Lancioni Giulio E, Alberti Gloria, Filippini Chiara, Singh Nirbhay N, O'Reilly Mark F, Sigafoos Jeff, Orlando Isabella, Desideri Lorenzo
Lega F. D'Oro Research Center, Osimo (AN), Italy.
College of Medicine, Augusta University, Augusta, GA, United States.
JMIR Rehabil Assist Technol. 2024 Nov 27;11:e65680. doi: 10.2196/65680.
People with severe or profound intellectual disability and visual impairment tend to have serious problems in orientation and mobility and need assistance for their indoor traveling. The use of technology solutions may be critically important to help them curb those problems and achieve a level of independence.
This study aimed to assess a new technology system to help people with severe to profound intellectual disability and blindness find room destinations during indoor traveling.
A total of 7 adults were included in the study. The technology system entailed a barcode reader, a series of barcodes marking the room entrances, a smartphone, and a special app that controlled the presentation of different messages (instructions) for the participants. The messages varied depending on whether the participants were (1) in an area between room entrances, (2) in correspondence with a room entrance to bypass, or (3) in correspondence with a room entrance representing the destination to enter. The intervention with the technology system was implemented according to a nonconcurrent multiple baseline design across participants. Sessions included 7 traveling trials, in each of which the participants were to reach and enter a specific room (1 of the 7 or 9 available) to deliver an object they had carried (transported) during their traveling.
The participants' mean frequency of traveling trials completed correctly was between zero and 2 per session during the baseline (without the system). Their mean frequency increased to between about 6 and nearly 7 per session during the intervention (with the system).
The findings suggest that the new technology system might be a useful support tool for people with severe to profound intellectual disability and blindness.
重度或极重度智力残疾且有视力障碍的人群在定向和移动方面往往存在严重问题,他们在室内出行需要帮助。使用技术解决方案对于帮助他们克服这些问题并实现一定程度的独立可能至关重要。
本研究旨在评估一种新技术系统,以帮助重度至极重度智力残疾且失明的人群在室内出行时找到房间目的地。
共有7名成年人参与了本研究。该技术系统包括一个条形码阅读器、一系列标记房间入口的条形码、一部智能手机以及一个特殊应用程序,该应用程序为参与者控制不同信息(指示)的呈现。信息根据参与者所处位置而有所不同:(1)在房间入口之间的区域;(2)与要绕过的房间入口对应;(3)与代表要进入的目的地的房间入口对应。针对参与者实施了基于非同期多重基线设计的技术系统干预。实验环节包括7次出行试验,每次试验中参与者要到达并进入一个特定房间(7个或9个可用房间中的1个),交付他们在出行过程中携带的物品。
在基线期(无系统),参与者每次实验环节正确完成出行试验的平均次数在0至2次之间。在干预期(有系统),他们每次实验环节的平均次数增加到约6至近7次。
研究结果表明,新技术系统可能是帮助重度至极重度智力残疾且失明人群的有用支持工具。