Sunday 10 April 2011

Tutorial Eight: Assistive technology


Assistive technology  as defined by Public Law, the Technical Assistance to the States Act in the United States  is:

 Any item or piece of equipment or product system whether acquired commercially off the shelf, modified or customised that is used to increase or improve functional capabilities of  individuals with  disabilities. (as cited by Cook & Hussey 1995, p.5)

So assistive technology is technology that is used by a user with a disability to meet their needs by increasing their ability to function and perform tasks. Addaptive technology can be further classified into many areas. These include:
  • Helping assistive devices or teaching/ rehabilative technologies.
  • Simple, inexpensive ‘low’ technologies such as modified utensil handle or more complex expensive ‘high’ technologies such as expensive wheel chairs.
  • Hard technologies that are tangible, readily available such as computers, keyboards, chairs, software or soft technologies that are human areas of decision making, stratergies and training. Without  These soft technologies hard technologies cannot be successful.
  • Appliances and tools
  • Mimimal to maximal technologies that cover a contium of the level of support they provide based on the needs of the user
  • General technologies that have a wide range of uses such as a computer compared to more specific technologies that have a very specific and use.
  • technologies that are commercial or ‘off the shelf’ and those that are custom made or adapted (Cook & Hussey, 1995). 
We recently had a guest speaker talk to our class about assistive technology. He introduced the use of apple iPad as an example of mainstream technology becoming more universally designed and accessible for people of varying abilities. As it is mainstream and has a much larger user base than specific ‘assistive technologies’ this greatly reduces the cost of technology. The iPad starts at $799 NZD. there are many additional applications or apps that can be downloaded for free or at very little cost.  This is not an excessive price for an assistive technology considering the many features and uses it has. It is small and transportable and has following dimensions.
  • Height: 241.2 mm (9.50 inches)
  • Width:  185.7 mm (7.31 inches)
  • Depth:  8.8 mm (0.34 inch)
  • Weight: 601 g (1.33 pounds)
The iPad can increase user’s occupational performance in several ways depending on the user’s needs. For example users with visual deficits can access online material, reading material and communicate through email due to VoiceOver screen reader, full-screen zoom magnification and white on black display. for more information on iPad specification go to apples website here. Users with physical disabilities such as spinal cord injury can use applications to access physiotherapy exercises. This can be seen at http://www.physiotherapyexercises.com.
For users who are unable to use a key board there is Dragon Diction this app allows users to write email and text messages through the sound of their voice. the message can range from a quick “Hello!” to a lengthy email. Users  can even update their Facebook status and Tweet. It is up to five times faster than typing and saves time and  hassle
Apps can also be used with childern who have learning difficulties an example of this can be seen in this video

Cook, A., & Hussey, S. (1995). Assistive technologies: Principals and practice. Chicago: Mosby.

Thursday 7 April 2011

Tutorial Seven: linking blogs of interest and exchanging comments

This week we were looking at following other blogs. Here are several blogs relating to Occupational Therapy

http://otstudents.blogspot.com/  Follow the exploits of this occupational therapy practitioner as she helps others increase their ability to perform tasks.

http://mtis4gvn.wordpress.com/ This blog is mainly about dealing with stroke, focusing on one individuals journey after stroke.

http://www.everydayhealth.com/blog/life-with-chronic-pain/    Life with Chronic Pain: A How-to Guide

http://community.advanceweb.com/blogs/ot_1/default.aspx  Get the latest from the field of occupational therapy, and learn about issues in the field. An interesting and news-based approach. Here is a comment I posted in response to an article posted on the blog

http://oteducation.wordpress.com/
Get a handle on the issues associated with occupational therapy in New Zealand.

Also Video blogs can be used such as this one


Tuesday 5 April 2011

Tutorial Six: Online Communities


An online community is defined as
“A virtual community that exists online whose members enable its existence through taking part in membership ritual. An online community can take the form of an information system where anyone can post content, such as a Bulletin board system or one where only a restricted number of people can initiate posts, such as Weblogs. Online communities have also become a supplemental form of communication between people who know each other primarily in real life.”  (“Online community,” 2011)  
Looking at Online communities I have decided to look at communities that tie in with the occupation of travel

The first is BootsnAll is a travel community for budget travelers, with travel stories, blogs, travel forum and flight search and accommodation. http://www.bootsnall.com/
This site is very interactive with many people leaving comments on articles, online discussions and questions, posting of photos although it there is no option to leave a comment or review of accommodation by members. The kind of postings people leave on forums are usually their recommendations of places they have visited or those who have questions about where they would like to go. a typical post might look like this  
"We are actually doing it: quitting our jobs and departing  on a 11-12 month trip. We humbly ask you to critique the per day budget estimates that we have compiled. If these daily budget figures are accurate we should have enough US$ to do our trip!" 
those who post questions are looking for information from others who have experience traveling in a particular place. Those who reply to forum posts or post information have a sense of anticipated reciprocity that other members will also post information valuable to them. For those responding to question there is also a sense of self efficacy in that they can provide information that is of value to others. There is a wider sense of a community of people who have similar experiences or interests.

CouchSurfing is a volunteer-based worldwide network connecting travellers with members of local communities, who offer free accommodation and/or advice. It is a very interactive website in the way that it is all about making social connections in the ‘real world’ which to me is much more interactive than any purely online community could be. Members have an opportunity to post comments on their couchsurfing experience. Through the site you are able to search members in a particular area and see their ratings or how active they are as a member. The website also provides tips for your couchsurfing experience such as being a good guest and staying safe.
Many people contribute testimonials such as this one
"CouchSurfing definitely changed my live. I found friends there and got to know interesting people. Thank CS I can enjoy giving and sharing everything: couch, food, music, stories, experiences... Being a part of this community makes me sure that there are still lots of good people all over the world :)
Agata KamiƄska
This highlights that people contribute to the community for an opportunity to make social connections and also that it is a highly reciprocal site with the whole idea of couch surfing being that you share your home with others and there is anticipated reciprocity that others will share their home with you. There is also a huge sense of an international community, of people who share values, interests and experiences. Again there is a sense of self efficacy for those contributing in that they feel capable of giving valuable advice or hosting someone to give them a positive experience of a place.

Roll Global
This is a blog of a couple who are independent travellers. The blog began with their one year honeymoon. The blog has a focus on rock-climbing cycling and also includes a review of y took with the gear they took with them and how it fared. This is the least interactive of the three online communities as interaction is mainly limited to comments on postings but you are able to subscribe to updates on the blog or by donating.
Comments left include things like “Tom said: Thanks for the cool description guys! I’m actually headed to Cambodia on Friday and its fun to hear your experiences. What currency did you end up using while you were there? Tom (Gavin’s buddy who bikes)” (in response to a posting on travel in Cambodia.” Or there are many supportive posts
 “Jg said: AWESOME Blog! Rad pics! Way to go!”  
So there is some reciprocity in that online users gain from reading the blog in inspiration and information and can give back in positive support or financial assistance. Information though is one way coming directly from the postings or in the creators answering questions in responses to postings. There is some sense of community but it appears that often those posting comments have a connection to the couple posting from the 'real world' such as Gavin's buddy Tom. In this way it is similar to other blogs in that it is a way to keep family, friends, and those who they meet traveling up to date on what they are doing.
http://www.rollglobal.org/

Ethical considerations as can include the anonymity of users/ members. Maintaining this anonymity is important for the privacy of the individual but also lacks accountability. Members can post offensive or inappropriate content without being held personally responsible. Without the social structure of a geographical community there are much fewer social norms controlling individuals behavior. Likewise individual members may not feel a need to reciprocate or contribute to a community despite how much they may use it.

The Benefits of an Online community are many. It is a way of making connections with others who have similar interests despite very large distances instantly. This fosters a sense of community. Online communities  can also compliment those communities that exist in outside of the internet such as friends following another friends blog like Roll Global or maintaining friendships initiated through CouchSurfing. This also is the case for social netwaorking sites such as facebook of myspace.  The internet enables a huge number can be part of an online community and within this large member base there is a great pool of collective knowledge. BootsnAll is a good example of this with many members all sharing information on the topic of travel. online communities allow silent observation so an individual can get an overview of the community before the decide to participate. For the individual there is  a sense of self efficacy, reciprocity and community. this is especially important if the individual is isolated socially or geographically.

Of course there are also several downsides to online communities that mean they can never fully replace the traditional idea of a geographically based community. One is that associated with all technology the 'digital divide' where there is unequal access. This is often due to who has not or has knowledge of how to use the technology needed for online communities or who has financial means of accessing this technology. Also there is the possibility of delusional reliance on a community. particularly those who are vulnerable or have limited social contact may become over dependent on an online community. The potential for rapid growth on the internet also means there is potential for exponential growth of a community changing the communities in ways that may be unforeseen of unwanted by the creator. The maintenance and monitoring of an online community is a large and often voluntary task and there is a question of who will do this. Also there is a lack of control of the reliability of information that is shared.

Online communities can offer a lot in the sharing of information, a sense of a community with a shared interest and as a was of adding to our existing social groups. For me it will never compare to a geographically based community as they cannot offer the same level of personal interaction and cannot meet fully our social needs.




Saturday 2 April 2011

Tutorial Five: Video Production Sessions


What is YouTube and what services does it provide?
YouTube is a video-sharing website on which users can upload, share, and view videos. YouTube uses Adobe Flash Video technology to display a wide variety of user-generated video content, including movie clips, TV clips, and music videos, as well as amateur content such as video blogging and short original videos. Most of the content on YouTube has been uploaded by individuals, although media corporations and other organizations offer some of their material via the site. 
Maybe the site itself has the answer...
http://en.wikipedia.org/wiki/YouTube  


Videos can be an a way of sharing information. Looking at the theme of occupational therapy in special needs education video is away of informing  and demonstrating to others some of the methods used or the role of an occupational therapist in special needs education. here are afew to look at from YouTube




Tutorial Two: Digital Imaging continued...

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here is an example of how I use photography as a way of record keeping from a recent trip

Tutorial Two: Digital Imaging



This tutorial we focussed on the capturing, sharing and use of photography, in particular that of digital photography.
With the introduction of digital cameras into the commonplace they are widely accessible and fairly easy to use. The images we capture has changed from limited purposes and special occasions to becoming more and more of the everyday and with a huge increase in the volume of photos. The technology used includes digital cameras, video cameras, cell phones, laptops and personal devices such as the iPhone. Digital Photography is used in our work, leisure and day to day lives but its essential purpose is that of fulfilling the human occupation of record keeping.

A more traditional use of photography is that of wedding photography. With digital photography the occupation has evolved so the photographer can take a larger range of shots, be more creative using software such as Photoshop, distribute images to customers easier and advertise easier. An example of this can be seen at http://www.wendyford.co.nz/weddings.html.
Another common use of digital photography is that of family photos. This is a video of one girl whose parents took a photo of her every day until she was 10.http://www.youtube.com/watch?v=ejbNVWES4LI&feature=player_embedded
Although not exclusive to digital photography the art of contemporary photography has become more accessible, broader and more widely accepted and shared through digital photography. Here is an example of an online contemporary photography magazine that demonstrates the sharing of photography http://www.lensculture.com/index.html

“A new technology is rarely superior to an old one in every feature”
There are obviously some big downsides to digital photography. Anyone who has every lost oodles of important photos from a computer crashing can tell you that. Without investing a large amount of money in quality lenses it is difficult to obtain the clarity of a reasonable film camera with images becoming pixelated. With the ease of digital photography photos become almost taken for granted. Are 100 similar photos stored on a disk more valuable than one treasured film photo? And of course digital photography simply lacks the romance of the darkroom and sepia tones of the past or the thrill of getting your developed film back not knowing which photos were on the film. But then again probably half the photos had a finger over the lens, were too dark or out of focus...
Although I believe that the use of modern technology has enabled a higher quality and creativity of photography it widespread use can give way to an attitude of ‘everyone’s an expert’. With the DIY version of Uncle Tim’s video of Tom and Sarah’s wedding he may be able to record the event but it is lacking the ability to accurately capture and portray an event

Ethical considerations of the capturing and distribution of digital images
With the ease of digital photography it is easy for images of a person to be taken or distributed without their knowledge or consent. This obviously leads to a lack of informed consent. Similarly it is difficult to maintain intellectual property rights of photos you put up on the internet, even a copy write is not enough to stop people using the images they find online for any purpose.

Use of digital image capturing and distribution in Occupational therapy
The use of digital photography is common. This can be in taking photos before or after an environmental adaptation, as a record of progress, it is also an effective way of communicating information between team members. The use of photography can also be encouraged as a leisure activity. In my placement in a school environment photographs were taken of student’s achievements and important events to give students a sense of self worth and confidence. Here is a link to a care provider’s site illustrating how digital photography is used in OT http://www.glencare.com/activities/93

Tutorial One: Information Technology and Ethical Issues

Information technology. What is it? How is it used, and what ethical concerns does it pose?
 Information technology is defined as “the production, storage and communication of information using computers and microelectronics”  
So IT is about using technology as a medium of sharing information and way of communication
 IT is associated both with the hardware or devices used, such as your computer, iPod, cell phone, USB sticks, digital cameras, T.V. as well as the software or programs you may use. Software can be things like Photoshop, facebook, Skype, trade me, websites for banking or grocery shopping or couchsurfing or YouTube.
There are endless more examples of information technology but from looking at this list you can see that information technology has become very much part of daily life for most individuals in their work, daily living, social life and leisure. As we can see by the definition of Information technology it is how we communicate. It’s the way in which we are able to keep information and to pass it on, and this information includes movies, photos, written information and music.  IT has not only become a way in which we share information and communicate but it has become increasingly the predominant way.
For myself personally I use regularly and confidently the Internet for banking email, social networking sites such as facebook and moodle as an educational platform. I use a computer for writing assignment and sending them on and I use an iPod. With these various types of IT my knowledge does definitely have a finite point. That is I have no interest in furthering my knowledge beyond what I need to know for my own needs. In fact often If I don’t believe I will need the skill or knowledge often I will get someone else “who knows about that sort of thing” to do it for me. So a user must see IT as a way of filling a need. My use of IT is also limited by having others with the patience and knowledge available to teach me (and time for me to learn) and also by financial limitation limitations in accessing various technologies.
So how is IT used in occupational therapy practice? Occupational therapists primary domain of concern is meaningful occupation. Some of the more traditional meaningful occupations of the past are becoming less meaningful to the majority of the population and being replaced by IT based occupations although the still address the same occupational needs of leisure, productivity and self care.
 Vendock and Ryan (2008) recognize that information technology is becoming part of everyday meaningful occupations for clients and therefore those technologies used, be it digital photography, online shopping, wii or mobile phones, can be used as therapy tools. Information technology can be used in occupational therapy practice both to increase functional independence and to improve occupational performance (vendock & Ryan). As an OT therapy student I have seen IT being used in the form of wii computer games that improved occupational performance of students by increasing focus and concentration and social interaction. Also the use of a communication device is a very common example I have seen of IT being used to increase functional independence. Although I believe there is a need to consider a risk falling for fancy or new gadgets that are potentially not necessary or are not best suited to a client’s needs, for example a client becoming overly dependent on a communication device rather than developing his own verbal skills that he is capable of. Vendock and Ryan identify the Internet as a valuable tool of self care and can be used for online shopping or banking and also that of communication.
Occupational therapists should have an understanding of Information technology as it is a valuable therapy tool for increasing independence and improving performance and it is increasingly a becoming commonplace a large part of meaningful occupations of clients. Without an understanding of IT occupational therapists are at risk of overlooking potential solutions to occupational therapy problems and of lacking understanding of what are the meaningful occupations of a client.
With the use of IT becoming more commonplace there are many ethical concerns to consider with its use
Computer Ethics “is a branch of practical philosophy which deals with how computing professionals should make decisions regarding professional and social conduct” ("Computer ethics," 2011, para. 1)
One important consideration when looking at computer ethics is that of intellectual property intellectual property can be defined as
“Property (as an idea, invention, or process) that derives from the work of the mind or intellect” ("Intellectual property," Mirriam-Webster online dictionary).
 So intellectual property is what belongs to you because it was your idea and was a result of your thought process. This can include your thoughts, photos, stories or perhaps a song you wrote.  with the use of information technology information or these ‘ideas’ can be captured, shared and transferred very easily to a huge number of people mainly through the internet but this also applied to other devices such as cell phones. With such a lot of information and intellectual property flying around the internet there is very little that can be in the way of controlling the use in particular the unauthorized use of any intellectual property on the internet. For example this blog can be considered my intellectual property but it is open to anyone to see and therefore plagiarize. Which opens the question that if you put something up on the internet can you really maintain your intellectual property rights or do you forgo those rights as soon as you upload something to the internet?

 Another important concept to consider is that of informed consent which can be defined as
“Consent given with full knowledge of the risks involved, probable consequences, and the alternatives.”  ("Informed consent," BussinessDictionary.com)  
This may arise in the use of OT practice using IT to capture videos, photos, recordings with a client. It is important that the client fully understands and consents to what will be done with that information this is an important aspect of maintaining privacy.

What is social justice? “Social justice is an ethical concept related to the equitable division of assets among members of society. In the area of health care, it addresses the importance of assuring access to care to all persons in need of it”(Beauchamp & Childress, 2009, as cited by Ashe, 2010, para. 1 ). When considering social justice in the use of IT in occupational therapy practice it therapists need to consider equal access and distribution of resources in relation to the needs of clients. For example an organization may fund IT such as the use of assistive technology. A therapist may feel that devices A,B,C and D would be suitable and all helpful for a client but perhaps C and D are not essential to the client’s needs. If the therapist proceeds to order all this expensive equipment they may use a large proportion of allocated funding. The therapist may that for the next client there is not enough funding for the technology that is essential to their needs. This is not equal distribution of resources and therefore not social justice and can provide an ethical dilemma for therapists.

 Here is an interesting article on social justice in occupational therapy by the American Occupational Therapy Association http://www.aota.org/Practitioners/Ethics/Advisory/Social-Justice.aspx

Ashe,  M. ,(2011). Social Justice and Meeting The Needs of Clients [Electronic version]. American Occupational Therapy Association.

Computer Ethics. (n.d.). In Wikipedia. Retrieved  April 2, 2011 from 
 
Hanks, P. (ed). (1989) Collins Concise Dictionary. Glasgow: Bath Press.

"Informed consent." 2011. In BussinessDictionary.com. Retrieved April 2, 2011 from
         http://www.businessdictionary.com/definition/informed-consent.html

"Intellectual property." 2011. In Merriam-Webster  Online Dictionary. Retrieved April 2, 2011                from http://www.merriamwebster.com/dictionary/intellectual%20property

Ashe,  M. ,(2011). Social Justice and Meeting The Needs of Clients [Electronic version]. American Occupational Therapy AssociationRetrieved April 4, 2011 from http://www.aota.org/Practitioners/Ethics/Advisory/Social-Justice.aspx