School of Occupational Therapy, Texas Woman's University, Denton, TX, USA.
Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Disabil Rehabil Assist Technol. 2022 Aug;17(6):652-657. doi: 10.1080/17483107.2020.1805033. Epub 2020 Aug 11.
Comprehensive and efficient home safety assessments are needed to provide quality interventions for community living. This study explores early career and experienced home evaluator perspectives on content and usability of HESTIA, a home safety assessment app.
Four early career and five experienced practitioners rated the HESTIA app using the uMARS usability evaluation and then participated in focus groups. Data were analysed using a key concept analytic approach.
Results include "how to do" home safety evaluations and how prompts and training help practitioners "get it right." Early practitioner participants viewed the step-wise processes of the app as necessary whereas the experienced evaluators relied on own knowledge and experiences.
Gobet and Chassy's TempT theory provides insight into the development of expertise in practice for rehabilitation professionals. The procedural complexities of assessment and ethical responsibility to provide competent, quality service to clients with disabilities are integrated into discussion of the development of professional intuition and ethical practice as guided by HESTIA.IMPLICATIONS FOR REHABILITATIONHome safety evaluations and home modifications are essential in helping persons with disabilities to live at home.Mobile applications such as HESTIA can serve as beneficial supports in facilitating effective decision making processes for rehabilitation practitioners conducting home safety evaluations.Technology driven assessments through mobile applications (apps) can help improve proper decision making and client outcomes, as well as aid in the development of intuition in students and early-career practitioners.Decision making support systems can help practitioners uphold their ethical responsibility to provide competent and quality rehabilitative services.
为了提供高质量的社区生活干预措施，需要对全面且高效的家庭安全评估。本研究探讨了早期职业和经验丰富的家庭评估员对 HESTIA（一种家庭安全评估应用程序）的内容和可用性的看法。
四位早期职业评估员和五位经验丰富的从业者使用 uMARS 可用性评估对 HESTIA 应用程序进行了评分，然后参加了焦点小组。使用关键概念分析方法对数据进行了分析。
结果包括“如何进行”家庭安全评估以及提示和培训如何帮助评估员“正确操作”。早期从业者参与者认为应用程序的逐步流程是必要的，而经验丰富的评估员则依赖自己的知识和经验。
Gobet 和 Chassy 的 TempT 理论为康复专业人员实践中专业知识的发展提供了深入了解。评估的程序复杂性以及为残疾客户提供胜任、高质量服务的道德责任，与 HESTIA 指导下的专业直觉和道德实践的发展结合在一起进行了讨论。
家庭安全评估和家庭改造对于帮助残疾人在家中生活至关重要。像 HESTIA 这样的移动应用程序可以作为康复从业者进行家庭安全评估时有效决策过程的有益支持。通过移动应用程序（app）进行技术驱动的评估可以帮助改善正确的决策和客户结果，并有助于学生和早期职业从业者的直觉发展。决策支持系统可以帮助从业者履行提供胜任和高质量康复服务的道德责任。
