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Diversity of Web accessibility in tourism: Evidence based on a literature review 旅游网络可达性的多样性:基于文献回顾的证据
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/tad-210341
Pedro Teixeira, C. Eusébio, L. Teixeira
BACKGROUND: In the tourism industry, people with disabilities (PwD) are frequently excluded from certain activities. The Internet is one of the most used information sources for planning tourism trips. However, the level of accessibility of information disseminated by the tourism industry through websites is still very low. OBJECTIVE: This study aims to explore the existence of diversity in Web accessibility in the tourism industry. METHODS: A systematic literature review method was used for the identification, selection, and evaluation of the published research on Web accessibility in the tourism industry. A set of 40 papers obtained from relevant scientific databases, and complemented with a snowballing effect, was synthesized and analyzed. RESULTS: Low levels of diversity of Web accessibility were found in the different tourism activities analyzed. The majority of studies published in this field are relatively recent and both manual and automated methods were employed. Web accessibility failures were mainly related to lack of connectivity with assistive technologies, complex layout, and navigation difficulties. CONCLUSION: The results obtained in this systematic literature review provide important contributions to increase knowledge of Web accessibility in the tourism industry. Moreover, practical and theoretical contributions can help Web developers creating more accessible tourism websites.
背景:在旅游业中,残疾人经常被排除在某些活动之外。互联网是规划旅游行程最常用的信息来源之一。然而,旅游业通过网站传播信息的可及性水平仍然很低。目的:本研究旨在探讨旅游行业网页可达性是否存在多样性。方法:采用系统的文献综述法,对已发表的旅游行业网页可达性研究进行识别、筛选和评价。综合分析了从相关科学数据库中获取的40篇论文,并辅以滚雪球效应。结果:在不同的旅游活动中,网站可达性的多样性水平较低。在该领域发表的大多数研究都是相对较新的,并且采用了手动和自动方法。网页可访问性失败主要与缺乏与辅助技术的连接、复杂的布局和导航困难有关。结论:本系统文献综述的结果对提高旅游业对网页可达性的认识有重要贡献。此外,实践和理论的贡献可以帮助Web开发人员创建更易于访问的旅游网站。
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引用次数: 4
Effectiveness and cost-effectiveness of an optimized process of providing assistive technology for impaired upper extremity function: Protocol of a prospective, quasi-experimental non-randomized study (OMARM) 为上肢功能受损提供辅助技术的优化过程的有效性和成本效益:一项前瞻性、准实验性非随机研究方案(OMARM)
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/tad-210335
U. Roentgen, L. V. D. Heide, I. Kremer, H. Creemers, M. Brehm, J. Groothuis, Edith A. V. Hagedoren, R. Daniëls, S. Evers
BACKGROUND: Impaired upper extremity function due to muscle paresis or paralysis has a major impact on independent living and quality of life (QoL). Assistive technology (AT) for upper extremity function (i.e. dynamic arm supports and robotic arms) can increase a client’s independence. Previous studies revealed that clients often use AT not to their full potential, due to suboptimal provision of these devices in usual care. OBJECTIVE: To optimize the process of providing AT for impaired upper extremity function and to evaluate its (cost-) effectiveness compared with care as usual. METHODS: Development of a protocol to guide the AT provision process in an optimized way according to generic Dutch guidelines; a quasi-experimental study with non-randomized, consecutive inclusion of a control group (n= 48) receiving care as usual and of an intervention group (optimized provision process) (n= 48); and a cost-effectiveness and cost-utility analysis from societal perspective will be performed. The primary outcome is clients’ satisfaction with the AT and related services, measured with the Quebec User Evaluation of Satisfaction with AT (Dutch version; D-QUEST). Secondary outcomes comprise complaints of the upper extremity, restrictions in activities, QoL, medical consumption and societal cost. Measurements are taken at baseline and at 3, 6 and 9 months follow-up.
背景:由于肌肉麻痹或瘫痪导致的上肢功能受损对独立生活和生活质量(QoL)有重大影响。上肢功能的辅助技术(即动态臂支撑和机械臂)可以提高患者的独立性。以前的研究表明,由于在日常护理中这些设备的提供不理想,客户经常使用AT不能充分发挥其潜力。目的:优化提供AT治疗上肢功能受损的流程,并与常规护理相比评估其(成本)效益。方法:根据荷兰通用指南,制定一项协议,以优化的方式指导AT提供过程;一项准实验研究,非随机连续纳入对照组(n= 48)和干预组(优化提供过程)(n= 48);并从社会角度进行成本效益和成本效用分析。主要结果是客户对自动翻译服务和相关服务的满意度,用魁北克用户对自动翻译服务满意度评估(荷兰语版;D-QUEST)。次要结果包括上肢主诉、活动受限、生活质量、医疗消费和社会成本。在基线和随访3、6和9个月时进行测量。
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引用次数: 1
Encouraging physical activities at home for people with multiple sclerosis with mHealth tools: A literature review 利用移动健康工具鼓励多发性硬化症患者在家进行体育活动:文献综述
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/TAD-200315
Clémence Chassan, C. Jost, M. Sévène, Olivier Cras, T. Broucker, D. Archambault
BACKGROUND: Multiple sclerosis (MS) is a chronic degenerative neurological disease with visual, sensitive, motor, or cognitive symptoms. Physical activities are recommended for people with MS (pwMS) who are at home instead of in a rehabilitation program, to help them to maintain their autonomy. Since a lack of motivation appears to be the principal barrier for pwMS to practice exercises, it is necessary to evaluate whether mobile health (mHealth) tools can offer a solution to stimulate their motivation. OBJECTIVE: This literature review analyzes papers to investigate to how a mobile application can motivate pwMS to practice physical activities and manage their fatigue. METHODS: We performed an automatic query from digital libraries and analyzed the studies. RESULTS: We selected seven articles that responded to our criteria. These studies tested mobile applications that used different strategies to motivate pwMS to practice physical exercises at home and manage their fatigue. A lack of motivation was the main obstacle, but depending on the type of exercises chosen, some application settings seemed to resolve this issue. CONCLUSIONS: Studies in this area are limited, although this literature review highlights the need for mHealth tools in which pwMS and their therapists contribute to their use and conception.
背景:多发性硬化症(MS)是一种慢性退行性神经系统疾病,具有视觉、敏感、运动或认知症状。对于在家而不是参加康复计划的多发性硬化症(pwMS)患者,建议进行体育活动,以帮助他们保持自主性。由于缺乏动力似乎是pwMS练习的主要障碍,因此有必要评估移动健康(mHealth)工具是否可以提供一种解决方案来激发他们的动力。目的:本文献综述分析论文,以调查如何移动应用程序可以激励pwMS练习体力活动和管理他们的疲劳。方法:我们从数字图书馆进行自动查询并分析研究。结果:我们选择了7篇符合我们标准的文章。这些研究测试了移动应用程序,这些应用程序使用不同的策略来激励pwMS在家进行体育锻炼并管理他们的疲劳。缺乏动力是主要障碍,但根据选择的练习类型,一些应用程序设置似乎可以解决这个问题。结论:这一领域的研究是有限的,尽管这篇文献综述强调了对移动健康工具的需求,其中pwMS及其治疗师为其使用和构思做出了贡献。
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引用次数: 2
Over-ground robotic lower limb exoskeleton in neurological gait rehabilitation: User experiences and effects on walking ability 神经步态康复中的地面机器人下肢外骨骼:用户体验及其对行走能力的影响
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/tad-200284
Taina Jyräkoski, S. Merilampi, J. Puustinen, A. Kärki
BACKGROUND: Over-ground robotic lower limb exoskeletons are safe and feasible in rehabilitation with individuals with spinal cord injury (SCI) and stroke. Information about effects on stroke rehabilitees is scarce and descriptions of learning process and user experience is lacking. OBJECTIVE: The objectives of this study were to describe how rehabilitees learn exoskeleton use, to study effects of exoskeleton assisted walking (EAW) training, and to study rehabilitees’ user experiences. METHODS: One-group pre-test post-test pre-experimental study involved five rehabilitees with stroke or traumatic brain injury (TBI). Participants in chronic phase underwent twice a week an 8-week training intervention with Indego exoskeleton. Process of learning to walk and the level of assistance were documented. Outcome measurements were conducted with 6-minute and 10-meter walk tests (6 MWT, 10 mWT). User experience was assessed with a satisfaction questionnaire. RESULTS: Rehabilitees learnt to walk using the exoskeleton with the assistance from 2–3 therapists within two sessions and progressed individually. Three participants improved their results in 10 mWT, four in 6 MWT. The rehabilitees felt comfortable and safe when using and exercising with the device. CONCLUSION: Indego exoskeleton may be beneficial to gait rehabilitation with chronic stroke or TBI rehabilitees. The rehabilitees were satisfied with the exoskeleton as a rehabilitation device.
背景:地上机器人下肢外骨骼在脊髓损伤(SCI)和中风患者的康复治疗中是安全可行的。有关中风康复者的影响的信息很少,并且缺乏对学习过程和用户体验的描述。目的:本研究的目的是描述康复者如何学习外骨骼的使用,研究外骨骼辅助行走(EAW)训练的效果,并研究康复者的使用体验。方法:对5例脑卒中或创伤性脑损伤(TBI)康复患者进行一组前测后测前实验研究。慢性期的参与者每周接受两次为期8周的Indego外骨骼训练干预。学习走路的过程和辅助水平被记录下来。结果测量通过6分钟和10米步行测试(6 MWT, 10 MWT)进行。用户体验通过满意度问卷进行评估。结果:康复者在2-3名治疗师的帮助下,在两个疗程内学会了使用外骨骼行走,并个别进展。3名参与者在10 mWT中改善了他们的结果,4名在6 mWT中改善了他们的结果。康复者在使用和锻炼时感到舒适和安全。结论:Indego外骨骼可能有利于慢性脑卒中或脑外伤患者的步态康复。康复者对外骨骼作为一种康复装置感到满意。
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引用次数: 4
Use of everyday technology to promote ambulation in people with intellectual and multiple disabilities 使用日常技术促进智力残疾和多重残疾人士行走
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/tad-210336
G. Lancioni, Nirbhay N. Singh, M. O'Reilly, J. Sigafoos, Gloria Alberti, Valeria Chiariello, L. Desideri
BACKGROUND: People with severe to profound intellectual disabilities and visual or motor impairment tend to be detached and sedentary. OBJECTIVE: The present study assessed a technology-aided intervention to promote ambulation in four people with severe to profound intellectual disability combined with blindness or deafness and spasticity. METHOD: The intervention was introduced according to a non-concurrent multiple baseline design across participants. The participants wore a smartphone fitted with the MacroDroid application at their right or left ankle. This application served to (a) detect and record smartphone’s shake events (i.e., events related to the step responses the participant performed with the leg to which the smartphone was fixed) throughout the study, and (b) automatically deliver stimulation and encouragements/prompts (i.e., in relation to step responses and lack of responding, respectively) during the intervention. RESULTS: Data showed that during the baseline (i.e., prior to the intervention) the participants’ mean frequency of step responses were between 26 and 61 per 5-min session. During the intervention the mean session frequency increased to between 100 and 157. The increase was statistically significant for all participants. CONCLUSION: The aforementioned technology-aided intervention may be a useful tool for promoting ambulation in people like those involved in this study.
背景:患有严重到深度智力障碍和视觉或运动障碍的人倾向于脱离和久坐。目的:本研究评估了一种技术辅助干预,以促进4名重度至重度智力残疾合并失明或耳聋和痉挛患者的行走。方法:干预措施采用非并发多基线设计。参与者在他们的右脚踝或左脚踝上佩戴装有MacroDroid应用程序的智能手机。该应用程序用于(a)在整个研究过程中检测和记录智能手机的震动事件(即,与参与者用智能手机固定的腿进行的步骤响应相关的事件),以及(b)在干预期间自动提供刺激和鼓励/提示(即,分别与步骤响应和缺乏响应相关)。结果:数据显示,在基线期间(即干预之前),参与者的平均步幅反应频率为每5分钟26至61次。在干预期间,平均会话频率增加到100到157之间。对所有参与者来说,这一增长在统计学上都是显著的。结论:上述技术辅助干预可能是促进像本研究中所涉及的人行走的有用工具。
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引用次数: 4
Multisensory balance training for unsteady elderly people: A scoping review 失稳老年人多感官平衡训练:范围综述
IF 0.5 Q4 REHABILITATION Pub Date : 2021-01-01 DOI: 10.3233/TAD-200310
I. Yoo, Ji-Hye Do
BACKGROUND: Posture control involves complex reactions of dynamic and static movements, and various sensory inputs. There is evidence that exercise using multisensory stimulation is moderately effective in improving the balance of the elderly. OBJECTIVE: The main purpose of this paper was to examine the existing literature to validate the effectiveness and applicability of multisensory stimulation training. METHODS: All relevant literature published as of June 1, 2020 in four prominent databases was searched (Embase, PubMed, PsycINFO, and Web of science) using the five-stage review framework proposed by Arksey and O’Malley. RESULTS: Multisensory stimulation training was more effective when vestibular and somatosensory were combined with visual stimuli, and differences in effectiveness compared to the effectiveness of existing treatments were confirmed. However, most of the reviewed papers are compared to simple strength training, and studies that compare the effects of multisensory stimulation training by setting a control group are still lacking. CONCLUSION: Further research is required to further elucidate the training conditions and treatment environment for multisensory training for the elderly at risk of falls and to provide strategies to improve treatment methods. In addition, a study that can evaluate user satisfaction in a way that best shows the treatment effect using qualitative research methods will be needed.
背景:姿势控制涉及动态和静态运动的复杂反应,以及各种感觉输入。有证据表明,使用多感官刺激的运动对改善老年人的平衡有中等效果。目的:通过对已有文献的梳理,验证多感觉刺激训练的有效性和适用性。方法:使用Arksey和O 'Malley提出的五阶段综述框架,检索截至2020年6月1日在四个知名数据库(Embase、PubMed、PsycINFO和Web of science)中发表的所有相关文献。结果:前庭和体感结合视觉刺激时,多感觉刺激训练更有效,且与现有治疗方法的效果有差异。然而,大多数被审查的论文都是与简单的力量训练进行比较,并且通过设置对照组来比较多感官刺激训练效果的研究仍然缺乏。结论:对有跌倒危险的老年人进行多感官训练的训练条件和治疗环境需要进一步的研究,并提供改进治疗方法的策略。此外,还需要进行一项研究,以一种最能显示治疗效果的方法来评估用户满意度。
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引用次数: 2
Ambient intelligence: Placement of Kinect sensors in the home of older adults with visual disabilities 环境智能:在有视觉障碍的老年人家中放置Kinect传感器
IF 0.5 Q4 REHABILITATION Pub Date : 2020-11-20 DOI: 10.3233/tad-200287
H. N. Kim
BACKGROUND: Although a number of research studies on sensor technology for smart home environments have been conducted, there is still lack of consideration of human factors in implementing sensor technology in the home of older adults with visual disabilities. OBJECTIVE: This paper aims to advance knowledge of how sensor technology (e.g., Microsoft Kinect) should be implemented in the home of those with visual disabilities. METHODS: A convenience sample of 20 older adults with visual disabilities allowed us to observe their home environments and interview about the activities of daily living, which were analyzed via the inductive content analysis. RESULTS: Sensor technology should be integrated in the living environments of those with visual disabilities by considering various contexts, including people, tasks, tools, and environments (i.e., level-1 categories), which were further broken down into 22 level-2 categories and 28 level-3 categories. Each sub-category included adequate guidelines, which were also sorted by sensor location, sensor type, and data analysis. CONCLUSIONS: The guidelines will be helpful for researchers and professionals in implementing sensor technology in the home of older adults with visual disabilities.
背景:虽然对智能家居环境中的传感器技术进行了大量的研究,但在视觉障碍老年人家中实施传感器技术时,仍然缺乏对人为因素的考虑。目的:本文旨在推进传感器技术(例如,微软Kinect)如何在视觉障碍者家中实施的知识。方法:选取20名视力障碍老年人作为方便样本,对其家庭环境进行观察,并对其日常生活活动进行访谈,采用归纳内容分析法进行分析。结果:传感器技术应融入视障人士的生活环境中,考虑人、任务、工具、环境等多种情境(即1级类别),并进一步细分为22个2级类别和28个3级类别。每个子类别都包括足够的指南,这些指南也按传感器位置、传感器类型和数据分析进行分类。结论:该指南将有助于研究人员和专业人员在视力障碍老年人家中实施传感器技术。
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引用次数: 2
Assessment of an intelligent robotic rollator implementing navigation assistance in frail seniors 智能机器人滚轮在体弱老年人导航辅助中的应用评估
IF 0.5 Q4 REHABILITATION Pub Date : 2020-06-18 DOI: 10.3233/tad-200271
Y. Koumpouros, T. Toulias, C. Tzafestas, G. Moustris
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引用次数: 4
Effects of seat height, wheelchair mass and additional grip on a field-based wheelchair basketball mobility performance test 座位高度、轮椅质量和附加握力对场地轮椅篮球运动性能测试的影响
IF 0.5 Q4 REHABILITATION Pub Date : 2020-06-01 DOI: 10.3233/tad-190251
A.M.H. de Witte, R. V. D. Slikke, M. Berger, M. Hoozemans, H. Veeger, L.H.V. van der Woude
OBJECTIVE: The purpose of this study was to determine the effects of seat height, wheelchair mass and grip on mobility performance among wheelchair basketball players and to investigate whether these effects differ between classification levels. METHODS: Elite wheelchair basketball players with a low (n= 11, class 1 or 1.5) or high (n= 10, class 4 or 4.5) classification performed a field-based wheelchair mobility performance (WMP) test. Athletes performed the test six times in their own wheelchair, of which five times with different configurations, a higher or lower seat height, with additional distally or centrally located extra mass, and with gloves. The effects of these configurations on performance times and the interaction with classification were determined. RESULTS: Total performance time on the WMP test was significantly reduced when using a 7.5% lower seat height. Additional mass (7.5%) and glove use did not lead to changes in performance time. Effects were the same for the two classification levels. CONCLUSIONS: The methodology can be used in a wheelchair fitting process to search for the optimal individual configuration to enhance mobility performance. Out of all adjustments possible, this study focused on seat height, mass and grip only. Further research can focus on these possible adjustments to optimize mobility performance in wheelchair basketball.
目的:本研究的目的是确定座椅高度、轮椅质量和握力对轮椅篮球运动员行动能力的影响,并调查这些影响是否在不同级别之间存在差异。方法:低(n=11,1级或1.5级)或高(n=10,4级或4.5级)级别的精英轮椅篮球运动员进行了基于场地的轮椅运动性能(WMP)测试。运动员在自己的轮椅上进行了六次测试,其中五次是在不同的配置、较高或较低的座椅高度、位于远端或中心的额外质量以及戴着手套的情况下进行的。确定了这些配置对性能时间的影响以及与分类的相互作用。结果:当座椅高度降低7.5%时,WMP测试的总表现时间显著缩短。额外的质量(7.5%)和手套的使用并没有导致性能时间的变化。两个分类级别的效果相同。结论:该方法可用于轮椅装配过程,以寻找最佳的个人配置,从而提高行动性能。在所有可能的调整中,这项研究只关注座椅高度、质量和抓地力。进一步的研究可以集中在这些可能的调整上,以优化轮椅篮球的运动性能。
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引用次数: 1
CVT Connect: Creating safe and accessible social media for people with learning disabilities CVT Connect:为学习障碍者创建安全无障碍的社交媒体
IF 0.5 Q4 REHABILITATION Pub Date : 2020-06-01 DOI: 10.3233/tad-200259
P. Williams, Philip A. Gibson
BACKGROUND: Camphill Village Trust (CVT) is a National charity, supporting around 500 adults with learning disabilities in community settings. OBJECTIVE: To co-design a social media platform to enable people supported at CVT to enjoy the benefits social media can offer, in a ‘safe space’. METHODS: A survey was undertaken of potential users to determine existing technology use and what was wanted from a social media platform. This was constructed according to findings, and solo and group interviews and another survey captured usage and opinions. RESULTS: Posting and reading the posts of others were popular, but use of other facilities (e.g. noticeboard) was limited. People valued its role as a social connector, and the closed environment was also seen as a benefit. Staff used it to aid social interactions and as a learning tool. Barriers included remembering passwords, uploading photos and lack of support, the latter due to competing time demands on staff. CONCLUSIONS: The study showed that it is possible to involve people with learning disabilities in the development of an electronic resource, and that a safe, protected platform can be utilised for both entertainment and education. Some staff were reticent, which highlighted the need for training and time allocation.
背景:Camphill Village Trust(CVT)是一家国家慈善机构,在社区环境中为大约500名有学习障碍的成年人提供支持。目标:共同设计一个社交媒体平台,使CVT支持的人能够在“安全空间”中享受社交媒体所能提供的好处。方法:对潜在用户进行调查,以确定现有技术的使用情况以及社交媒体平台的需求。这是根据调查结果构建的,单独和小组访谈以及另一项调查捕捉了使用情况和意见。结果:张贴和阅读他人的帖子很受欢迎,但使用其他设施(如布告栏)的情况有限。人们重视它作为社会连接者的作用,封闭的环境也被视为一种好处。工作人员使用它来帮助社交互动,并将其作为一种学习工具。障碍包括记住密码、上传照片和缺乏支持,后者是由于员工的时间需求相互竞争。结论:该研究表明,让学习障碍者参与电子资源的开发是可能的,一个安全、受保护的平台可以用于娱乐和教育。一些工作人员保持沉默,这突出了培训和时间分配的必要性。
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引用次数: 0
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