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Computer software has been productive in helping individuals with cognitive disabilities. Personalizing the user interface is an important strategy in designing software for these users, because of the barriers created by conventional user interfaces for the cognitively disabled. Cognitive assistive technology (CAT) has typically been used to provide help with everyday activities, outside of cognitive rehabilitation therapy. This book describes a quarter century of computing R&D at the Institute for Cognitive Prosthetics, focusing on the needs of individuals with cognitive disabilities from brain injury. Models and methods from Human Computer Interaction (HCI) have been particularly valuable, initially in illuminating those needs. Subsequently HCI methods have expanded CAT to be powerful rehabilitation therapy tools, restoring some damaged cognitive abilities which have resisted conventional therapy. Patient-Centered Design (PCD) emerged as a design methodology which incorporates both clinical and technical factors. PCD also takes advantage of the patient's ability to redesign and refine the user interface, and to achieve a very good fit between user and system. Cognitive Prosthetics Telerehabilitation is a powerful therapy modality. Essential characteristics are delivering service to patients in their own home, having the patient's priority activities be the focus of therapy, using cognitive prosthetic software which applies Patient Centered Design, and videoconferencing with a workspace shared between therapist and patient. Cognitive Prosthetics Telerehabilitation has a rich set of advantages for the many stakeholders involved with brain injury rehabilitation.
Computer software has been productive in helping individuals with cognitive disabilities. Personalizing the user interface is an important strategy in designing software for these users, because of the barriers created by conventional user interfaces for the cognitively disabled. Cognitive assistive technology (CAT) has typically been used to provide help with everyday activities, outside of cognitive rehabilitation therapy. This book describes a quarter century of computing R&D at the Institute for Cognitive Prosthetics, focusing on the needs of individuals with cognitive disabilities from brain injury. Models and methods from Human Computer Interaction (HCI) have been particularly valuable, initially in illuminating those needs. Subsequently HCI methods have expanded CAT to be powerful rehabilitation therapy tools, restoring some damaged cognitive abilities which have resisted conventional therapy. Patient-Centered Design (PCD) emerged as a design methodology which incorporates both clinical and technical factors. PCD also takes advantage of the patient's ability to redesign and refine the user interface, and to achieve a very good fit between user and system. Cognitive Prosthetics Telerehabilitation is a powerful therapy modality. Essential characteristics are delivering service to patients in their own home, having the patient's priority activities be the focus of therapy, using cognitive prosthetic software which applies Patient Centered Design, and videoconferencing with a workspace shared between therapist and patient. Cognitive Prosthetics Telerehabilitation has a rich set of advantages for the many stakeholders involved with brain injury rehabilitation.
Assistive Technology Design for Intelligence Augmentation presents a series of frameworks, perspectives, and design guidelines drawn from disciplines spanning urban design, artificial intelligence, sociology, and new forms of collaborative work, as well as the author's experience in designing systems for people with cognitive disabilities. Many of the topics explored came from the author's graduate studies at the Center for LifeLong Learning and Design, part of the Department of Computer Science and the Institute of Cognitive Science at the University of Colorado, Boulder. The members of the Center for LifeLong Learning and Design came from a wide range of design perspectives including computer science, molecular biology, journalism, architecture, assistive technology (AT), urban design, sociology, and psychology. The main emphasis of this book is to provide leverage for understanding the problems that the AT designer faces rather than facilitating the design process itself. Looking at the designer's task with these lenses often changes the nature of the problem to be solved. The main body of this book consists of a series of short chapters describing a particular approach, its applicability and relevance to design for intelligence augmentation in complex computationally supported systems, and examples in research and the marketplace. The final part of the book consists of listing source documents for each of the topics and a reading list for further exploration. This book provides an introduction to perspectives and frameworks that are not commonly taught in presentations of AT design which may also provide valuable design insights to general human-computer interaction and computer-supported cooperative work researchers and practitioners.
In October 2011, the Institute of Medicine (IOM) released the report Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence, assessing the published evidence for the effectiveness of using cognitive rehabilitation therapy (CRT) to treat people with traumatic brain injury (TBI). TBI has gained increasing attention in the past 15 years because of its status as the signature wound of American military conflicts in Iraq and Afghanistan. Growing numbers of U.S. service members are suffering traumatic brain injuries and are surviving them, given that (a) the majority of traumatic brain injuries are mild and (b) lifesaving measures for more severe injuries have significantly improved. People with any level of injury can require ongoing health care in their recovery, helping them to regain (or compensate for) their losses of function and supporting their full integration into their social structure and an improved quality of life. One form of treatment for TBI is CRT, a systematic, goal-oriented approach to helping patients overcome cognitive impairments. The Department of Defense (DoD) asked the IOM to evaluate CRT for traumatic brain injury in order to guide the DoD's use and coverage in the Military Health System. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence was the IOM's resulting study of the evidence. The report's conclusions revolved around the fact that there is little continuity among research studies of the effectiveness of different types of CRT, and there exist only small amounts of evidence (or, in many cases, none) demonstrating the effectiveness of using CRT to treat TBI-although the evidence that does exist generally indicates that CRT interventions have some effectiveness. The workshop brought together experts in health services administration, research, and clinical practice from the civilian and military arenas in order to discuss the barriers for evaluating the effectiveness of CRT care and for identifying suggested taxonomy, terminology, timing, and ways forward for CRT researchers. The workshop consisted of individuals and was not intended to constitute a comprehensive group. Select decision makers in the Military Health System and Veterans Affairs (VA) and researchers were invited to participate. The workshop was designed to spur thinking about (1) the types of research necessary to move the field forward toward evidence-based clinical guidelines, (2) what the translational pipeline looks like and what its current deficiencies are, and (3) considerations that decision makers may choose to use as they decide what research they will support and decide how they will balance the urgency of the need with the level of evidence for CRT interventions. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Model Study Protocols and Frameworks to Advance the State of the Science summarizes the happenings of the workshop.
In October 2011, the Institute of Medicine (IOM) released the report Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence, assessing the published evidence for the effectiveness of using cognitive rehabilitation therapy (CRT) to treat people with traumatic brain injury (TBI). TBI has gained increasing attention in the past 15 years because of its status as the signature wound of American military conflicts in Iraq and Afghanistan. Growing numbers of U.S. service members are suffering traumatic brain injuries and are surviving them, given that (a) the majority of traumatic brain injuries are mild and (b) lifesaving measures for more severe injuries have significantly improved. People with any level of injury can require ongoing health care in their recovery, helping them to regain (or compensate for) their losses of function and supporting their full integration into their social structure and an improved quality of life. One form of treatment for TBI is CRT, a systematic, goal-oriented approach to helping patients overcome cognitive impairments. The Department of Defense (DoD) asked the IOM to evaluate CRT for traumatic brain injury in order to guide the DoD's use and coverage in the Military Health System. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Evaluating the Evidence was the IOM's resulting study of the evidence. The report's conclusions revolved around the fact that there is little continuity among research studies of the effectiveness of different types of CRT, and there exist only small amounts of evidence (or, in many cases, none) demonstrating the effectiveness of using CRT to treat TBI-although the evidence that does exist generally indicates that CRT interventions have some effectiveness. The workshop brought together experts in health services administration, research, and clinical practice from the civilian and military arenas in order to discuss the barriers for evaluating the effectiveness of CRT care and for identifying suggested taxonomy, terminology, timing, and ways forward for CRT researchers. The workshop consisted of individuals and was not intended to constitute a comprehensive group. Select decision makers in the Military Health System and Veterans Affairs (VA) and researchers were invited to participate. The workshop was designed to spur thinking about (1) the types of research necessary to move the field forward toward evidence-based clinical guidelines, (2) what the translational pipeline looks like and what its current deficiencies are, and (3) considerations that decision makers may choose to use as they decide what research they will support and decide how they will balance the urgency of the need with the level of evidence for CRT interventions. Cognitive Rehabilitation Therapy for Traumatic Brain Injury: Model Study Protocols and Frameworks to Advance the State of the Science summarizes the happenings of the workshop.
Stroke and spinal cord injury often result in paralysis with serious negative consequences to the independence and quality of life of those who sustain them. For these individuals, rehabilitation provides the means to regain lost function. Rehabilitation following neurological injuries has undergone revolutionary changes, enriched by neuroplasticity. Neuroplastic-based interventions enhance the efficacy and continue to guide the development of new rehabilitation strategies. This book presents three important technology-based rehabilitation interventions that follow the concepts of neuroplasticity. The book also discusses clinical results related to their efficacy. These interventions are: functional electrical stimulation therapy, which produces coordinated muscle contractions allowing people with paralysis to perform functional movements with rich sensory feedback; robot-assisted therapy, which uses robots to assist, resist, and guide movements with increased intensity while also reducing the physical burden on therapists; and brain–computer interfaces, which make it possible to verify the presence of motor-related brain activity during rehabilitation. Further, the book presents the combined use of these three technologies to illustrate some of the emerging approaches to the neurorehabilitation of voluntary movement. The authors share their practical experiences obtained during the development and clinical testing of functional electrical stimulation therapy controlled by a brain–computer interface as an intervention to restore reaching and grasping.
This book explores the ways in which AgeTech can contribute to healthy cognitive aging and support the independence of people with dementia. Technology can play a key role in supporting the health, independence, and well-being of older adults, particularly as a response to rapid worldwide population aging. AgeTech refers to the use of technologies, such as information and communication technologies (ICTs), robotics, mobile technologies, artificial intelligence, ambient systems, and pervasive computing to drive technology-based innovation to benefit older adults. AgeTech has the potential to provide new ways of meeting the growing demands on health and social care services to support people to stay healthy and active. As such, AgeTech represents an increasingly important market sector within world economies. The book also addresses some of the research, innovation, and policy challenges that need to be resolved if technology-based products and services are to fulfill their potential and deliver real-world impacts to improve the lives of older adults and their carers, thus promoting more inclusive communities for the benefit of all.
Designed Technologies for Healthy Aging identifies and presents a variety of contemporary technologies to support older adults’ abilities to perform everyday activities. Efforts of industry, laboratories, and learning institutions are documented under four major categories: social connections, independent self care, healthy home and active lifestyle. The book contains well-documented and illustrative recent examples of designed technologies—ranging from wearable devices, to mobile applications, to assistive robots— on the broad areas of design and computation, including industrial design, interaction design, graphic design, human-computer interaction, software engineering, and artificial intelligence. Table of Contents: Acknowledgments / Introduction / Social Connections / Independent Self Care / Healthy Home / Active Lifestyle / Conclusion / Contributors / Companies, Laboratories and Institutions / About the Author
This book looks at how AgeTech can support the autonomy and independence of people as they grow older. The authors challenge readers to reflect on the concepts of autonomy and independence not as absolutes but as experiences situated within older adults’ social connections and environments. Eleven personas of people around the world provide the context for readers to consider the influence of culture and values on how we understand autonomy and independence and the potential role of technology-based supports. The global pandemic provides a backdrop for the unprecedentedly rapid adoption of AgeTech, such as information and communication technologies or mobile applications that benefit older adults. Each persona in the book demonstrates the opportunity for AgeTech to facilitate autonomy and independence in supporting one’s identity, decision making, advance care planning, self care, health management, economic and social participation, enjoyment and self fulfillment and mobility in the community. The book features AgeTech from around the world to provide examples of commercially available products as well as research and development within the field. Despite the promise of AgeTech, the book highlights the “digital divide,” where some older people experience inadequate access to technology due to their geographic location, socio-economic status, and age. This book is accessible and relevant to everyday readers. Older adults will recognize themselves or peers in the personas and may glean insight from the solutions. Care partners and service providers will identify with the challenges of the personas. AgeTech entrepreneurs, especially “seniorpreneurs,” will appreciate that their endeavours represent a growing trend. Researchers will be reminded that the most important research questions are those that will enhance the quality of life of older adults and their sense of autonomy and independence, or relational autonomy and interdependence.
Attention Deficit Hyperactivity Disorder (ADHD) is the most prevalent childhood psychiatric condition, with estimates of more than 5% of children affected worldwide, and has a profound public health, personal, and family impact. At the same time, a multitude of adults, both diagnosed and undiagnosed, are living, coping, and thriving while experiencing ADHD. It can cost families raising a child with ADHD as much as five times the amount of raising a child without ADHD (Zhao et al. 2019). Given the chronic and pervasive challenges associated with ADHD, innovative approaches for supporting children, adolescents, and adults have been engaged, including the use of both novel and off-the-shelf technologies. A wide variety of connected and interactive technologies can enable new and different types of sociality, education, and work, support a variety of clinical and educational interventions, and allow for the possibility of educating the general population on issues of inclusion and varying models of disability. This book provides a comprehensive review of the historical and state-of-the-art use of technology by and for individuals with ADHD. Taking both a critical and constructive lens to this work, the book notes where great strides have been made and where there are still open questions and considerations for future work. This book provides background and lays foundation for a general understanding of both ADHD and innovative technologies in this space. The authors encourage students, researchers, and practitioners, both with and without ADHD diagnoses, to engage with this work, build upon it, and push the field further.