Studies in Health Technology and Informatics最新文献

This paper presents the results of a research study of people who are blind or low vision about their experiences using wayfinding tools. The results present the accessibility issues when using wayfinding tools and assistive technology to learn about new locations. An online survey followed by a series of interviews was conducted with ten people who identify as blind and six with low vision to learn their opinions and concerns about accessibility of three types of wayfinding tools, digital maps, navigation apps and camera apps.

To facilitate the integration of people with autism into the food industry labour market, this cross sectoral project aimed to design, validate and test instructional videos to concretely demonstrate various tasks in the grocery store, and to probe interest and assess knowledge about these tasks. Results are the delivery of 21 instructional videos validated for individuals with autism and 21 for mentors in grocery.

Smart Wearables are considered a very promising solution for monitoring and helping people affected by cognitive decline or dementia and, in particular, Alzheimer Disease (AD). Nonetheless, the acceptability and wearability of such devices for AD patients pose certain challenges. To address this, an empirical study has been conducted with a group of patients with mild to moderate AD, wearing wristbands E4 by Empatica for a duration of three months. The experiment has been integrated into the regular healthcare activities, with active involvement from nurses and physicians. The paper reports the feedbacks of the caregivers and discusses wearability and acceptability issues.

The use of technology in education has the potential to create more inclusive environments for all students, including those with disabilities. In Italy, the Ministry of Education has recognized the importance of digital literacy in schools and has issued several documents outlining the steps necessary to build a more inclusive educational system. However, in order to achieve these goals, it is important to assess the current situation and identify areas for improvement. The Entelis Self-assessment framework, particularly the Italian short version, can be used as a tool to help schools assess their digital inclusion practices and develop strategies for improvement. In 2015, the Ministry of Education issued the new Law 107/2015, called "La Buona Scuola", which included the New National Plan on School Digital Literacy - PNSD (MIUR, 2015) and the Three-year plan of in-service teachers' education and training. These documents aimed to consolidate the path of innovation and digitization in schools through a strategy that invested in the technological, epistemological, and cultural dimensions. The PNSD focused on the initial and in-service training of teachers, recognizing that educational innovation through digital technologies requires a reformulation of traditional teaching-learning methods to include pedagogical accessibility and inclusion. However, the success of these initiatives depends on the readiness of teachers to implement new technologies in their classrooms. The European Union (EU) identified teacher training as a critical factor for the success of ICT-related educational innovation in 2003. Teachers themselves recognize the need for training, with TALIS results (OEDC, 2014) showing that the need for training related to teaching with information and communication technology (ICT) skills and using new technologies in the workplace was a priority for teachers.

Students in the United States have federally-established rights regarding access to assistive technology (AT) devices and services, yet those rights are not consistently upheld for a variety of reasons acknowledged in the literature. We conducted a interview-based study with 48 education professionals, family members and students to analyze the facilitators and barriers that influence AT access for students in the State of Delaware. Study results were consistent with the extant literature, and revealed numerous violations of student rights guaranteed under U.S. special education law. Some barriers were attitudinal, yet most arose from the inadequacy of infrastructures: professionals lacked training, funding was inadequate or difficult to access and, in most areas, there was no definitive guidance relative to the processes that should be followed and how decisions regarding AT-related decisions regarding devices and services should be documented. Elements revealed to facilitate AT access and use were the availability of resources - highly-qualified personnel, time, training, funds, and access to devices - and persistence among educators and family members in pursuing AT solutions for students.

Augmentative and Alternative Communication (AAC) implementation at any level is a multifaceted process that requires selection of relevant and appropriate systems to suit individual users who may have complex communication needs and other co-occurring difficulties. Careful and systematic action may be required to develop skills and abilities in the use of chosen technologies with suitable ongoing support within a wide range of settings. The wider milieu in which services are provided must also be considered in order to provide a firm foundation for capacity building alongside considerations for multilingual and multicultural factors. UNICEF with the Global Symbols team supported by local professionals working with AAC users, their families and carers set out to collaboratively provide an implementation guide based on their experiences in several Eastern European countries. The aim of the guide was to illustrate work already being undertaken in the area and to ensure the sharing of knowledge and resources where gaps were discovered. The result became a series of linked webpages in an online framework that covered practical aspects for the development of policies and procedures to support early intervention for those with severe speech, language and communication needs across countries of differing cultures and languages. The actual AAC implementation required ingenuity on all sides with translations for pictographic symbol and software adaptations with Cyrillic and Latin alphabets, new synthetic voices alongside deployment and capacity development. Considerable local support was forthcoming and captured with interviews by those working with AAC users as technology was introduced and outcomes measured. As the guide was completed several videos were shared publicly by carers with examples of AAC and assistive technology use. Policies and procedures were also shared in the form of tables, charts, symbol sets, communication boards and software that illustrated not only the occurrence of knowledge transfer and the use of open licenses, but also differences in strategies and the way they were adapted to suit the range of settings in the various countries.

As the world's population ages, the demand for active and assisted living technologies that can support older adults maintain their independence, health, and quality of life is increasing. Video monitoring cameras can provide a sense of safety and peace of mind for both older adults and their caregivers. However, these visual sensing systems come with major privacy concerns. Researchers have developed various visual privacy preservation filters that can be used for video-based monitoring technology, such as blurring, pixelation, silhouette, or avatar. To understand the user's needs and fine-tune the system to their preferences, the persona scenario method was employed in this study. The goal-directed approach to persona design was followed. This scenario-based technique involves creating fictitious persona archetypes that represent the unique characteristics, needs, and goals of the target user group and other stakeholders involved in the process of care provision. A set of eight personas were created based on the qualitative data collected through interviews and focus groups in Spain. Data from 62 participants were analyzed, which represented different contributor groups such as older adults, direct caregivers, healthcare experts, and other stakeholders. The final personas are accessible to the public on a Blueprint persona repository.

The majority of falls leading to death occur among the elderly population. The use of fall detection technology can help to ensure quick help for fall victims by automatically informing caretakers. Our fall detection method is based on depth data and has a high level of reliability in detecting falls while maintaining a low false alarm rate. The technology has been deployed in over 1,200 installations, indicating user acceptance and technological maturity. We follow a privacy by design approach by using range maps for the analysis instead of RGB images and process all the data in the sensor. The literature review shows that real-world fall detection evaluation is scarce, and if available, is conducted with a limited amount of participants. To our knowledge, our depth image based fall detection method has achieved the largest field evaluation up to date, with more than 100,000 events manually annotated and an evaluation on a dataset with 2.2 million events. We additionally present an 8-months study with more than 120,000 alarms analysed, provoked by 214 sensors located in 16 care facilities in Austria. We learned that on average 2.3 times more falls happen than are documented. Consequently, the system helps to detect falls that are otherwise overseen. The presented solution has the potential to make a significant impact in reducing the risk of accidental falls.

Mobility is fundamental for social participation of people with disabilities. Unfortunately, traditional design of urban environments, including infrastructure and services are developed based largely on a standard perception of an independent, fully functional citizen without disability which limits the mobility social participation of PWD. This paper presents the design and development of a novel geospatial assistive navigation technology to support multimodal mobility of people with disabilities, especially those using manual wheelchair in urban areas.