an nulan yan DMal Pull w n gula an-an, alng w a mall numb u-anal a an y a.

Fm ang an n ulby QENSIU Manal vl aml an away ml lny u a mg b uul xl n gn j.

H ug unan an’

ablan away b a nby un, an a xn by an,an n w a ann, ‘bgaal un’: n anjuy & n a ablan.

T n j a, m-na, am mmuna nalbn gn m an a vay akl (SCI-l,an an lnal a) ung n

“I mg aylgal annan b m man allngng an yal ann m nvnmn”

Patient pathway by Alastair Macdonald, Glasgow School o Art



14

a vn, a umn u by n w, wl val gamlxy n managmn unn, aa – m gna’ v – un.T umn ak a amlmnay l a mg a SCI an m/l (a an lnan nbl ag)

n aklng blm aly l.Sm blm SCI-l aa wa gn all ‘wk’ b-lm: mla, mul-mnnalan qung a n mbnan kll n a blm. I m a nan wa baln kll ul b aga gn kll.

T n un l a a y- w w ly xamn n wk:1. Dgn av a aula

kll y u akl blm anv lun, an

2. Evyn mg av a kllbu n b awa m abl u m n a uu way.

An m y a a a qun:1. Wa kll gn?2. Wa a nna kll SCI

uvv?3. I a ma bwn gn’

kll an SCI uvv’ kll?4. I , ul SCI uvv’ kll b

vl n any way nan uuln n aklng alyl allng SCI?

5. I y ul, wn an w?

A bgnnng wk, SCI aan a u, an na a nal n a. Ty l-lay ng aaula an, w m an nkng mnl an n ju mlv.

T n x ug -

mn ng ‘au qu’ SCIl. Paan w ak, wvual lu a m, magn av a an un x-n: wa an, w mak ml, an w y nk ul ba. GSA a ul a lag-ma, n ‘max’ nl TSng Exn: T Sau Qu,n w un ala

bvan, u an mmn. Tulng ‘v juny ma’ (a a gn mg lay ) val a ang angbl nan, gg an‘u n’.6

In nal x aan wgvn uny magn angn an al -ba ng xn ung u a a ang

n. Fala vk unan vual a wl an-ng m ang a wn. Tx wa m ul aan, bly bau glblma ‘au qu’ a bm axan a bu ‘wa ?’-yulan. Evnually a mvv an nvnmn bgan mg an w au, an n ma llua, n lag a-; nlung a angng m w anajuabl-g b, a v akngym, an a nal ng v

ShefeldShefeld Hallam’s ambition was a co-productive process o discovery: whatwas people’s perception o design?Could/should this perception bechanged? And could patients themselveidentiy potential applications o desigThe design project ultimately ocusedon the ideas o taking control o space(as a patient or SCI-person), and o shiting other people’s perceptions o SCI. This ocus was not pre-determined

but generated by the patients themselveduring the workshop exercises.

Sl lann x n,7 akla n a lag, mul-u fm w wnw n anun w a. T n abwn 4 an 8 aan ug-u; a mbnan x-an annan, nlung n n n ab w an la n n awla w xygn ank, an wa ll an n n.

Pan an aan wgaly unumb by na-v Sl Hallam Unvy. Tj wa l by Paul Camblan,

J Langly (Engn an RaFllw), Ian Gwl (P Dgnan Vual Cmmunan), RgBaman (Ra & Sn LuInual Dgn), an Cla Cag(Ouanal Ta), w

“Evnually a mvv an nvnmnbgan mg an wau, an n m allua, n lag a; nlung a angngm w an ajuabl-g b, a v akngym, an a nalng v”

17–19 m Glagw Sl A gnwk: Wa ? – magnng angnng an al -ba ngxn

17

18

19




20. Pa l u llua mulu lun a ngl blm

21. An xaml a ba a al nvnmn

22. R-mang lluanm Sl HallamUnvy wk

23. ‘Dgn Ilan’lluan m SlHallam Unvy x

24–27. Sl HallamUnvy wk

28. T- gnlluan m SlHallam Unvy wk

20

21

22

23

28

24

25

26 27



16

aan abu g MD PuDgn un.

T al wa nnnly by Rga Jam Wan nmnly by nulan DKangall Maw, w a anul uanal a anya n an a naybu n avly aang.

T wk ak aan alk abu gn. T n,a wll a xng a n u,val a y aa gn n-ally w a an makng mny. Twa llw by a b nan na l llua mulu lun ngl blm gn-a by gn an uman ngnuy.

T un wa llw by aallng bul lag uuy ul m ag, mamal-lw an ky a, n 18 mnu. In wll- x CEO mmnly w an ln b; an a val a n lan b by alng.

T n wk nu n bvan a a ualag n gn. Paan w n w a ama aun al ak ga, makng n wy nun any llwng:lu, un, ba, lg ak,vn nau, a, x-u ua na, vual gn nun an unuual vw a.

Paan w nuag n- l qu ly – xam-l ‘lg ak’ ul b yal ual. T ga w n a lan al.

In wk aanw ngag n a laal nkng x- xlng mully n-al anw nmna a y aumn n ga. Ty wak -gu -ma -ga an nman n -a a ual, a an aal ma.

Wk u n a a uy gn an ln -al mmunan ym by DgnFuu. Tn aan w ak -ngu ng m gay an laal nkng x- n ‘lan’, Ca lan,Fanay Ilan an Ilan O.T ky gn qun a a w“Hw an gn a a m ‘naual’

nvnmn n al?”, “Hw anan lav a ‘lgay’ ‘y’?” an“Hw ul aaan nvn-mn mw an an mak mm nnn?”

In an nal wk gn allng wa a a gagn a - a au annvy n gn -

j an a awan SCI, ung a-awn - mla an w n akng gn un aw a. T wk nlu- w a un w a-an’ wn n gn an lvan lv a ang a aul j.

3. Injuy lvl n by a vba num-b numb n n u vbal g-mn. Fm bm n gmn a Cval (C-), Ta (T-),

Lumba (L) an Saal (S). A nal njuywll al b la a ml / aal, w m g unn an nanmanng.

4. EnablbyDgn a wb ba aln a m g gn ul lv a nnnly a bl

5. RED wa u n 2004 by DgnCunl akl al an nm uug gn l nnvan www.gn-unl.n/RED/

6. ‘Tu n’ m avu byv gn n n na, nan, bwn u an a v, u an bj, l v.

7. On n wa anll a a ul nual an




T llwng ag umma un

ba ma ang n-ng an um m j ab vauly by gn am,aan an lnal a. T ma-al awn m nvw, lm an-8 an n akn ung wk-; an m a mnan vnl a Dgn Cunl n Fbuay2012 axmaly 50 aklm an nun an a-a a an nal b.

Recruiting and retaining

participantsT lag ba lannng anlvng gn j waunubly allng u-ng an anng a nn gu aan. Sl Hallam an Bukb a valng n un-any an ‘vng n unknwn’: an w an wul bva n ag, gn, lvl an a

njuy, al nn, bakgun

an n; nn w ul allyb knwn n avan. Un ang j y v anan b a an ubj nfngay n, an m aanw ag m al b n gamm. Smlaly, Glagw wk a an u ana al la bau many aanw’ gn u av vy la na all.

F an wk -gamm a allw aan

n an u, an v m w mg av m a all a n. T RSA’ gnala a bn u gn unv uuln nn-gn.Hwv, n aualy, wa gnam w a w uanng -uuln – b av, aaablan fxbl abu w y k a-an n a gv an qunal

lanng juny. Dung n na

n a Sl a aan ak j b un , ubby nn lg: nannnu wu vual maaa a bn a.

Embedding an understando designT la quval u j aa av bn n vng a nun abu gn: maaan alk ama ann lnay un abu w mu

y a bn nkng abu gnn j a, an w xn a u j a v nkng abu ‘w vyay nwk an mak l l’.

T gn-nun waak by Sl Hallam n m w abl aan bam nnal alan gn. Onaan u mly: ‘Nw I a

Feedback, fndings

and outcomes



18

blm a n ang’;wl gn am mlv n- blm n m u-v, mlx an maal way:

‘Can , n n

ga x, ugg

mnmn, an ubqun u-

n u n n, a an

ma ba aun a. Wn

mn n an annyng v n lva, a n mg

an lva v a a ‘Bam m

u, Sy’, nng a ma-

al ‘a’ a m

bwn f… T ‘aal’ al

nvnmn lak any m n-

a aag m an yl

nau. On aan wan lan

fw a bug nau an a n

m an gw nvnmn,

an l a lgay njy…

M anal gn n w

u n nal aan a a-

ng, nkng an gal gam lay.’

Sl Hallam n a a-mn aan’ an gn-nkng an ma gn anng n vyay l wambl wu uu, lng-m llw u. Hwv y na aan gnally w kn ngag n uu gn wk.

Sl Rga Jam W - v bak m a-an an n a m a l

gn wk v n.Sn m aan w vy nw nju mak n valu ‘ba’ un an un magnng wa ng a gng b lk. I k aan away mnkng abu mal mla-n nkng abu uu. In lnal nx, a “W nna mu n au a njuya w ay l ann wa a-n wn ng av l wn.”

B gn an mal am n

Sl a kn xl bl-y a llw-u wk,w m u ( n gnblm) n v a mal vm m an-an u an v m nnan manngul aa valuan.

Alug Buk gn am al xn nluv gn(gnng a w ang u),

an ang gn a ba m-ga un, y wn n Sk Manvll j awa aang l ‘w a n nnn lkl bmng gn’( RSA’ a) wa a nw nx.T gn am wnng ‘n-na gn ably m ua’,an a n nal mwmn

mgng n a aan.T Sk Manvll aanmlv n b avy n gn m a ‘mnal

mulan’, ‘gng yu ban gng’,a wlm bak m yal ay,a an gn ally. Ty ,wv, n a n lun n v-ng Buk gn wk wwa a vy n ma-aly an an unambguu aly makng ng. Alug b xman w unany an -ulay yng a, yal a a gn n abug u nn an ably aa, makng m awa ‘mn’; ‘n naly ang waI’v g’.

A w gnal RSA wk,

y al glg al a vng an avanng a nun, an mly gng knw l n a m-mal nx, aa gnan bn an l m b-ng a an.

Buk g a gn -j a n bn ly nu nga w al OT am;an a annl mmunanbwn al an unvyw unla. Ty wul al m-mn ‘ang ny’ – mvng

n n a -al; n n an ml wan an nvnmn a m‘m wk-y’, ally a v-ng unvy al.

In un a nlu Glagw wk, aan wak ny kn nk-ng y a u n x unga max Manal a awn u.

Alug wa ana a wul b a lung n kll a av,aan n k all avalablbx. T ugg a m banng bak wa faw, anm-uu nvw mg avbn m aua n valng wakll aan ug y w

ung.Hwv, n av aan mna, a ga l xn, a y am kn kll a gnwul u u av. Lkng a qun nly, Emly Cambak aan w y wul -b ay w gn wnavalabl. T anw an b balyumma a: “lkng a wa mgb bl n uu”, “vngng m a n v n vw”, “nng a n un” an “banmng; I man kukng a a a blm”.

Glagw Sl A a n qun wa nk-ng kll aan an ak awayw m an -aly a a ubj u uy. In aula, Manalwul lk g bak GalPlannng Ckl an an lav un abl manag unnala l bu al qu akl m wk blm.H nvag a anbk nanng a

‘lay axnmy’ gn m angnal a u l x-annu na (lk nxn) n n ag anwk way ug m w a gn kll.

Occupational therapy –design’s cousin?A mnan vn EmlyCambll mak a uanala a mm nu by n gn anng SCI

an; a bau, uallya la, gn m mla way : lkng a ‘wl n’,aang an umng v annvnmn, an nng nw way aml ak. Manula Su(nav B A-an an Cllg OuanalTa) au gu a j ‘k mng mlly

“I k aan awaym nkng abu mal mlan nkng abu uu”




RSA Design + Rehab Project: Glasgow 18 Jan 2012

What kind of skills and thinking

do you think you used duringthese three activities?

1

personal

shopper

2

shopping

status quo

3

what if?

thinking as someone else

researching about other users’needs and preferences

use of own personal experience

use of others’ experience

critical evaluation/judgement

problem identification

problem solving

decision-making

storytelling

generating ideas

drawing / visualising ideas

seeing things in the mind’s eye

playing with reality

imagining the future

teamworking

other

other

other

other

• Please tick all relevant boxes.

• You may have used some in all three, others in only one, or none at all.

• You may have used some that are not mentioned here and we’d be interested in these too.

n’ m nvnnal OTa bng an aangm ana u. S n gn aa a ‘aually ngbak, nkng abu n nan wkng nnvly u an

um, w quk ul.’ S la nual gn a w g lvl ‘u nvlvmn’ anan – ‘Ty bng a y any an y unl muabl.’ S a a al anal ml n w OT a n m u a: ‘S mu lan n n u an u uan n alnav.’

‘A change in thinking’ – hardand sot outcomesA am vn S Cmak, Ha Sv a nanal nal njuy ay Bak-U ak -j an b nau

aan’ ‘ang n nkng’. FBak-U, a, an um ul b‘lng m v abu uu;lng a ’ m managabl,’ ana a w ang ang n -n ul b lnk v u-m.

C Hayn, n SkManvll aan mmalyn u a a nal njuy

ang yu nkng abu vyW gn angng nkng, am a ablygn an mak ng u al wa lm, bu a a gn l m gn blm yng lv: ‘ I knw wa lm a, an I an lk n nnan n ng, n

ng.’ H -aan Alx Jn aa a n gn gav yu nan xan a n bl a wa ng mg b lk.

Wn Emly Cambll ak gu an ‘xan n bly’ ul b nu a a mauabl um, Sl Rga JamW gav a bu n ‘um’ n ala. H gav aml au a nal njuy n w, w many vaab bm ul ay w nvnn a yl um. W a a n ul mau qualav um n mn, ng WHO ‘qualy ll’, a a mal anw wllng b ua by nn-quanav aa.

Bn Cnway SalyUnvy au vyn a mal mmuny a bn wknw aa m m. H a ally man ak wa n uang mal nal ann-quana aa, bu ‘ a n

a nalan. Dgn nbly man n nalana.’ An lga ugg a‘l-ay’, an a naln, ul b mau. O mn gny a an um, alng w‘makng mng a l g an a yu ny’ an ’ way n yul wl.’

Design EducationT j a yl a nay bn gn uan n a

an unvy, by ang -un gn un wkly w ‘xm u’.9 Alu wa mak a vn a un n gn ul b ‘all abu n n xn w u’ n u w ul av n aly an w u m an nang buauaaa w an mnal

Questionnaire matrix o skills and thinking



20

k. A lga n an nan nalgn n uan ul avmal anng n ‘w vl alan w a ubj’ ( a nw ubj yu uy).

T aag nvan llua- w a gn a avll n nlyaway m bj an n l ang-

bl v, bu al n gn nvual lun, a an mn al anaan anunval uly.

Selling the programmeDn Sn, -un an CEO nn v Enabl byDgn ak a vn w ay a bn g l nvlv w gamm, knwng m nalxn a ‘llng a agn vy uul’ n ay. BnCnway n ‘llng’ blma a an nnvan n alv ‘bau ’ uv’, wl n a avng a a nla a QENSIU a l aa abl nvnmn j.H man a lamag abu wa yu wan avan ngaula an n gan bwn am a allw j mv wa n nal an. Alaa Manala a lnal la a alably‘lkng m ng y avn’

g’, bu all a n mngw mal a QENSIU abn nal g m -n g.

‘Sllng’ gamm a n-ally mnal mlan un-ng. Jan Yung, D SylvaAam Caabl Tu am n ‘gng n a all’ wn a bn . Hwv, b j a nally un- n wn lqun m:‘On I g n ung -

l w SCI n n ng wl ug y a gn, all bam vy xng. Ina -ng blm y lun; y gun a an vm ’.

Yung ug an u ‘mbn lanng’ ll ju, lang a um an a blm n mau aabl. S al man

mbng lanng, an unga /bn analy a a man g-ng OT an lnal la n ba.

Alx Jn m Sk Manvllj mn gu ‘Yu’vg ll u’ an, anf a ‘buy-n m gl’ a Sk Manvll aa av bn lakng.

Ban Caln, C Exuv nanal nal- njuy ayA, b ‘mav ul’n nuagng nal njuy n laun a uu uan gamm,bau xng wkla ang ul. H ak w gn anng ug an -ag, a lv by OT anlaun n a nanal al. Lk JanYung, mmn a la n-an bn gamm.‘An a angng w “-gn”. I’ n a l ga m bu m ’.

8. T a lm avalabl j n RSA wb ma by Cla Lvy

9. ‘Exm u’ a m n by Ryal Cllg A Hln Hamlyn Cn Dgn anyn w a an au unqun gn (n aun a abl y, xaml)




T j wa b vayng g

n all n by unably an anan. Vaabl alan anan an nfng -ay ul all ma vy ul g ug wk agnally lann, vn n Sl anGlagw w j a ull anvn u an aan m mal am a g lvl.

In u uman gnlang j wll b qu w um uuln; yul x mv an nk

n , wl mananng a un a w ky gn nl -nqu. A Sk Manvll n unqu wa m ba – ga-ng a ln mag aaa, alug ually unla b, m n quala gn ul laally au mula. In Glagw nqu lbaly ung nl n an’

n by l-layng yl ng;

wl n Sl wa ung a la-an ‘ul’ – vn an aanlyabay n n lan b (gak an lg, a an ) – gu n’ a n anmag a xan aan’ n nvnn.

Bng un n by a al -amn u a OT, bu by xnalagn, la a ug mmuna-n bun n al a a awan. T unv’ wnably m, u an an

wk xmly lm.Fum vlunay au wk – an n any ay – man a n n bmllng an an a alk;mllng nug bm a yavy.

I a bn la m bgnnng RSA Dgn & RablanPj a languag a ba

unanng. Dgn’ anal a

mal m n a m l manngl l unnn w gn w av bkn bak/nk; an lnal nal w uy a l. T a n gan ull lun j n al way: xaml, an nknw wa j wa wa x; uanal a nn all a u g nvlv;an unang a bgnnng j wa unuul bau ‘-

gn’ wa mun.T , an n any, a-

m nvlv nn-gn n qu a ang languag an xal a nn-al an unaByn aal ang mlg , gnan j a k gn byn aa anal an mal n. O ny, un

The learning:adaptable models and

accessible language



22

way ayng gn; way xlan ‘ll’ gn a ablav, a-u nuv l n-n w (la) ng. Dung wk, gn wa bbaly n llwng way:• A nkng abu uu (

xaml, lang un-bum; anang many anw

a qun; xanng n’ n bl; lang aun -gn & -un)

• A nalan ( l-mw-mn an l-mnan g‘gn n’ unn ’ wa Iwan’;10 uman a anaan)

• A wl n, n a ( x-aml, nkng lally; nkng u AND ym g;valuang a wl v aan nvual u; nkng xnal ‘away’ a anm alg)

• A lkng m n v( xaml, un a n-al a avan nkng;knwng n/an w wllna w a u v;lkng ug an n’y n blm mully)

T a vy nng ‘x’ gn; bau a n gn aa mnal a a an a -

nal kll manulan m.Evn Buk j, w n nmakng bj, mly vn all xlan am.

T mbn lanng -j wl: a , lablmlg an u a-ng gn nn-gn; an nwm w gn a n lnan’ an an’ n anagna.

T j al yl lanngabu allng xnal agn-

lvng v wn NHS.I aa a, all xlu lnal , vyul n u an anaan, an ly n a al’nnal mmunan ym. Tm xn n wk wa – n a al SCIa Bak-U, A an SnalInju Aan – w av alay

abl lam n al ana n aa a an a va m aly un agna ably l, an n,an – m lkly – nnn lvng.

Fnally, ul b n a all unv av n nun abu u j w v SIU. T RSA’ Dgn &

Rablan j a n an-nl mmunan an blya wll la nnvan byn RSA’ gnal y abu gnan uuln.

10. Sk Manvll aan



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Registered as a charity in Englandand Wales no. 212424 and in Scotlandno. SC037784

Copyright © RSA 2012

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to fnding innovative practical solutions to today’s social

challenges. Through its ideas, research and 27,000-strong

Fellowship it seeks to understand and enhance human

capability so we can close the gap between today’s reality

and people’s hopes or a better world.

Documents

Design and Rehabilitation - Report at three spinal injury centres