Stasolla Fabrizio, Caffò Alessandro O, Perilli Viviana, Boccasini Adele, Damiani Rita, D'Amico Fiora
a Department of Neurosciences , University of Bari , Bari , Italy.
b Department of Educational Sciences, Psychology, Communication, University of Bari , Bari , Italy.
Disabil Rehabil Assist Technol. 2019 Jul;14(5):489-502. doi: 10.1080/17483107.2018.1467972. Epub 2018 May 6.
To extend the use of assistive technology for promoting adaptive skills of children with cerebral palsy. To assess its effects on positive participation of ten participants involved. To carry out a social validation recruiting parents, physiotherapists and support teachers as external raters. A multiple probe design was implemented for Studies I and II. Study I involved five participants exposed to a combined program aimed at enhancing choice process of preferred items and locomotion fluency. Study II involved five further children for a combined intervention finalized at ensuring them with literacy access and ambulation responses. Study III recruited 60 external raters for a social validation assessment. All participants improved their performance, although differences among children occurred. Indices of positive participation increased as well. Social raters favorably scored the use of both technology and programs. Assistive technology-based programs were effective for promoting independence of children with cerebral palsy. Implications for Rehabilitation A basic form of assistive technology such as a microswitch-based program may be useful and helpful for supporting adaptive skills of children with cerebral palsy and different levels of functioning. The same program may improve the participants' indices of positive participation and constructive engagement with beneficial effects on their quality of life. The positive social rating provided by external experts sensitive to the matter may recommend a favorable acceptance and implementation of the program in daily settings.
扩大辅助技术的使用以促进脑瘫儿童的适应技能。评估其对十名参与儿童积极参与的影响。开展社会效度评估,招募家长、物理治疗师和支持教师作为外部评估者。对研究一和研究二采用多探针设计。研究一有五名参与者,接受旨在增强对偏好物品的选择过程和运动流畅性的综合项目。研究二另有五名儿童参与最终确定为确保他们具备读写能力和行走反应的综合干预。研究三招募了60名外部评估者进行社会效度评估。所有参与者的表现都有所改善,尽管儿童之间存在差异。积极参与指数也有所增加。社会评估者对技术和项目的使用给予了积极评分。基于辅助技术的项目对促进脑瘫儿童的独立性有效。康复启示 一种基本形式的辅助技术,如基于微动开关的项目,可能对支持不同功能水平的脑瘫儿童的适应技能有用且有帮助。同样的项目可能会提高参与者的积极参与指数和建设性参与度,对他们的生活质量产生有益影响。对该问题敏感的外部专家给出的积极社会评分可能会建议在日常环境中对该项目予以良好的接受和实施。