Promoting Occupational Engagement and Personal Satisfaction in People with Neurodevelopmental Disorders via a Smartphone-Based Intervention
This study assessed a smartphone-based program to foster basic occupational engagement and personal satisfaction, and eventually increase physical exertion (heart rates), in people with extensive neurodevelopmental disorders.
The program relied on a Samsung Galaxy A3 smartphone with Android 6.0 operating system, near-field communication function, and MacroDroid application. Seven participants were involved. The participants’ occupational responses consisted of putting special (hard and thick) cards into an elevated box (into contact with the smartphone) by stretching their arm. The responses activated the smartphone, which delivered brief periods of preferred stimulation. Failure to produce responses led the smartphone to deliver a verbal prompt/encouragement to respond.
All participants had significant increases (p < 0.01) in occupational responses and heart rates, and six of them also showed a significant increase in the level of personal satisfaction, during program sessions as opposed to baseline or control sessions. The Kolmogorov–Smirnov test and paired t test were used to assess the changes across sessions.
A simple smartphone-based program might be suitable to support occupational engagement, increase heart rates, and foster personal satisfaction in people with extensive neurodevelopmental disorders.
KeywordsSmartphone-based program Neurodevelopmental disorders Occupational engagement Heart rates Personal satisfaction
GL was responsible for setting up the study, acquiring and analyzing the data, and writing the manuscript. MO, JS, GA, FC, and VC collaborated in setting up the study and/or analyzing the data and writing/editing the manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflicts of interest. The authors alone are responsible for the content and writing of the article.
Approval for the study was obtained from the Ethics Committee of the Lega F. D’Oro, Osimo, Italy. All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Written informed consent for the participants’ involvement in the study was obtained from their legal representatives.
- Balboni, G., Belacchi, C., Bonichini, S., & Coscarelli, A. (2016). Vineland II. Vineland Adaptive Behavior Scales (2nd ed.). Firenze: Standardizzazione Italiana: OS.Google Scholar
- Baris, V. K., & Seren Intepeler, S. (2018). Journal of Clinical Nursing. Views of key stakeholders on the causes of patient falls and prevention interventions: A qualitative study using the international classification of functioning, disability and health. https://doi.org/10.1111/jocn.14656.
- Barlow, D. H., Nock, M., & Hersen, M. (2009). Single-case experimental designs (3rd ed.). New York: Allyn & Bacon.Google Scholar
- Camden, C., Shikako-Thomas, K., Nguyen, T., Graham, E., Thomas, A., Sprung, J., et al. (2015). Engaging stakeholders in rehabilitation research: A scoping review of strategies used in partnerships and evaluation of impacts. Disability and Rehabilitation, 37, 1390–1400.Google Scholar
- Copeland, S. R., Luckasson, R., & Shauger, R. (2014). Eliciting perceptions of satisfaction with services and supports from persons with intellectual disability and developmental disabilities: A review of the literature. Journal of Intellectual Disability Research, 58, 1141–1156.Google Scholar
- Kazdin, A. E. (2011). Single-case research designs: Methods for clinical and applied settings (2nd ed.). New York: Oxford University Press.Google Scholar
- Lancioni, G. E., O’Reilly, M. F., Singh, N. N., Green, V. A., Oliva, D., Campodonico, F., et al. (2013). Technology-aided programs to support exercise of adaptive head responses or leg-foot and hands responses in children with multiple disabilities. Developmental Neurorehabilitation, 16, 237–244.CrossRefGoogle Scholar
- Lancioni, G., O’Reilly, M., Singh, N., Sigafoos, J., Boccasini, A., La Martire, M. L., et al. (2016). Technology to support positive occupational engagement and communication in persons with multiple disabilities. International Journal on Disabilities and Human Development, 15, 111–116.Google Scholar
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Perilli, V., et al. (2017a). Promoting functional activity engagement in people with multiple disabilities through the use of microswitch-aided programs. Frontiers in Public Health, 5, 205. https://doi.org/10.3389/fpubh.2017.00205.CrossRefGoogle Scholar
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Boccasini, A., Perilli, V., et al. (2017b). Persons with multiple disabilities manage positive leisure and communication engagement through a technology-aided program. International Journal of Developmental Disabilities, 63, 148–157.CrossRefGoogle Scholar
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Campodonico, F., et al. (2018a). Non-ambulatory people with intellectual disabilities practice functional arm, leg or head responses via a smartphone-based program. Journal of Developmental and Physical Disabilities. https://doi.org/10.1007/s10882-018-9636-7.
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Perilli, V., et al. (2018b). An upgraded smartphone-based program for leisure and communication of people with intellectual and other disabilities. Frontiers in Public Health, 6, 234. https://doi.org/10.3389/fpubh.2018.00234.CrossRefGoogle Scholar
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Alberti, G., Perilli, V., et al. (2018c). A tablet-based program to enable people with intellectual and other disabilities to access leisure activities and video calls. Disability and Rehabilitation: Assistive Technology. https://doi.org/10.1080/17483107.2018.1508515.
- Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Campodonico, F., Oliva, D., et al. (2018d). Using microswitch-aided programs for people with multiple disabilities to promote stimulation control and mild physical exercise. Journal of Intellectual and Developmental Disability, 43, 242–250.CrossRefGoogle Scholar
- Lenker, J. A., Harris, F., Taugher, M., & Smith, R. O. (2013). Consumer perspectives on assistive technology outcomes. Disability and Rehabilitation: Assistive Technology, 8, 373–380.Google Scholar
- Leopold, A., Lourie, A., Petras, H., & Elis, E. (2015). The use of assistive technology for cognition to support the performance of daily activities for individuals with cognitive disabilities due to traumatic brain injury: The current state of research. NeuroRehabilitation, 37, 359–378.CrossRefGoogle Scholar
- McDougall, J., Evans, J., & Baldwin, P. (2010). The importance of self-determination to perceived quality of life for youth and young adults with chronic conditions and disabilities. Remedial and Special Education, 31, 252–260.Google Scholar
- Pierce, W. D., & Cheney, C. D. (2008). Behavior analysis and learning (4th ed.). New York: Psychology Press.Google Scholar
- Shooshtari, S., Temple, B., Waldman, C., Abraham, S., Ouellette-Kuntz, H., & Lennox, N. (2017). Stakeholders’ perspectives towards the use of the comprehensive health assessment program (CHAP) for adults with intellectual disabilities in Manitoba. Journal of Applied Research in Intellectual Disabilities, 30, 672–683.CrossRefGoogle Scholar
- Siegel, S., & Castellan, N. J. (1988). Nonparametric statistics (2nd ed.). New York: McGraw-Hill.Google Scholar
- Sparrow, S., Cicchetti, D., & Balla, D. (2005). Vineland-II adaptive behavior scales (2nd ed.). Minneapolis: Pearson.Google Scholar
- Taylor, M. J., Taylor, D., Gamboa, P., Vlaev, I., & Darzi, A. (2016). Using motion-sensor games to encourage physical activity for adults with intellectual disability. Studies in Health Technology and Informatics, 220, 417–423.Google Scholar
- Waninge, A., Van der Putten, A. A. J., Stewart, R. E., Stenbergen, B., van Wijck, R., & van der Schans, C. P. (2013). Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities. Journal of Strength and Conditioning Research, 27, 3150–3158.CrossRefGoogle Scholar
- Whiting, M. (2014). Children with disability and complex health needs: The impact on family life. Nursing Children and Young People, 26, 26–30.Google Scholar