Jamieson Matthew, Cullen Breda, Lennon Marilyn, Brewster Stephen, Evans Jonathan
Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland.
Human Computer Interaction, Department of Computing Science, University of Glasgow, Scotland.
Disabil Rehabil Assist Technol. 2022 Apr;17(3):338-348. doi: 10.1080/17483107.2020.1785560. Epub 2020 Jul 7.
Smartphone reminding applications can help overcome memory difficulties experienced by people with acquired brain injury (ABI). Cognitive difficulties with memory and attention make entering reminders into a device, and remembering to set reminders, challenging for this group. ApplTree is a reminding app with features that aim to address challenges. One app feature was push notifications (asking "Do you need to set any reminders?") to support people to initiate use of the app to set reminders. Another app feature was a customisable user interface design to support attention and short term memory during reminder setting.
In a mixed-methods user study, five people with self or other reported memory impairment following ABI used ApplTree for at least 4 months. They received push notifications for at least 2 months and no push notifications for at least 2 months. Monthly participant interviews provided insight into user interface preference, app use, and push notification acceptability.
Receiving four Push notifications per day doubled number of daily reminders set and four of the five participants found receiving them to be acceptable. This long-term field study uncovered issues relevant for clinicians and designers, including insights into the potential benefits of different user interface designs, the impact of family members on app use, and the importance of perceived need influencing use and acceptance.
Feedback provided insight into future considerations when designing reminding apps and using them in neuropsychological rehabilitation. This work highlights the benefit of user-led research into accessible design and use of assistive technologies.IMPLICATIONS FOR REHABILITATION"Unsolicited" push prompts are an easy to implement feature of reminding technology that is useful and acceptable for people with ABI in community rehabilitation.Observations provide insights about how people with ABI make use of reminding apps over time. This can inform those designing apps or providing reminding technology as part of neuropsychological rehabilitation.Participants differed on their preference of the two user-interface designs available in ApplTree. This highlights an area for future research because currently available reminding apps have a broad-shallow design which may not always be appropriate for people with ABI.
智能手机提醒应用程序有助于克服后天性脑损伤（ABI）患者所经历的记忆困难。记忆和注意力方面的认知困难使得该群体在将提醒事项输入设备以及记住设置提醒方面面临挑战。ApplTree是一款具有旨在应对这些挑战功能的提醒应用程序。该应用程序的一个功能是推送通知（询问“你需要设置提醒吗？”），以帮助人们开始使用该应用程序来设置提醒。另一个功能是可定制的用户界面设计，以在设置提醒时支持注意力和短期记忆。
在一项混合方法的用户研究中，五名自述或被他人报告有ABI后记忆障碍的人使用ApplTree至少4个月。他们接受了至少2个月的推送通知，以及至少2个月的无推送通知。每月对参与者进行访谈，以深入了解用户界面偏好、应用程序使用情况和推送通知的可接受性。
每天接收四条推送通知使每日设置的提醒数量增加了一倍，五名参与者中有四名认为接收这些通知是可以接受的。这项长期实地研究发现了与临床医生和设计师相关的问题，包括对不同用户界面设计潜在益处的见解、家庭成员对应用程序使用的影响，以及感知需求对使用和接受的重要性。
反馈为设计提醒应用程序以及在神经心理康复中使用这些应用程序时的未来考虑提供了见解。这项工作突出了以用户为主导的关于无障碍设计和辅助技术使用研究的益处。
对康复的启示
“主动”推送提示是提醒技术中一项易于实施的功能，对社区康复中的ABI患者有用且可接受。
观察结果提供了有关ABI患者如何长期使用提醒应用程序的见解。这可以为那些设计应用程序或提供提醒技术作为神经心理康复一部分的人提供参考。
参与者对ApplTree中可用的两种用户界面设计的偏好各不相同。这突出了一个未来研究领域，因为目前可用的提醒应用程序具有宽泛浅显的设计，可能并不总是适合ABI患者。
