Usability of eyetracking computer systems and impact on psychological wellbeing in patients with advanced amyotrophic lateral sclerosis

Autor: Andreas Hermann, Alexander Storch, Katharina Linse, Markus Joos, Wolfgang Rüger, Henning Schmitz-Peiffer
Rok vydání: 2017
Předmět:
psychology [Caregivers]
Adult
Male
medicine.medical_specialty
Palliative care
Eye Movements
etiology [Communication Disorders]
psychology [Amyotrophic Lateral Sclerosis]
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Physical medicine and rehabilitation
Computer Systems
Surveys and Questionnaires
medicine
Humans
In patient
030212 general & internal medicine
ddc:610
Amyotrophic lateral sclerosis
Aged
business.industry
diagnosis [Communication Disorders]
Amyotrophic Lateral Sclerosis
Usability
Middle Aged
medicine.disease
Cross-Sectional Studies
Neurology
Caregivers
physiology [Eye Movements]
Communication Disorders
Physical therapy
complications [Amyotrophic Lateral Sclerosis]
Disease Progression
Quality of Life
Eye tracking
Female
Neurology (clinical)
business
Psychology
030217 neurology & neurosurgery
Stress
Psychological
Zdroj: Amyotrophic lateral sclerosis & frontotemporal degeneration 19(3-4), 212-219 (2017). doi:10.1080/21678421.2017.1392576
ISSN: 2167-9223
DOI: 10.1080/21678421.2017.1392576
Popis: Restrictions in communicative abilities are well known in patients with amyotrophic lateral sclerosis (ALS), but only few approaches in terms of evaluation of supportive technologies have been made. We aimed to assess the use and perceived usability of eye-tracking computer devices (ETCS) of severely impacted patients with ALS in an independent, direct manner and relate it to psychological well-being. ETCS enable active communication and social participation in the quadriplegic and anarthric disease state. Therefore, ETCS-based versions of widely used psychosocial questionnaires (ADI-12, SeiQoL-DW, WHO-5) as well as structured questions on communicative functioning and ETCS usage were developed to assess ALS patients, their next of kin and professional caregivers. Eleven patients (ALSFRS-R: 5.3 ± 5.9; ALS duration: 6.5 ± 3.8 years, range 1‒12; 82% invasively ventilated), nine next of kin and 10 professional caregivers could be assessed. Patients reported a mean use of their personal ETCS of 9.1 h per d (range 0.5‒16), with a high user satisfaction, preservation of communicative abilities and subjective indispensability of the ETCS. ETCS use was associated with higher psychological well-being. Next of kin and professional caregivers also nominated some critical aspect, which remains to be clarified. Our results strengthen the evidence that preserved mental autonomy influences psychological well-being in ALS and might even modify disease course and end-of-life-decisions in ALS.
Databáze: OpenAIRE