Emma M. Smith, MScOT, PhD, is Postdoctoral Researcher, Maynooth University, Maynooth, Ireland. At the time this research was conducted, she was PhD Candidate, Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada, and GF Strong Rehabilitation Research Lab, Rehabilitation Research Program, Vancouver Coastal Health Research Institute, Vancouver, British Columbia, Canada.
Shalaleh Rismani, MSc, is Adjunct Professor, Department of Mechanical Engineering, University of British Columbia, Vancouver, British Columbia, Canada.
Am J Occup Ther. 2019 Nov/Dec;73(6):7306205020p1-7306205020p11. doi: 10.5014/ajot.2019.032151.
Powered wheelchairs provide independence for people with mobility impairments; however, current training practices may not meet the needs of those with cognitive impairments. Shared-control teleoperation may have utility in a clinical setting when developing training suited to this population.
To explore the clinical utility of a shared-control teleoperation device for powered wheelchair assessment and training.
In this qualitative study, we used two sequential semistructured interviews conducted a minimum of 2 wk apart. Thematic analyses were used with member checking, reflexive journaling, and triangulation of researchers to establish trustworthiness of the data.
Rehabilitation center and residential care and community settings.
Using purposive sampling, we recruited occupational therapists and physical therapists who were mostly female and who had a range of practice experience.
Fifteen participants were interviewed, and two primary themes were identified: (1) "A big enabler" described how shared control provides opportunities to train people who may otherwise be denied powered mobility, and (2) "changing the learner experience" described how shared control may promote success in skill development through an alternative learning experience.
Shared-control technology may have the potential to broaden the scope of therapeutic intervention by reducing risk to the driver and others in the environment and by facilitating alternative training approaches.
Technological advances that allow more control over a powered wheelchair by a clinician, known as shared control, may provide learning opportunities for people who are otherwise denied access to powered mobility. Shared control may also allow the use of new instructional techniques, increase safety in the training process, and reduce anxiety associated with learning.
电动轮椅为行动不便的人提供了独立能力；然而，目前的培训实践可能无法满足认知障碍者的需求。共享控制远程操作在为这一人群开发适合的培训时，可能在临床环境中具有实用性。
探索共享控制远程操作设备在电动轮椅评估和培训中的临床实用性。
在这项定性研究中，我们使用了两次顺序半结构化访谈，两次访谈之间至少间隔 2 周。使用主题分析，结合成员检查、反思性日记和研究人员的三角验证，以确保数据的可信度。
康复中心以及居住和社区环境。
我们通过目的性抽样，招募了职业治疗师和物理治疗师，他们大多为女性，具有不同的实践经验。
共对 15 名参与者进行了访谈，确定了两个主要主题：（1）“强大的助力器”描述了共享控制如何为可能被剥夺电动移动能力的人提供培训机会；（2）“改变学习者的体验”描述了共享控制如何通过替代学习体验促进技能发展的成功。
共享控制技术可能通过降低驾驶员和环境中其他人的风险，以及通过促进替代培训方法，扩大治疗干预的范围。
允许临床医生对电动轮椅进行更多控制的技术进步，称为共享控制，可能为那些被剥夺电动移动能力的人提供学习机会。共享控制还可以允许使用新的教学技术，增加培训过程中的安全性，并减少与学习相关的焦虑。
