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  • 1.
    Borgestig, Maria
    et al.
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden; Folke Bernadotte Regional Habilitation Centre, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Falkmer, Torbjorn
    School of Occupational Therapy and Social Work, Curtin Health Innovation Research Institute, Curtin University, Perth WA, Australia; School of Occupational Therapy, La Trobe University, Melbourne VIC, Australia; Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, Linköping, Sweden; Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Hemmingsson, Helena
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Improving computer usage for students with physical disabilities through a collaborative approach: A pilot study2013In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, no 6, p. 463-470Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to evaluate the effect of an assistive technology (AT) intervention to improve the use of available computers as assistive technology in educational tasks for students with physical disabilities during an ongoing school year.

    Methods: Fifteen students (aged 12-18) with physical disabilities, included in mainstream classrooms in Sweden, and their teachers took part in the intervention. Pre-, post-, and follow-up data were collected with Goal Attainment Scaling (GAS), a computer usage diary, and with the Psychosocial Impact of Assistive Devices Scale (PIADS). Teachers opinions of goal setting were collected at follow-up.

    Results: The intervention improved the goal-related computer usage in educational tasks and teachers reported they would use goal setting again when appropriate. At baseline, students reported a positive impact from computer usage with no differences over time regarding the PIADS subscales independence, adaptability, or self-esteem.

    Discussion: The AT intervention showed a positive effect on computer usage as AT in mainstream schools. Some additional support to teachers is recommended as not all students improved in all goal-related computer usage. A clinical implication is that students computer usage can be improved and collaboratively established computer-based strategies can be carried out by teachers in mainstream schools.

  • 2.
    Borgestig, Maria
    et al.
    Faculty of Health Sciences, Department of Social and Welfare Studies, Linköping University, Linköping, Sweden; Department of Women's and Children's Health, Folke Bernadotte Regional Habilitation Centre, Uppsala University, Uppsala, Sweden.
    Falkmer, Torbjörn
    School of Occupational Therapy and Social Work, Curtin Health Innovation Research Institute, Curtin University, Perth WA, Australia; School of Occupational Therapy, La Trobe University, Melbourne VIC, Australia; Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Pain and Rehabilitation Centre, Linköping University, Linköping, Sweden.
    Hemmingsson, Helena
    Faculty of Health Sciences, Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Change in eye controlled performance over time with an eye tracker controlled system, used by children with severe physical disabilities2013In: Assistive Technology Research Series, ISSN 1383-813X, E-ISSN 1879-8071, Vol. 33, p. 473-477Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe how speed and accuracy in eye controlled computer performance changed over time for children with severe physical disabilities that used eye tracker controlled system (ETCS) in daily activities as an effect of assistive technology (AT) intervention. Data was collected with diaries and with Compass software. The preliminary results from this study from the first four children indicate that two children improved significantly in eye controlled performance up to 19 months since start of ETCS usage in daily activities.

  • 3.
    Borgestig, Maria
    et al.
    Hälsa, Aktivitet, Vård (HAV), Linköpings universitet, Linköping, Sweden.
    Hemmingsson, Helena
    Hälsa, Aktivitet, Vård (HAV), Linköpings universitet, Linköping, Sweden.
    Dator i skolarbetet: För elever med funktionsnedsättning2010Report (Other academic)
    Abstract [sv]

    Elever med rörelsehinder kan ha stor nytta av dator i skolarbetet, när datorn är integrerad i skolarbetet och får fungera som ett kompensatoriskt hjälpmedel för eleven. En del elever med rörelsehinder anser att de inte får möjlighet att använda dator i skolarbetet i den utsträckning de behöver. Den här skriften handlar om de eleverna.

    Bakgrunden är ett projekt som pågick läsåret 2008 - 2009. Den övergripande målsättningen var att öka möjligheterna för elever med rörelsehinder att använda dator på det sätt de önskar. Projektet utgick från elevernas önskemål och deras behov stod i centrum. Samarbetet mellan elev och lärare var en annan viktig utgångspunkt för projektets genomförande. I projektet deltog en grupp elever med rörelsehinder som huvudsakligen gick på högstadiet och gymnasiet.

    Projektet började med att 15 elever som önskade delta valde en lärare på sin skola som de ville skulle delta tillsammans med dem. Därefter erbjöds lärarna tillsammans med elevernas assistenter en kursdag om datorns möjligheter i skolarbetet. Kursdagen genomfördes i samarbete med Specialpedagogiska skolmyndigheten (SPSM). Efter kursdagen genomfördes planeringsmöten för varje elev. Mål formulerades för hur datorn skulle användas i skolarbetet. Efter två och fyra månader utvärderade eleverna sina mål.

    Innan projektstart ansåg en majoritet av lärarna att de inte fått tillräckligt med kompetensutveckling kring den aktuella eleven. Lärarna behövde stöd för att utnyttja datorn på bästa sätt för eleverna. De ansåg att datorn var ett viktigt pedagogiskt verktyg för eleven.

    Resultatet/utvärderingen visade att en majoritet av de uppsatta målen var uppfyllda vid elevernas utvärderingar och eleverna med uppfyllda mål tyckte att målen hade underlättat skolarbetet. Eleverna upplevde sig mindre beroende av andra när de använde dator. Samtidigt upplevde de sig mindre kompetenta efter projektets insatser jämfört med vid projektstart. Lärarna var överlag positiva till att sätta mål och nästan alla lärare ansåg att målformulering är en bra metod. De ansåg att målen underlättade skolarbetet för eleverna och kunde bidra till att eleven upptäcker nyttan med dator. Samtidigt ansåg lärarna att de saknade kunskap för att sätta mål själva och att de behövde stöd utifrån för att uppnå målen. De flesta lärarna kunde tänka sig att använda arbetssättet igen till andra elever som komplement till andra åtgärder.

    Med den här skriften vill vi försöka ge inspiration till lärare när det gäller datorns möjligheter för elever med funktionsnedsättning. Vi vill också visa på olika samarbetspartner som lärare kan ta hjälp av. Slutligen vill vi visa hur arbetet kan formaliseras och utvärderas genom att sätta mål. Skriften består av två delar, i första delen beskrivs projektets resultat och i andra delen beskrivs arbetssättet, som vi valt att kalla för Inspiration – Samarbete – Mål.

    Vår slutsats är att det beskrivna arbetssättet kan ge elever bättre möjligheter att använda dator i skolarbetet och att både elev och lärare behöver stöd för att lyckas. Det blev tydligt i projektet att eleverna var beroende av lärarnas engagemang i genomförandet av målen. Det blev också tydligt att lärare kan behöva stöd av andra med kunskap om elevens funktionsnedsättning och alternativa verktyg för att sätta mål. Arbetssättet kan behöva utvärderas för fler elever.

  • 4.
    Borgestig, Maria
    et al.
    Örebro University, School of Health Sciences.
    Hemmingsson, Helena
    Department of Special Education, Stockholm University, Stockholm, Sweden.
    Eye gaze technology’s effect on participation and Independence2019In: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 31, no S1, p. S32-S32Article in journal (Refereed)
  • 5.
    Borgestig, Maria
    et al.
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden; Folke Bernadotte Regional Habilitation Centre, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Hemmingsson, Helena
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    The Benefits of Gaze-Based Assistive Technology in Daily Activities for Children with Disabilities2017In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 242, p. 1082-1088Article in journal (Refereed)
    Abstract [en]

    This article reports research findings on how gaze-based assistive technology contributed to performance of daily activities for a group of children with severe physical impairments and without speech.

  • 6.
    Borgestig, Maria
    et al.
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden; Folke Bernadotte Regional Habilitation Centre and Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden.
    Rytterström, Patrik
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Hemmingsson, Helena
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Gaze-based assistive technology used in daily life by children with severe physical impairments: parents’ experiences2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 5, p. 301-308Article in journal (Refereed)
    Abstract [en]

    Objective: To describe and explore parents’ experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based assistive technology (AT)) for use in daily life.

    Methods: Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents’ experiences, hermeneutical interpretations were used during data analysis.

    Results: The findings demonstrate that for parents, children’s gaze-based AT usage meant that children demonstrated agency, provided them with opportunities to show personality and competencies, and gave children possibilities to develop. Overall, children’s gaze-based AT provides hope for a better future for their children with severe physical impairments; a future in which the children can develop and gain influence in life.

    Conclusion: Gaze-based AT provides children with new opportunities to perform activities and take initiatives to communicate, giving parents hope about the children’s future.

  • 7.
    Borgestig, Maria
    et al.
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden; Department of Women´s and Children´s Health, Uppsala University, Uppsala, Sweden; Folke Bernadotte Regional Habilitation Centre, Uppsala University, Uppsala, Sweden.
    Sandqvist, Jan
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Ahlsten, Gunnar
    School of Occupational Therapy & Social Work, Curtin University, Perth WA, Australia; School of Occupational Therapy, La Trobe University, Melbourne VIC, Australia; Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Linköping University & Pain and Rehabilitation Centre (UHL), County Council, Linköping, Sweden.
    Falkmer, Torbjorn
    Avdelningen för samhällsmedicin, Linköpings universitet, Linköping, Sweden.
    Hemmingsson, Helena
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Gaze-based assistive technology in daily activities in children with severe physical impairments: an intervention study2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 3, p. 129-141Article in journal (Refereed)
    Abstract [en]

    Objective: To establish the impact of a gaze-based assistive technology (AT) intervention on activity repertoire, autonomous use, and goal attainment in children with severe physical impairments, and to examine parents’ satisfaction with the gaze-based AT and with services related to the gaze-based AT intervention.

    Methods: Non-experimental multiple case study with before, after, and follow-up design. Ten children with severe physical impairments without speaking ability (aged 1–15 years) participated in gaze-based AT intervention for 9–10 months, during which period the gaze-based AT was implemented in daily activities.

    Results: Repertoire of computer activities increased for seven children. All children had sustained usage of gaze-based AT in daily activities at follow-up, all had attained goals, and parents’ satisfaction with the AT and with services was high.

    Discussion: The gaze-based AT intervention was effective in guiding parents and teachers to continue supporting the children to perform activities with the AT after the intervention program.

  • 8.
    Borgestig, Maria
    et al.
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden; Folke Bernadotte Regional Habilitation Centre and Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
    Sandqvist, Jan
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Parsons, Richard
    School of Occupational Therapy & Social Work, Curtin University, Perth WA, Australia.
    Falkmer, Torbjörn
    School of Occupational Therapy & Social Work, Curtin University, Perth, Australia; School of Occupational Therapy, La Trobe University, Melbourne, Australia; Rehabilitation Medicine, Department of Medicine and Health Sciences (IMH), Faculty of Health Sciences, Linköping University & Pain and Rehabilitation Centre, UHL, County Council, Linköping, Sweden.
    Hemmingsson, Helena
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Eye gaze performance for children with severe physical impairments using gaze-based assistive technology: a longitudinal study2016In: Assistive technology, ISSN 1040-0435, E-ISSN 1949-3614, Vol. 28, no 2, p. 93-102Article in journal (Refereed)
    Abstract [en]

    Gaze-based assistive technology (gaze-based AT) has the potential to provide children affected by severe physical impairments with opportunities for communication and activities. This study aimed to examine changes in eye gaze performance over time (time on task and accuracy) in children with severe physical impairments, without speaking ability, using gaze-based AT. A longitudinal study with an AB design was conducted on ten children (aged 1–15 years) with severe physical impairments, who were beginners to gaze-based AT at baseline. Thereafter, all children used the gaze-based AT in daily activities over the course of the study. Compass computer software was used to measure time on task and accuracy with eye selection of targets on screen, and tests were performed with the children at baseline, after 5 months, 9–11 months, and after 15–20 months. Findings showed that the children improved in time on task after 5 months and became more accurate in selecting targets after 15–20 months. This study indicates that these children with severe physical impairments, who were unable to speak, could improve in eye gaze performance. However, the children needed time to practice on a long-term basis to acquire skills needed to develop fast and accurate eye gaze performance.

  • 9.
    Hemmingsson, Helena
    et al.
    Department of Special Education, Stockholm University, Stockholm, Sweden; Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Ahlsten, Gunnar
    Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
    Wandin, Helena
    The Swedish National Center for Rett Syndrome & Related Disorders, Östersund, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rytterström, Patrik
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Borgestig, Maria
    Örebro University, School of Health Sciences. Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Eye-Gaze Control Technology as Early Intervention for a Non-Verbal Young Child with High Spinal Cord Injury: A Case Report2018In: Technologies, E-ISSN 2227-7080, Vol. 6, no 1, article id 12Article in journal (Refereed)
    Abstract [en]

    Assistive technology (AT) can be used as early intervention in order to reduce activity limitations in play and communication. This longitudinal case study examines eye-gaze control technology as early intervention for a young child with high spinal cord injury without the ability to make sounds. The young child was followed by repeated measures concerning performance and communication from baseline at 9 months to 26 months, and finalized at 36 months by field observations in the home setting. The results showed eye-gaze performance and frequency of use of eye-gaze control technology increased over time. Goals set at 15 months concerning learning and using the AT; naming objects and interactions with family was successfully completed at 26 months. Communicative functions regarding obtaining objects and social interaction increased from unintentional actions to purposeful choices and interactions. At 36 months, the toddler was partly independent in eye gazing, used all activities provided, and made independent choices. In conclusion, the results show that a 9-month-old child with profound motor disabilities can benefit from eye-gaze control technology in order to gradually perform activities, socially interact with family members, and make choices.

  • 10.
    Hemmingsson, Helena
    et al.
    Department of Special Education, Stockholm University, Stockholm, Sweden.
    Borgestig, Maria
    Örebro University, School of Health Sciences.
    Eye gaze controlled computers: A total survey in Swedish context2019In: Technology and Disability, ISSN 1055-4181, E-ISSN 1878-643X, Vol. 31, no S1, p. S29-S30Article in journal (Refereed)
  • 11.
    Hemmingsson, Helena
    et al.
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Borgestig, Maria
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Gaze-Based Assistive Technology for a Toddler with Tetraplegia and Without Speech2017In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 242, p. 1109-1112Article in journal (Refereed)
    Abstract [en]

    This is a case study exploring gaze-based AT as early intervention, for a ten-month-old non-verbal child with severe physical impairments. Data was collected repeatedly over time through questionnaires, videos clips, and field observations until the child was three years old.

  • 12.
    Hemmingsson, Helena
    et al.
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Borgestig, Maria
    Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
    Gaze-Based Assistive Technology: Use in Everyday Life for Individuals with Impairments2017In: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 242, p. 1079-1081Article in journal (Refereed)
    Abstract [en]

    This session focuses on the latest developments of gaze-based assistive technology (AT) and the impact of gaze-based AT interventions in the home and at school. In particular, for play, communication, assessments and early intervention. The discussion focuses on how research findings can advance future developments.

  • 13.
    Hemmingsson, Helena
    et al.
    Department of Special Education, Stockholm University, Stockholm, Sweden; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Borgestig, Maria
    Örebro University, School of Health Sciences.
    Usability of Eye-Gaze Controlled Computers in Sweden: A Total Population Survey2020In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 5, article id E1639Article in journal (Refereed)
    Abstract [en]

    Eye-gaze technology allows individuals with severe physical disabilities and complex communication needs to control a computer or other devices with eye-gaze, thereby enabling them to communicate and participate in society. To date, most research on eye-gaze controlled devices related to persons with disabilities has focused on a single diagnosis in either adults or children and has included only a few participants. This current study utilized a total population survey to identify the prevalence and perceived usability of eye-gaze technology among adults and children in Sweden. Participants were 171 eye-gaze technology users with severe physical and communication impairments, ranging between 4 and 81 years. Cerebral palsy was the most common diagnosis. Daily usage was found in 63%, while 33% had weekly, and 4% had less frequent usage. Adults, compared with children, reported using their computers more frequently (65%/38%; p < 0.01), and for the activities they needed to perform (59%/31%; p < 0.01) and were more satisfied with services, indicating that service providers should prioritize and develop more effective services for children and their parents.

  • 14.
    Rytterström, Patrik
    et al.
    Division of Nursing Science, Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden.
    Borgestig, Maria
    Örebro University, School of Health Sciences.
    Hemmingsson, Helena
    Department of Special Education, Stockholm University, Stockholm, Sweden; Division of Occupational Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Norrköping, Sweden.
    Hope and Technology: Other-Oriented Hope Related to Eye Gaze Technology for Children with Severe Disabilities2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 10, article id E1667Article in journal (Refereed)
    Abstract [en]

    Introducing advanced assistive technology such as eye gaze controlled computers can improve a person's quality of life and awaken hope for a child's future inclusion and opportunities in society. This article explores the meanings of parents' and teachers' other-oriented hope related to eye gaze technology for children with severe disabilities. A secondary analysis of six parents' and five teachers' interview transcripts was conducted in accordance with a phenomenological-hermeneutic research method. The eye gaze controlled computer creates new imaginations of a brighter future for the child, but also becomes a source for motivation and action in the present. The other-oriented hope occurs not just in the future; it is already there in the present and opens up new alternatives and possibilities to overcome the difficulties the child is encountering today. Both the present situation and the hope for the future influence each other, and both affect the motivation for using the technology. This emphasises the importance of clinicians giving people opportunities to express how they see the future and how technology could realise this hope.

  • 15.
    Rytterström, Patrik
    et al.
    Avdelningen för omvårdnad, Linköpings University, Linköping, Sweden.
    Borgestig, Maria
    Avdelningen för arbetsterapi, Linköpings University, Linköping, Sweden; Folke Bernadotte Regional Habilitation Centre and Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
    Hemmingsson, Helena
    Avdelningen för arbetsterapi, Linköpings University, Linköping, Sweden.
    Teachers’ experiences of using eye gaze-controlled computers for pupils with severe motor impairments and without speech2016In: European Journal of Special Needs Education, ISSN 0885-6257, E-ISSN 1469-591X, Vol. 31, no 4, p. 506-519Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to explore teachers’ experiences of using eye gaze-controlled computers with pupils with severe disabilities. Technology to control a computer with eye gaze is a fast growing field and has promising implications for people with severe disabilities. This is a new assistive technology and a new learning situation for teachers. Using a reflective lifeworld approach, 11 teachers were interviewed twice. The essence of the phenomenon of teaching pupils who use an eye gaze-controlled computer is to understand what the pupil does with the computer and relate this to what the pupil wants to express through the computer. The pupils have emotions, wishes and knowledge that are trapped in their own bodies. The eye gaze computer creates opportunities to get a glimpse of these thoughts to others, and creates hope concerning the pupil’s future possibilities. The teacher’s responsibility to try to understand what is inside the pupil’s trapped body is a motivating factor to integrate the computer in everyday classroom activities. The results give directions for teaching and for implementation of eye gaze computers in the school system, and also suggest improvements that could be made to computers.

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