Citation

OʼNeill B, Best C, OʼNeill L, Ramos SDS, Gillespie A. J. Head Trauma Rehabil. 2018; 33(5): E33-E41.

Affiliation

Brain Injury Rehabilitation Trust, Glasgow, United Kingdom (Drs Brian O'Neill and Ramos and Ms Lauren O'Neill); Mental Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom (Dr Brian O'Neill); Health Sciences and Sport, University of Stirling, Scotland, United Kingdom (Dr Best); and London School of Economics, London, United Kingdom (Dr Gillespie).

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0000000000000358

PMID

29194177

Abstract

OBJECTIVE: To evaluate the effectiveness of an automated interactive prompting technology in supporting the morning routine of persons with acquired brain injury. The morning routine included maintaining personal hygiene and dressing. SETTING: An inpatient neurorehabilitation hospital. PARTICIPANTS: Persons with acquired brain injury who required prompting when following their morning routine (n = 24), but were not limited by physical disability or dysphasia, took part in the study. Participants (67% with traumatic brain injury) had impairment on indices of memory and executive function.

DESIGN: A randomized control trial evaluated the effect of an automated interactive micro-prompting device on the number of prompts by trained staff required for successful completion of the morning routine. MAIN MEASURES: Study-specific checklists assessed sequence performance, errors, and verbal prompts required over baseline, rehabilitation as usual, intervention, and return to baseline conditions.

RESULTS: The intervention significantly reduced the support required to complete the task compared with usual rehabilitation.

CONCLUSIONS: Micro-prompting technology is an effective assistive technology for cognition, which reduces support needs in people with significant cognitive impairments.

Language: en