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General Session – Wednesday, July 20th
10:00 am – 11:00 am
1
The Latest Advances in Technology and Research to Support Return to Work & Productivity
Moderator:Michael J. Dunst, The Hartford
Presenters:Oswald (Oz) Mondejar, Spaulding Rehabilitative Network; Partners
HealthCare at Home
Paolo Bonato, Ph. D., Spaulding Rehabilitation Network
Karrie A. Shogren, Ph. D., The University of Kansas
Cheri Blauwet, M.D., Spaulding Rehabilitation Network
Access to information and communications technologies, including the Web is a basic human right.
‐ The UN Convention on the Rights of Persons with Disabilities
Support diversity & inclusion efforts
Demonstrate corporate social responsibility
Enhance corporate image and reputation
Drive consistency and
standardization of design
Increase customer research and satisfaction
Increase ability to attract and retain
employees
Reduce legal exposure
Source: ‘Developing a Web Accessibility Business Case’, W3C® Web Accessibility Initiative, http://www.w3.org/WAI/bcase/http://theweco.com/the‐business‐case‐for‐web‐accessibility/http://www.ssbbartgroup.com/reference/whitepapers/accessibility‐business‐case/
ACCESSIBILE TECHNOLOGY IS GOOD FOR BUSINESS
AN eRECRUITING SNAPSHOT
In 2015, The Partnership on Employment & Accessible Technology (PEAT) surveyed people with disabilities nationwide who had recently applied for a job online.1 The results identified critical accessibility problems with typical eRecruiting practices—issues that may exclude 1 out of every 5 candidates from consideration.
JOB APPLICATIONS
46%Rated their last experience applying for a job online as “difficult to impossible.”
Of those 9% were unable to complete the application and 24% required assistance.
TECHNICAL ASSISTANCE
42%were able to complete the application
58%were not able to complete the application
Of those applicants using employer‐provided “technical assistance.”
TOP eRECRUITING ACCESSIBILITY ISSUES
• Complex navigation• Timeout restrictions• Lack of video captioning• No alternative text for images• Poor screen contrast• Inaccessible form fields• Mouse‐only input option
1eRecruiting & Accessibility: Is HR Technology Hurting Your Bottom Line? A Report on PEAT’s 2015 Research Findings , http://peatworks.org/content/erecruiting‐accessibility‐report
General Session – Wednesday, July 20th
10:00 am – 11:00 am
2
Oswald (Oz) MondejarSpaulding Rehabilitation Network and Partners Healthcare at Home
Senior Vice President of Mission and Advocacy
Spaulding Boston (SRH)
Spaulding Cape Cod (SCC)
Spaulding Cambridge (SHC)
Spaulding W. Roxbury (SWR)
Spaulding North End (SNE)
IRFsLTAC SNFs Home Care
Partners HealthCare at Home + Private Care (PHH)
PARTNERS CONTINUING CARE – WHO WE ARE
MISSION AND VISION Mission Partners Continuing Care is committed to delivering compassionate care across the health care continuum to improve quality of life for persons recovering from or learning to live fully with illness, injury and disability.
Vision Partners Continuing Care will be the nationally recognized leader in research and education achieving exceptional patient outcomes and known for delivering a broad range of innovative and integrated health care solutions. We will exercise leadership to shape healthy policy and to advocate for our patients, their families and our staff.
General Session – Wednesday, July 20th
10:00 am – 11:00 am
3
BUSINESS REASONS AND SUSTAINABILITY
Quality and Outcomes
Customer Satisfaction
Market Share
Community and Political Support
Productivity
Satisfy Accreditation Standards
Grants and Funding
Public Relations
DRIVING GOALS BEYOND COMPLIANCE
Assistive Technology
Advocacy Empowerment Accessibility
Psychology Mental Health
Therapy Wellness
Inclusive Design
Vocational Rehabilitation Community Engagement
Adaptive Sports and Recreation
Spaulding Rehabilitation
Network
Rehabilitation Technology
Paolo Bonato, Ph. D.Spaulding Rehabilitative Hospital
Department of Physical Medicine and Rehabilitation,Harvard Medical School, Spaulding Rehabilitation Hospital
MGH Institute of Health Professions, Harvard Medical School
Wyss Institute for Biologically Inspired Engineering, Harvard University
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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REHABILITATION ROBOTS
Conor Walsh, Wyss Institute
B-Temia
Cyberdine
Myomo
Adaptive Equipment Demonstration
Spaulding Motion LaboratoryBoston, MA
Applied Cognitive Technologies
Karrie A. Shogren, Ph.D.The University of Kansas
Professor, Department of Special Education
Co‐Director, Kansas University Center on Developmental Disabilities
Associate Director, Beach Center on Disability
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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WHO ARE PEOPLE WITH CONGNITIVE DISABILITIES?
• Cognitive disability is a broad term that describes people who have support needs in areas related to memory, problem‐solving, attention, reading, linguistic, verbal, math, or visual comprehension
• People with cognitive disabilities may have diagnoses of intellectual disability, autism spectrum disorders, persistent mental illness, brain injury, stroke, and dementia
• An estimated 28.5 million Americans, more than 9% of the U.S. population have a cognitive disability
SUPPORTS CONGNITIVE DISABILITY
• Strengths‐based approaches to disability suggest the importance of focusing on:
−The demands of the environments in which people work and identifying the supports that are need for success when people are transitioning to employment or transitioning back to employment after an absence or injury
• Supports may take many forms, including education and training and adapted work environments and demands
• Supports can also be provided in many different mediums, including supports provided through technology
APPLIED CONGNITIVE TECHNOLOGY
• The field of Applied Cognitive Technology provides:
−Research and development on technology supports that enable people with cognitive disabilities to successfully function in environments, to increase participation in tasks and activities in environments, and to promote productivity and quality of life
−A framework for rapid research and development of technology supports that can be deployed to enable success across environments, including the work environment
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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APPLICATIONS OF APPLIED CONGNITIVE TECHNOLOGY
• Cloud and app‐based technologies
• Social media and social networking technologies
• Self‐determination and personal autonomy supports (e.g., remote monitoring that is not invasive and supports independence)
• Mobile digital image communication applications
• Health‐related technologies
• Context aware and location‐based learning technologies
SMART TRANSPORTATION SYSTEMS
TECHNOLOGY SUPPORTS
• Smartphones, iPads, & Tablet PCs
• Cloud‐based apps
• The Internet of Everything
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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ENDEAVOR CONNECT (ablelinktech.com)
VISUAL IMPACT (ablelinktech.com)
Sports and Employment:What is the Link?
Cheri Blauwet, M.D.Spaulding Rehabilitative Hospital
Instructor in Physical Medicine and Rehabilitationat Harvard Medical School
Disability Access and Awareness Director for Spaulding Rehabilitation Network.
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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• Rates of employment for people with a disability lag• Why may this be the case?
• Introduction to our work – Am J PM&R, 2013
BACKGROUND TO THE TOPIC
BACKGROUND
• Great efforts have been made to increase rate of employment for individuals with disabilities
• Despite this, employment for adults with SCI still lags− 5 years post‐injury, 21% are employed − 25 years post‐injury, 36% are employed − Similar across multiple other forms of disability
• Lack of clarity regarding rehabilitative tools to stimulate employment− How about sports?
STUDY DESIGN
Exclusions: 46 people more than
65 years old
Boston SCI-Health StudyN=195
Aug 17, 2009 – Jan 14, 201122 years or older
one year post injury or moreno other neurological condition
not ventilator dependent
Employment Sub StudyAdults of employment age
N=149
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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METHODS
• Outcome: Employment after SCI− Working full/part time
• Variable Selection/Definition− Age, gender, education− Duration of injury− Body mass index (BMI)− Participation in organized sports− Participation in individually planned exercise
• Multivariate logistic regression analysis
RESULTSPARTICIPANT CHARACTERISTICS
Variable Employed (n=64) Unemployed (n=85) Total (n=149)
Demographics
Age (Mean ± SD) 46.6 ± 9.8 51.6 ± 10.5 49.5 ± 10.5
Male (N) 51 (79.7%) 72 (84.7%) 173 (82.5%)
Duration SCI (Mean ±SD)
20.5 ± 10.8 18.0 ± 12.0 19.1 ± 11.6
BMI (kg/m2)
Normal (≤25) 34 (53.1%) 33 (38.9%) 67 (45.0%)
Overweight (>25 - ≤ 30) 17 (26.6%) 23 (27.1%) 40 (26.9%)
Obese (> 30) 13 (20.3%) 29 (34.1%) 42 (28.1%)
RESULTSSPORTS, EXCERSISE, AND EMPLOYMENT
Variable Employed (n=64) Unemployed (n=85) Total (n=149)
Sports Participation
Participating 19 (29.7%) 14 (16.4%) 33 (22.1%)
Not participating 45 (70.3%) 71 (83.5%) 116 (77.9%)
Exercise Time (min/wk)
None (0) 16 (25.0%) 27 (31.8%) 43 (28.9%)
Minimal (≤180) 22 (34.4%) 20 (23.5%) 42 (28.2%)
Moderate (>180, ≤ 360) 14 (21.9%) 17 (20.0%) 31 (20.8%)
High (>360) 12 (18.8%) 21 (24.7%) 33 (22.2%)
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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RESULTSCHARACTERIZATION OF ORGANIIZED SPORTS
• 33 participants reported participating in organized sports (yes/no) and several (n= 11) reported playing more than one sport− Basketball = 7− Tennis = 6− Snow skiing = 5− Sailing = 4
RESULTSMOBILITY MODE OF SPORTS PARTICIPANTS
Most participating in organized sports were manual wheelchair users
Participating Not Participating Total
Power wheelchair
2 (6.9%) 27 (93.1%) 29
Manual wheelchair
28 (35.4%) 51 (64.6%) 79
Walk with aid 2 (9.5%) 19 (90.5%) 21
Walk independently
1 (5.0%) 19 (95.0%) 20
DISCUSSION
• In this study of 149 adults with SCI: − Participation in organized sports was associated with an
increased likelihood of employment (~2.4↑)− Individual exercise did not show same impact− Independent of age and educational level
• Sports may be an effective tool to increase likelihood of employment
General Session – Wednesday, July 20th
10:00 am – 11:00 am
11
FUTURE DIRECTIONS
• Consideration of a prospective study of a sports “intervention” with monitoring of outcomes − Physical, psychosocial, employment
• Questions that remain: − Quantity/level/type of sport− Role of other factors – ex: urban environment − How these findings may vary for other categories of disability
WHY SPORT?
Some ideas: • Informal mentoring outside of a “rehab” model
− Applies to peers, coaches− Example – independence in transportation, travel
• Evolution of a positive self identity • Increase in sports opportunities at the collegiate level
− Opportunities for the “student athlete”
PERSONAL VIGNETTE
General Session – Wednesday, July 20th
10:00 am – 11:00 am
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Thank You!