Article

This case study documents the process of designing a custom-tailored
bedside computer access solution for a 20-year old individual with quadriplegia
and reports the effects of computer access on her participation in life
activities. METHOD: We adopted a person-focused approach to match the individual
to an access solution. Two months after the access solution's introduction, we
measured its impact using a 2-dimensional Fitt's Law test and questionnaire from
the ISO 9241-9 standards document, typing tests, a usage log and a
semi-structured interview. The Canadian Occupational Performance Measure was also
administered pre- and post- access, focusing on the client's perceived ability to
use the computer. RESULTS: After 2 months, the individual was spending an average
of 8.4 h per day on the computer, engaging in electronic communication,
recreational, and educational activities. She learned single-switch typing with a
throughput of 1.03 bits/s and targeting accuracy of 87.5%. The questionnaire
revealed that the client was thoroughly satisfied with the interface. These
results were interpreted as positive gains in the International Classification of
Functioning, Disability and Health domains of communication and social
interaction. CONCLUSIONS: By addressing individual goals, abilities and relevant
environmental factors, a bedside computer access solution can be developed for
individuals in long-term care. The introduction of a computer access solution
augmented the participant's communication, leisure and educational activities, as
well as perceived independence.

Langue : ANGLAIS