Upload
others
View
5
Download
0
Embed Size (px)
Citation preview
11/7/13
1
Smart Technology Strategies for Using Portable Computers as Vocational Aids
Tony Gentry, PhD OTR/L Department of Occupational Therapy Virginia Commonwealth University
Holistic Perspective
• Strategies for thinking, memory
• Environmental adaptations
• Task simplification, supports
Person Place
Task
Service Provider’s Role
• Assess client needs, tasks and environment
• Learn the devices & apps
• Determine best fit for client
• Train client and caregiver
• Include in daily organization routine
• Follow-up consults
• Gradually diminish supports
What do you need? • Reminder alerts
• Medication manager
• Step-by-step task guidance
• Wayfinding help
• Behavioral assistance
• Communication
• What else?
Photo-Video Strategies
• Task-Sequence
• Behavioral Cueing
• Wayfinding
• Social Stories
Video Modeling • Most well-researched of
all AT for cognition approaches
• Rehearse
• Play and Pause
• Review
• See handout
11/7/13
2
iPod Touch 4g, Ipads 2/new
• Simplified iMovie allows improved editing directly on device
• http://www.youtube.com/watch?v=MEaWuCrI24s&feature=relmfu
Assessment • FATCAT • Tools/Features used
now • Task requirements • Goals/obstacles • Familiarity/interest in
using AT • Human supports
Which tool?
• Apple vs. Android vs. Microsoft vs. RIM?
• Will your client’s plain vanilla cell phone do the trick?
• Pocket-size or tablet-size?
• Wi-fi only or cell phone access plan?
• School, work or all around use?
• Who will program the thing?
Like any other A.T., consider… • Does client have potential to use a device?
• Functional vision
• Hearing
• Dexterity
• Ability to respond to a prompt and perform prompted task
• Frustration tolerance
• Awareness of need/Interest in using device
11/7/13
3
Also consider:
• Workplace stimuli
• Protection of device
• How will it be carried?
• Home needs/uses
Interface issues • Getting lost in so many
onscreen options • The device itself as a
distractor • Where do you put the thing? • How do I protect the thing? • Saving battery life • Tinny, tiny speakers • Inputting data
Pimp your Screen Steve Jobs' Folder Demonstration
Recommend:
Create a “Work” folder
Place work-related apps in this folder
Drag “Work” folder to tray on bottom so it’s always visible
Move non-work folders to second screen, not in tray
Another option: If only a few work-related apps, place them all in tray and not in a folder (easier to see them that way).
Carrying PDA at work
• Belt clip
• Armband
• Desktop
• Lanyard
Cases for ipod touch
Colortunes – Walmart $9.95
Otterbox.com Defender $29.95
Why Bluetooth?
11/7/13
4
Speaker solutions
• iMainGo $15 (Walmart)
Jabra $30 (Amazon)
Keyboards & Styli
Bluetooth keyboard • Think about ergonomics
• Think about portability
• Thumbs or ten fingers?
Logitech di novo
Apple full-size
Turn off battery draining features
More battery savers Other battery savers
Set alarm to “charge me!” at
night.
11/7/13
5
Training Method • Theory
• Diffusion of Innovations
• Instructional Design
• Cognitive Rehabilitation
• Build on Prior Familiarity
• Repetition and Reinforcement
• Multi-modal training tools
• Focus on Real World Needs
• Formative and Summative Assessment
• Collaboration and Facilitation
Set-up & Training
• Introduce a good basic device
• Create iTunes account for app access
• Basic interface training – maybe with a game
• Introduce reminder alarm function for daily schedule
• Train family caregiver to trouble-shoot
• Help person record 4-5 reminders each day for first week
Training
Contacts, Note Pad, Tasks, Memos
Pre-Test, Provide PDA, load Desktop software, Intro to Data
Entry and Calendar
Trouble-shooting Add appropriate apps
Trouble-shooting Post-test
Week 1
Weeks 2 and 3
Support/Follow-Along • On subsequent visits, reinforce reminder alarm
function
• Work through problems
• Introduce other features, as appropriate
• Notes and To do lists
• Video-based task cueing
• Wayfinding tools
• Accessibility features
• Don’t forget fun
How many apps? Drinking from fire hose
• Expect to use reminder alerts most often/always
• Most people can benefit from targeted task-sequencing or behavioral prompts
• Many people may need anxiety-management apps
• Some may need accessibility options
• In our study the average person used 3 apps at work
11/7/13
6
Post-Assessment • How has A.T. reduced need for
supervision?
• What new goals might be pursued?
• What other technology may help?
• If it didn’t work, why didn’t it?
Fading Supports
• Is this the right device for this person?
• Gradually hand-off trouble-shooting to person and caregiver
• Consider disability-specific software
• How can the device be leveraged for increased independence at school or on the job?
• Be aware that new abilities lead to new opportunities
• Collaborate on new ideas
Personalized Suite Basic Adaptations
• Reminders
• Task-Sequencing Cue
• Way-Finding Video
• Behavioral Management tool
• Communication or Device Access Adaptations
Don’t Forget…
• Protective Case or Belt Clip
• Simplify Screen for Easy Access
• Speakers?
• Keyboard?
• Behavioral Contract?
Case Study • Stephanie Lau, VCU RRTC and her client Beth
57-year old Virginia
Employment Commission file
clerk
Situation
• Environmental Adaptations
• Organized work flow with written instructions
• But still required close supervision for:
• Switching tasks, way-finding in building, anxiety-management, changes in routine, transportation safety
Contacts
11/7/13
7
Task Notes Reminders
Videos Anxiety Management
• Simply Being
• Guide meditation app with music and voice
• Timer
• .99 on iTunes Store
Lunch Break Relaxation Entertainment
11/7/13
8
Beth waiting for Carevan Result • Manages bus difficulties with reminders, phone, and
music
• Moves from task to task on time (alerts)
• Knows what to do (notes)
• Finds her way, observes appropriate, safe behaviors (videos)
• Relaxation and anxiety-management (apps and music)
0
2
4
6
8
10
12
14
16
18
1 2 3 4 5 6 7
Series1
Series2
Series3
Stay in Touch
• Facebook “Assistive Technology for Cognition” page