Abstract
Aphasia is an acquired neurogenic language disorder. Teletherapy can improve the access and frequency of care, and is comparable to face-to-face therapy. However, the use of technology can be difficult for people with aphasia (PWA). The project TELL aims to develop and evaluate a platform for teletherapy especially for PWA including a videoconferencing system and therapy-management tools. The primary aim was to specify the known requirements for the platform in user-centred design (UCD) workshops. The secondary aim was to gain first information whether UCD workshops can be conducted via videoconferencing systems with PWA and speech and language therapists (SLTs). On the basis of a catalogue of requirements of the first project phase, initial drafts (wireframes) of the platform were developed. In the UCD workshops the participants were asked to perform tasks within the platform giving verbal feedback. Qualitative analysis and ad-hoc observational checklists were used for evaluation. The analysis of the checklists showed which functions were accessible und intuitive for the users (e.g. set reminders, start therapy session). The qualitative content analysis revealed which elements were experienced positively (e.g., design) or negatively (e.g. font size, location of buttons) as well as further needs expressed by the participants. Results are integrated into constant iterations of the platform development. The user workshops were crucial to specify and revise initial drafts of the platform. UCD allows to constantly focus on the accessibility and user goals of PWA as well as SLTs within the development process. The digital workshops were feasible with both groups.
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The current work is supported by a grant of the German Federal Ministry of Education and Research [BMBF, 01IS19039].
References
Threats, T., Worrall, L.: The ICF is all about the person, and more: a response to Duchan, Simmons-Mackie, Boles, and McLeod. Adv. Speech Lang. Pathol. (2004). https://doi.org/10.1080/14417040410001669435
Nätterlund, B.S.: A new life with aphasia: everyday activities and social support. Scandinavian J. Occupat. Therapy (2010). https://doi.org/10.3109/11038120902814416
Brady, M.C., Kelly, H., Godwin, J., Enderby, P., Campbell, P.: Speech and language therapy for aphasia following stroke. Cochrane Database Systemat. Rev. (2016). https://doi.org/10.1002/14651858.CD000425.pub4
Keck, C.S., Doarn, C.R.: Telehealth technology applications in speech-language pathology. Telemed. J. e-health Official J. Am. Telemed. Associat. (2014). https://doi.org/10.1089/tmj.2013.0295
Cacciante, L., et al.: Telerehabilitation for people with aphasia: a systematic review and meta-analysis. J. Commun. Disord. (2021). https://doi.org/10.1016/j.jcomdis.2021.106111
Dial, H.R., Hinshelwood, H.A., Grasso, S.M., Hubbard, H.I., Gorno-Tempini, M.-L., Henry, M.L.: Investigating the utility of teletherapy in individuals with primary progressive aphasia. Clin. Interv. Aging (2019). https://doi.org/10.2147/CIA.S178878
Woolf, C., et al.: A comparison of remote therapy, face to face therapy and an attention control intervention for people with aphasia: a quasi-randomised controlled feasibility study. Clin. Rehabil. (2016). https://doi.org/10.1177/0269215515582074
Øra, H.P., et al.: The effect of augmented speech-language therapy delivered by telerehabilitation on poststroke aphasia-a pilot randomized controlled trial. Clin. Rehabil. (2020). https://doi.org/10.1177/0269215519896616
Menger, F., Morris, J., Salis, C.: The impact of aphasia on Internet and technology use. Disabil. Rehabil. (2020). https://doi.org/10.1080/09638288.2019.1580320
Pitt, R., Theodoros, D., Hill, A.J., Russell, T.: The impact of the telerehabilitation group aphasia intervention and networking programme on communication, participation, and quality of life in people with aphasia. Int. J. Speech Lang. Pathol. (2019). https://doi.org/10.1080/17549507.2018.1488990
Theodoros, D.: Speech-language pathology and telerehabilitation. In: Kumar, S., Cohn, E.R. (eds.) Telerehabilitation. Health Informatics, pp. 311–323. Springer London (2013). https://doi.org/10.1007/978-1-4471-4198-3_21
Williams, A.: User-centered design, activity-centered design, and goal-directed design. In: Mehlenbacher, B., Protopsaltis, A., Williams, A., Slattery, S. (eds.) Proceedings of the 27th ACM international conference on Design of communication - SIGDOC 2009. The 27th ACM international conference, Bloomington, Indiana, USA, 10/5/2009 - 10/7/2009, p. 1. ACM Press, New York, USA (2009). https://doi.org/10.1145/1621995.1621997
Norman, D.A., Draper, S.W.: User centered system design: new perspectives on human-computer interaction (1986)
Mao, J.-Y., Vredenburg, K., Smith, P.W., Carey, T.: The state of user-centered design practice. Commun. ACM (2005). https://doi.org/10.1145/1047671.1047677
Marshall, J., et al.: A randomised trial of social support group intervention for people with aphasia: a novel application of virtual reality. PLoS ONE (2020). https://doi.org/10.1371/journal.pone.0239715
Pitt, R., Theodoros, D., Hill, A.J., Russell, T.: The development and feasibility of an online aphasia group intervention and networking program - TeleGAIN. Int. J. Speech Lang. Pathol. (2017). https://doi.org/10.1080/17549507.2017.1369567
Roper, A., Davey, I., Wilson, S., Neate, T., Marshall, J., Grellmann, B.: Usability Testing - An Aphasia Perspective (2018). https://doi.org/10.1145/3234695.3241481
McNaney, R., et al.: Giving a voice through design. In: Huybrechts, L., et al.: (eds.) Proceedings of the 15th Participatory Design Conference: Short Papers, Situated Actions, Workshops and Tutorial - Volume 2. PDC 2018: Participatory Design Conference 2018, Hasselt and Genk Belgium, 20 08 2018 24 08 2018, pp. 1–3. ACM, New York, NY, USA (2018). https://doi.org/10.1145/3210604.3210648
Hill, A.J., Breslin, H.M.: Refining an asynchronous telerehabilitation platform for speech-language pathology: engaging end-users in the process. Front. Hum. Neurosci. (2016). https://doi.org/10.3389/fnhum.2016.00640
Hoover, E.L., Carney, A.: Integrating the iPad into an intensive, comprehensive aphasia program. Semin. Speech Lang. (2014). https://doi.org/10.1055/s-0033-1362990
Øra, H.P., Kirmess, M., Brady, M.C., Winsnes, I.E., Hansen, S.M., Becker, F.: Telerehabilitation for aphasia - protocol of a pragmatic, exploratory, pilot randomized controlled trial. Trials (2018). https://doi.org/10.1186/s13063-018-2588-5
Neate, T., Roper, A., Wilson, S., Marshall, J., Cruice, M.: CreaTable content and tangible interaction in Aphasia. In: Bernhaupt, R., et al. (eds.) Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. CHI 2020: CHI Conference on Human Factors in Computing Systems, Honolulu HI USA, 25.04.2020–30.04.2020, pp. 1–14. ACM, New York, NY, USA (2020). https://doi.org/10.1145/3313831.3376490
Brown, J., Thiessen, A.: Using images with individuals with aphasia: current research and clinical trends. Am. J. Speech Lang. Pathol. (2018). https://doi.org/10.1044/2017_AJSLP-16-0190
Cruice, M., Woolf, C., Caute, A., Monnelly, K., Wilson, S., Marshall, J.: Preliminary outcomes from a pilot study of personalised online supported conversation for participation intervention for people with Aphasia. Aphasiology (2020). https://doi.org/10.1080/02687038.2020.1795076
Palmer, R., et al.: Self-managed, computerised speech and language therapy for patients with chronic aphasia post-stroke compared with usual care or attention control (Big CACTUS): a multicentre, single-blinded, randomised controlled trial. Lancet Neurol. (2019). https://doi.org/10.1016/S1474-4422(19)30192-9
Palmer, R., et al.: Computerised speech and language therapy or attention control added to usual care for people with long-term post-stroke aphasia: the Big CACTUS three-arm RCT. Health technology assessment (Winchester, England) (2020). https://doi.org/10.3310/hta24190
Marshall, J., et al.: Technology-enhanced writing therapy for people with aphasia: results of a quasi-randomized waitlist controlled study. Int. J. Lang. Commun. Disord. (2019). https://doi.org/10.1111/1460-6984.12391
Neate, T., Roper, A., Wilson, S., Marshall, J.: Empowering expression for users with aphasia through constrained creativity. In: Brewster, S., Fitzpatrick, G., Cox, A., Kostakos, V. (eds.) Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. CHI 2019: CHI Conference on Human Factors in Computing Systems, Glasgow Scotland UK, 04.05.2019–09.05.2019, pp. 1–12. ACM, New York, NY, USA (2019). https://doi.org/10.1145/3290605.3300615
Neyer, F.J., Felber, J., Gebhardt, C.: Entwicklung und Validierung einer Kurzskala zur Erfassung von Technikbereitschaft. Diagnostica (2012). https://doi.org/10.1026/0012-1924/a000067
Heitplatz, V.N., Leinweber, J., Frieg, H., Bilda, K., Ritterfeld, U.: Konzepte zur Nutzer* inneneinbindung am Beispiel der Entwicklung einer digitalen Anwendung zum Training der Sprechverständlichkeit (ISi-Speech). Nutzerorientierte Gesundheitstechnologie, pp. 183–194 (2019)
Dixon, E., Shetty, A., Pimento, S., Lazar, A.: Lessons learned from remote user-centered design with people with dementia. In: Brankaert, R., Raber, C., Houben, M., Malcolm, P., Hannan, J. (eds.) D-Lab 2021. DFI, vol. 2, pp. 73–82. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-70293-9_6
Smaradottir, B.F., Bellika, J.G., Fredeng, A., Fagerlund, A.J.: User-centred design with a remote approach: experiences from the chronic pain project. Stud. Health Technol. Inf. (2020). https://doi.org/10.3233/SHTI200722
Zoom Communications Inc.: Zoom, San José (2021)
Justinmind Inc.: Justinmind, San Francisco (2021)
Qu, Z.: Remote Delivery: A Guide to Software Delivery Through Collaboration Between Distributed Teams. CRC Press, Boca Raton (2021)
Cherney, L.R., Braun, E.J., Lee, J.B., Kocherginsky, M., van Vuuren, S.: Optimising recovery in aphasia: Learning following exposure to a single dose of computer-based script training. Int. J. Speech Lang. Pathol. (2019). https://doi.org/10.1080/17549507.2019.1661518
Palmer, R., Enderby, P., Paterson, G.: Using computers to enable self-management of aphasia therapy exercises for word finding: the patient and carer perspective. Int. J. Lang. Commun. Disord. (2013). https://doi.org/10.1111/1460-6984.12024
Oud, J.: Guidelines for effective online instruction using multimedia screencasts. Ref. Serv. Rev. (2009). https://doi.org/10.1108/00907320910957206
Goldsworthy, M.A., Fateen, W., Thygesen, H., Aldersley, M.A., Rowe, I.A., Jones, R.L.: Patient understanding of liver cirrhosis and improvement using multimedia education. Front. Gastroenterol. (2017). https://doi.org/10.1136/flgastro-2016-100761
Cistola, G., Farrús, M., van der Meulen, I.: Aphasia and acquired reading impairments: what are the high-tech alternatives to compensate for reading deficits? Int. J. Lang. Commun. Disord. (2021). https://doi.org/10.1111/1460-6984.12569
Chammas, A., Quaresma, M., Mont’Alvão, C.: A closer look on the user centred design. Proc. Manuf. (2015). https://doi.org/10.1016/j.promfg.2015.07.656
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Spelter, B., Corsten, S., Diehlmann, L., Plath, A., Leinweber, J. (2022). The User-Centred Design in the Development of a Platform for Teletherapy for People with Aphasia. In: Antona, M., Stephanidis, C. (eds) Universal Access in Human-Computer Interaction. Novel Design Approaches and Technologies. HCII 2022. Lecture Notes in Computer Science, vol 13308. Springer, Cham. https://doi.org/10.1007/978-3-031-05028-2_23
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