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Intersectoral Development of an Evaluation Tool for the Socio-Professional Rehabilitation Process Adapted to People with Autism. 适合自闭症患者的社会-专业康复过程评估工具的跨部门开发。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230637
Claude Vincent, Frédérique Mercure, Frédéric Dumont, Maude Lemieux, Martin Caouette, Sylvain Letscher, Normand Boucher, Francine Julien-Gauthier, Juliette Bertrand-Ouellet

Since there was no French tool adapted to the reality of people with autism enrolled in a work integration program in Quebec, we have modified the Profile of Rehabilitation and Adaptation in a Work Context for People with Intellectual Disabilities according to the scientific literature on autism. Content validity (n=17) and applicability (n=5) were done with success. Result is an Excel compiler containing 3 informative tabs, 10 tabs on the dimensions of work rehabilitation (59 items) and 4 tabs used to compile the results. Socio-professional practicians are welcomed to use this new tool to pursue construct and internal validity.

由于没有适合于魁北克省工作整合项目中自闭症患者实际情况的法国工具,我们根据有关自闭症的科学文献修改了《智障人士工作环境中的康复和适应概况》。内容效度(n=17)和适用性(n=5)均获得成功。结果是一个Excel编译器,包含3个信息选项卡,10个选项卡对工作康复的维度(59项)和4个选项卡用于编译结果。欢迎社会专业从业者使用这个新工具来追求结构和内部有效性。
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引用次数: 0
Rob'Autism Project: Social Learning at the Center of the Therapy. 罗布自闭症项目:治疗中心的社会学习。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230641
Sophie Sakka

Rob'Autism project was started in 2014, it aims at setting a therapy support for ASD (Autistic Spectrum Disorder) teenagers based on robot, art and culture mediations. The objective of the therapy support is to improve social skills. At its center is the improvement of the capacity to build and destroy affective links with the environment, or generate and drop communication relation with the external world. Three points were addressed to restore social links management: individual, collective and social communication. The experiments were organized in 20 working sessions of 1 hour per week and involved 6 teenagers, 3 robots and 6 accompanying people. During the sessions, a repetitive scenario is performed proposing a fixed frame in which controlled events can occur, in such way that the subjects environment remains simplified. During the 20 sessions, the subjects are supervised to build a show, which is presented to an external public. Up to now, eight groups were studied (48 subjects in total by groups of 6). The results show a redefinition of the subjects' identity and their legitimacy as members of the society.

罗布的自闭症项目始于2014年,旨在为基于机器人、艺术和文化媒介的ASD(自闭症谱系障碍)青少年提供治疗支持。治疗支持的目的是提高社交技能。其核心是提高与环境建立和破坏情感联系的能力,或与外部世界产生和消除沟通关系的能力。恢复社会联系管理从个人、集体和社会交往三个方面着手。实验分为20个工作时段,每周1小时,涉及6名青少年,3个机器人和6名陪同人员。在会议期间,执行一个重复的场景,提出一个固定的框架,在这个框架中可以发生受控事件,这样受试者的环境就保持了简化。在这20个环节中,受试者将在监督下进行表演,并向外部公众展示。到目前为止,共研究了8组(48名受试者,每组6人)。研究结果表明,研究对象的身份及其作为社会成员的合法性得到了重新定义。
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引用次数: 0
Exploring the Potential of Conversational Interfaces for Care of Older Adults: Insights from Stakeholder Workshops. 探索老年人护理对话界面的潜力:来自利益相关者研讨会的见解。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230597
Martin Biallas, Guang Lu, Mirjam Stieger, Richard Moist, Aliaksei Adrushevich, Andrew Paice

This study aimed to explore the utilisation of conversational interfaces (CIs) by local care service providers (CSPs) and their potential applications in improving the quality of life for older adults. Two workshops were conducted with stakeholders to gather insights and requirements. Although currently not yet utilised by CSPs, stakeholders expressed their openness towards CIs and believed that older adults are very likely to appear receptive to them. Loneliness and isolation were identified as significant challenges, even among older adults living in care institutions. Key requirements for chatbots included complementarity to in-person interactions, user-friendliness, 24/7 availability, and seamless integration into daily life. Ethical considerations, data privacy, and security were emphasised, also highlighting the importance of transparency and limited data retention. Various use cases were discussed, such as assistance, self-management tools, and reminders. The financing issues remained inconclusive, but health insurances showed their potential interest in solutions targeting loneliness.

本研究旨在探讨本地护理服务提供者(csp)对会话界面(ci)的利用及其在改善老年人生活质量方面的潜在应用。与利益相关者进行了两次研讨会,以收集见解和需求。虽然目前还没有被csp使用,利益相关者表达了他们对ci的开放态度,并相信老年人很可能会接受它们。孤独和孤立被认为是重大挑战,即使在生活在护理机构的老年人中也是如此。对聊天机器人的关键要求包括与面对面互动的互补性、用户友好性、全天候可用性以及与日常生活的无缝集成。会议强调了道德考虑、数据隐私和安全,还强调了透明度和有限数据保留的重要性。讨论了各种用例,例如帮助、自我管理工具和提醒。融资问题仍然没有定论,但健康保险公司对针对孤独的解决方案表现出潜在的兴趣。
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引用次数: 0
Training a Child with Blindness on the Basic Use of Computer with the Aim of Internet Socialization; an Intervention Program. 以网络社会化为目标对盲童进行计算机基本使用训练干预计划。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230643
Sofia Michailidou, Eleni Koustriava

In the present intervention program an eleven-year-old student with visual impairments was introduced in the basic use of a computer for the first time. The key tools for achieving this goal were the screen reading software "NVDA" as well as the development of a well-structured educational program. The purpose of the intervention was to enhance the student's technological skills, to make him familiar with the use of assistive technology and to enable him to exploit these new skills for his internet socialization. The evaluation of the intervention program's results was completed on three stages: a) after testing the student's knowledge and skills in the basic use of a computer (pre- and post-assessment ), b) after measuring his social network, his self-esteem and the perceived social support, and c) after analyzing the content of the student's written speech based on a series of criteria. (pre- and post-assessment). The results showed that the basic use of a computer was acquired and internet socialization increased his level of self-esteem, his social network and simultaneously created a sense of belonging. Finally, there was an improvement in his writing.

在目前的干预计划中,一位11岁的视觉障碍学生第一次被介绍使用电脑的基本知识。实现这一目标的关键工具是屏幕阅读软件“NVDA”以及结构良好的教育计划的开发。干预的目的是提高学生的技术技能,使他熟悉辅助技术的使用,并使他能够利用这些新技能进行互联网社交。干预计划结果的评估分三个阶段完成:a)在测试学生基本使用计算机的知识和技能之后(评估前和评估后),b)在测量他的社会网络,他的自尊和感知的社会支持之后,c)根据一系列标准分析学生的书面演讲内容之后。(前后评估)。结果表明,计算机的基本使用是习得的,网络社交提高了他的自尊水平,他的社会网络,同时创造了归属感。最后,他的写作有了进步。
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引用次数: 0
MSc Educational Assistive Technology: Training an Emergent Professional Group. 硕士教育辅助技术:培养一个新兴的专业群体。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230661
Rohan Slaughter, Annalu Waller, Tom Griffiths

The MSc Educational Assistive Technology (EduAT), is a recently established course, having welcomed the first cohort in January 2021, this group have recently completed their studies. At time of writing (summer 2023) the course is actively recruiting it's fourth cohort who are due to commence in January 2024. The course is now an established part of the AT training offer as the curriculum has been developed and delivered. This paper supports the presentation prepared for AAATE 2023. The EduAT approach uses the ESCO definition of the Assistive Technologist role, which is briefly summarised. The paper continues with how and why MSc EduAT was developed and explores how this MSc fits into a wider AT training ecosystem, noting roles that EduAT has been designed to support. An overview of the curriculum developed to train assistive technologists is included alongside a summary of what has been learned since the course began. The paper concludes by briefly summarising AT and AAC research group plans that have been informed by the experience of developing and delivering the MSc EduAT, and through the contributions students have made to the authors wider understanding of the assistive technology landscape in the UK and beyond.

教育辅助技术硕士(EduAT)是最近开设的一门课程,于2021年1月迎来了第一批学生,这批学生最近完成了学业。在撰写本文时(2023年夏季),该课程正在积极招募第四批学员,他们将于2024年1月开学。随着课程的开发和交付,该课程现已成为AT培训提供的既定部分。本文支持为aaa2023准备的演示文稿。EduAT方法使用ESCO对辅助技术人员角色的定义,并对其进行简要总结。本文继续介绍了EduAT硕士课程的开发方式和原因,并探讨了该硕士课程如何适应更广泛的AT培训生态系统,并指出了EduAT旨在支持的角色。为培训辅助技术人员而开发的课程概述包括自课程开始以来所学知识的总结。论文最后简要总结了AT和AAC研究小组的计划,这些计划是由开发和提供硕士教育的经验所决定的,并通过学生对作者对英国及其他地区辅助技术前景的更广泛理解所做出的贡献。
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引用次数: 0
The Use of Extended Reality in Rehabilitation for Patients with Acquired Brain Injury: A Scoping Review. 扩展现实在获得性脑损伤患者康复中的应用:范围综述。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230682
Loes Bulle-Smid, Wouter Keuning, Renée Van Den Heuvel, Gido Hakvoort, Fenne Verhoeven, Ramon Daniels, Marike Hettinga

Background: Extended reality (XR) seems promising for rehabilitation for people with acquired brain injury in terms of reducing professional supervision, faster recovery, shorter hospital stays, and reduced expenses. Since there is no overview this scoping review describes how XR can be utilized in rehabilitation, particularly for people with acquired brain injury (ABI).

Methods: The Arksey and O'Malley framework and PRISMA-ScR reporting guideline were followed. Studies between 2010 and May 2022 screened from healthcare as well as technical databases were imported in RAYYAN. Three researchers selected relevant articles in three rounds based on title, abstract and full text.

Results: 75 articles were included in this scoping review. Most studies used VR as technology with therapy objectives in three main categories: cognitive, physical and diagnostic. The outcomes of the studies show potential and promising results of the use of XR, and enthusiasm with as well patients as professionals. A selection of four domains of the NASSS framework: condition, technology, value proposition and adopters were reported. Important lessons learned by the included studies are development of XR software, improvement of the hardware, improving feeling of safety and giving support to the patient, and support healthcare professionals for acceptance of XR.

Discussion: the use of XR for people with ABI has potential and is promising but not common practice yet. Future research should focus on implementation factors with a diverse and inclusive patient group using service modelling.

背景:扩展现实(XR)在减少专业监督、更快恢复、缩短住院时间和减少费用方面,似乎对获得性脑损伤患者的康复有希望。由于没有概述,本综述描述了XR如何用于康复,特别是对获得性脑损伤(ABI)患者。方法:遵循Arksey和O'Malley框架和PRISMA-ScR报告指南。从医疗保健和技术数据库中筛选的2010年至2022年5月期间的研究导入RAYYAN。三位研究者根据题目、摘要和全文分三轮选择相关文章。结果:75篇文章被纳入本范围综述。大多数研究使用VR作为治疗目标的技术,主要分为三大类:认知、身体和诊断。研究结果显示了XR使用的潜在和有希望的结果,以及患者和专业人员的热情。报告了NASSS框架的四个领域:条件、技术、价值主张和采用者。纳入的研究获得的重要经验教训是开发XR软件、改进硬件、提高安全感并为患者提供支持,以及支持医疗保健专业人员接受XR。讨论:对ABI患者使用XR是有潜力和前景的,但还不是普遍的做法。未来的研究应侧重于使用服务模型对多样化和包容性患者群体的实施因素。
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引用次数: 0
Japanese Braille Translation Using Deep Learning - Conversion from Phonetic Characters (Kana) to Homonymic Characters (Kanji). 使用深度学习的日语盲文翻译——从音标(假名)到同音字(汉字)的转换。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230630
Shuichi Seto, Hiroyuki Kawabe, Yoko Shimomura

A blind student writes and submits reports in Braille word processor, which is difficult for teachers to read. This study's purpose is to make a translator from Braille into mixed Kana-Kanji sentences for such teachers. Because Kanji has homonyms, it is not always possible to get correct results when converting. To overcome this difficulty, we used deep learning for translation. We built a training dataset composed from 15,000 pairs of Braille codes and mixed Kana-Kanji sentences, and a validation dataset. In training, we got an accuracy of 0.906 and a good Bleu score of 0.600. In validation, we found 5 mistaken words in selecting homonymous Kanji by examining translation mistakes from 100 pairs of the verification sentences. The choice of homonymous Kanji depends on the context. For decreasing such type of errors, it is necessary to introduce of translation of paragraphs by increasing the scale of the network model in deep learning, and to expand the network structure.

盲人学生用老师看不懂的盲文文字处理机写报告。本研究的目的是为这类教师制作一个从盲文翻译成假名-汉字混合句的译者。因为汉字有同音异义,所以在转换时不一定能得到正确的结果。为了克服这个困难,我们使用深度学习进行翻译。我们建立了一个由15000对盲文代码和假名-汉字混合句子组成的训练数据集,以及一个验证数据集。在训练中,我们得到了0.906的准确率和0.600的良好Bleu分数。在验证中,我们通过对100对验证句的翻译错误进行检查,发现了5个同音汉字选择错误。同音汉字的选择取决于上下文。为了减少这类错误,需要在深度学习中通过增加网络模型的规模来引入段落翻译,并扩展网络结构。
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引用次数: 0
Robotics at the Service of Wheelchair Mobility for People with Disabilities: Story of a Clinical-Scientific Partnership. 为残疾人轮椅移动服务的机器人技术:临床-科学伙伴关系的故事。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230654
Emilie Leblong, Bastien Fraudet, Louise Devigne, Francÿois Pasteau, Sylvain Guegan, Marie Babel

The mobility of people with motor disabilities combined with sensory or cognitive disabilities, sometimes leads to safety issues that make independent travel impossible. In this context, teams based in Rennes in the west of France have been working together for several years to design two devices: - an power wheelchair simulator to promote learning to drive in an immersive virtual environment - a driving assistance module that can be added to an power wheelchair to pass and avoid obstacles. This transdisciplinary work was made possible by the geographical and human proximity of the scientific, technical and clinical teams in order to best meet the needs of the end users who were integrated into this co-design approach. This article describes the evolution of this work and future prospects.

运动障碍者的行动能力加上感觉或认知障碍,有时会导致安全问题,使独立旅行成为不可能。在这种背景下,位于法国西部雷恩的团队已经合作了几年,设计了两种设备:一种是电动轮椅模拟器,用于在沉浸式虚拟环境中促进驾驶学习;另一种是驾驶辅助模块,可以添加到电动轮椅上,以通过和避开障碍物。由于科学、技术和临床团队的地理位置和人员接近,这项跨学科工作成为可能,以便最好地满足集成到这种协同设计方法中的最终用户的需求。本文介绍了这项工作的发展和未来展望。
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引用次数: 0
I Know My Rights! A Longitudinal Study of Discrimination due to Physical Inaccessibility from the Perspective of Wheelchair Users. 我知道我的权利!轮椅使用者身体残疾歧视的纵向研究。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230651
Katarina Baudin, Cecilia Pettersson

It is a fundamental right to be able to access society and the services in it. From the perspective of disability rights, people with mobility-related disabilities who use wheelchairs must have equal opportunities to participate in and contribute to society - whether it is school, work, or (activity) leisure. This ongoing study is a longitudinal document study with qualitative content analysis. The document study is based on incoming complaints of discrimination due to inaccessibility received by the DO in Sweden, 2015-2023. The study explores how the users of wheelchairs and scooters experience discrimination due to their inaccessibility, using the ICF framework, among reported complaints to the DO from 2015-2023. The preliminary results show an increase in the number of complaints about discrimination across the entire period of 2015-2023. Responding to peoples' lived perspectives has often been cited as crucial to understanding how inclusion and exclusion play out in real life. A more accessible world depends on the extent of our knowledge and the politics of knowing-making, according to recently published research. Analyzing complaints about lack of accessibility over time generates essential knowledge for how discrimination against people who use wheelchairs can be prevented. This project also contributes to essential knowledge for social sustainability, economic sustainability, and a sustainable, accessible environment for people who use wheelchairs.

能够进入社会并享受其中的服务是一项基本权利。从残疾人权利的角度来看,使用轮椅的行动障碍者必须有平等的机会参与社会并为社会做出贡献——无论是在学校、工作还是(活动)休闲。本研究为纵向文献研究,采用定性内容分析。该文件研究基于2015-2023年瑞典民政事务处收到的因无障碍而受到歧视的投诉。该研究利用ICF框架,探讨了2015年至2023年期间向内政部报告的投诉中,轮椅和滑板车使用者如何因其无障碍而遭受歧视。初步结果显示,2015-2023年期间,有关歧视的投诉数量有所增加。回应人们的生活观点经常被认为是理解包容和排斥如何在现实生活中发挥作用的关键。根据最近发表的研究,一个更容易接近的世界取决于我们的知识程度和知识创造的政治。随着时间的推移,对缺乏无障碍设施的投诉进行分析,可以为如何防止对轮椅使用者的歧视提供必要的知识。该项目还为社会可持续性、经济可持续性以及为轮椅使用者提供可持续的无障碍环境提供了必要的知识。
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引用次数: 0
Universal Design in Education (UDE) Across the Life Course: Applying a Systems Framework to Create an Inclusive Experience for All. 贯穿整个生命历程的教育通用设计:应用系统框架为所有人创造包容性体验。
Q3 Health Professions Pub Date : 2023-08-23 DOI: 10.3233/SHTI230669
Gerald Craddock, Donal Fitzpatrick, James Hubbard, Ruth O'Reilly, Marion Wilkinson

The UN Convention on the Rights of Persons with Disabilities (UNCRPD) promotes the realisation of the right of persons with disabilities to education through Article 24 - Education. Universal Design in Education (UDE) fosters a whole systems approach so that the physical and digital environments, the educational services, and the teaching and learning can be easily accessed, understood and used, by the widest range of learners and by all key stakeholders, in a more inclusive environment. The whole systems approach incorporates the entire educational environment, as well as the recognition of the capacity for all learners (including persons with disabilities) to learn, and environments which are fully accessible and inclusive. This paper discusses methods whereby a systems approach can be applied to various aspects of education across the life continuum. It further advocates the inclusion of Universal Design as subject matter in curricula and assessment, to ensure a broader and more widespread adoption across the educational spectrum.

《联合国残疾人权利公约》(UNCRPD)通过第24条“教育”促进实现残疾人受教育的权利。教育通用设计(UDE)促进了一种完整的系统方法,以便在更具包容性的环境中,最广泛的学习者和所有主要利益攸关方可以轻松访问、理解和使用物理和数字环境、教育服务以及教学。全系统方法包括整个教育环境,承认所有学习者(包括残疾人)的学习能力,以及完全无障碍和包容的环境。本文讨论了系统方法可以应用于整个生命连续体教育的各个方面的方法。它进一步提倡将通用设计作为课程和评估的主题,以确保在整个教育领域得到更广泛和更广泛的采用。
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引用次数: 0
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Studies in Health Technology and Informatics
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