Communication opportunities via special messaging technology for two post-coma persons with multiple disabilities

Lancioni, Giulio E.; O’Reilly, Mark F.; Singh, Nirbhay N.; Sigafoos, Jeff; Buonocunto, Francesca; Sacco, Valentina; Colonna, Fabio; Navarro, Jorge; Lanzilotti, Crocifissa; Pace, Claudia; Megna, Marisa; Oliva, Doretta

doi:10.1016/j.ridd.2011.02.025

Cited by 21 publications

(7 citation statements)

References 30 publications

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“…Lancioni et al (2011a) implemented a technology-aided messaging program with two participants of 40 and 44 years of age who had adequate receptive language skills, but did not possess any speech or could laboriously (and slowly) utter only a few words. The technology involved a computer, a communication modem, a microswitch, and specific software.…”

Section: Communication/contact Through Modified Messaging and Telephomentioning

confidence: 99%

“…Twenty-six studies, involving a total of 52 participants, were included in the paper. The studies were carried out using single-subject research designs (Kennedy, 2005; Barlow et al, 2009), and their results were generally considered positive from the standpoint of the participants and their context (Lancioni et al, 2010a, 2011a,d,g, 2012c,d, 2013a,b,c). …”

Section: Introductionmentioning

confidence: 99%

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Technology-based intervention programs to promote stimulation control and communication in post-coma persons with different levels of disability

Lancioni

Bosco

Belardinelli

et al. 2014

Front. Hum. Neurosci.

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Post-coma persons in a minimally conscious state and with extensive motor impairment or emerging/emerged from such a state, but affected by lack of speech and motor impairment, tend to be passive and isolated. A way to help them develop functional responding to control environmental events and communication involves the use of intervention programs relying on assistive technology. This paper provides an overview of technology-based intervention programs for enabling the participants to (a) access brief periods of stimulation through one or two microswitches, (b) pursue stimulation and social contact through the combination of a microswitch and a sensor connected to a speech generating device (SGD) or through two SGD-related sensors, (c) control stimulation options through computer or radio systems and a microswitch, (d) communicate through modified messaging or telephone systems operated via microswitch, and (e) control combinations of leisure and communication options through computer systems operated via microswitch. Twenty-six studies, involving a total of 52 participants, were included in this paper. The intervention programs were carried out using single-subject methodology, and their outcomes were generally considered positive from the standpoint of the participants and their context. Practical implications of the programs are discussed.

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Section: Communication/contact Through Modified Messaging and Telephomentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Technology-based intervention programs to promote stimulation control and communication in post-coma persons with different levels of disability

Lancioni

Bosco

Belardinelli

et al. 2014

Front. Hum. Neurosci.

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“…Almost all included publications that were categorized as research-based evidence were carried out by the same group on the topic of adaptive technologies. These may have an important impact on the individuals' engagement and interaction; however, they were not yet being used in routine care (28,52,58,67,70). The other publications judged as primary research-based evidence report research on specialized treatment, such as sensory stimulation techniques (53) and musicbased stimulation (69,70) or research on occupational therapy practice (30), all show potential implications for practice, but without providing sufficient evidence for supporting clinical decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…A number of publications described simple communication strategies, e.g. yes-no-code with pressing the hand (25,32,35,43,55) or complex adaptive communication technologies (52,58,66,70).…”

Section: Rehabilitation Interventions In Long-term Carementioning

confidence: 99%

Quality of evidence of rehabilitation interventions in long-term care for people with severe disorders of consciousness after brain injury: A systematic review

Klingshirn¹,

Grill²,

Bender³

et al. 2015

J Rehabil Med

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“…Intervention programs for these persons would need to (a) support/facilitate their occupation and communication and (b) resort to the use of assistive technology solutions to bypass or reduce the negative impact of their disabilities (Bauer, Elsaesser, & Arthanat, 2011;Borg, Larson, &Östergren, 2011;Chantry & Dunford, 2010;De Joode, Van Boxtel, Verhey, & Van Heugten, 2012;Lancioni, O'Reilly, Singh, Sigafoos, Buonocunto et al, 2011;Lancioni, Singh, O'Reilly, Sigafoos, Colonna et al, 2012;Lancioni, Singh, O'Reilly, Sigafoos, Ricci et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Post-coma persons with multiple disabilities use assistive technology for their leisure engagement and communication

Lancioni

Singh

O’Reilly

et al. 2014

NRE

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BACKGROUND: Interventions for post-coma persons, who have emerged from a minimally conscious state but present with extensive neuro-motor impairment and lack of or minimal verbal skills, need to promote occupation and communication through the use of assistive technology. OBJIECTIVE: These two studies were aimed at assessing two technology-aided programs to promote leisure engagement and communication for three post-coma participants with multiple disabilities. METHODS: Study I assessed a program to allow a woman and a man with extensive neuro-motor impairment and lack of speech to switch on music and videos, make requests to caregivers, and send messages to (communicate with) relevant partners and receive messages from those partners. Study II assessed a program to allow a post-coma woman with extensive motor impairment and reduced verbal behavior to activate music, videos and requests, send and receive messages, and make telephone calls. RESULTS: Data showed that both programs were successful. The participants of Study I managed leisure engagement, requests, as well as text messaging. The participant of Study II showed consistent leisure engagement, text messaging, and telephone calls. CONCLUSIONS: Assistive technology can be profitably used to provide post-coma persons with multiple disabilities relevant leisure and communication opportunities.

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Communication opportunities via special messaging technology for two post-coma persons with multiple disabilities

Cited by 21 publications

References 30 publications

Technology-based intervention programs to promote stimulation control and communication in post-coma persons with different levels of disability

Technology-based intervention programs to promote stimulation control and communication in post-coma persons with different levels of disability

Quality of evidence of rehabilitation interventions in long-term care for people with severe disorders of consciousness after brain injury: A systematic review

Post-coma persons with multiple disabilities use assistive technology for their leisure engagement and communication

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