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State of the Science Conference
September 15-16, 2005
Conference
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Remote Workplace Assessments
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Slides Index
Slides 1-11
Slides 12-21
Slides On This Page
- Assessment Framework
- Types of Information Assessed
- Job Factors
- Usability Factors
- Mediating Factors
- Investigation
- Interpretation
- Intervention
- Next Steps
- Acknowledgements
Assessment Framework
Graphic of the Assessment Framework chart used to categorize measures from each assessment tool.
"Information Type" appears as the categories on the far left of the chart, reading down in a
vertical fashion starting with Job Factors, then Personal Factors, Place Factors, Performance
Factors and Mediating Factors. "Activity" appears across the top of the chart, reading across in
horizontal fashion starting with Investigation, then Interpretation, and Intervention.
Types of Information
Job Factors
- Functional
- Environmental
- Performance
Usability factors
- Person
- Place
- Performance
Mediating factors
- Individual Factors
- Employer/Organizational
and Situational Factors
- External Factors
Job Factors
Functional
- Physical demands, temperaments/behaviors, aptitudes
- e.g., kneeling, bending, lifting, intelligence, color discrimination, hearing, expressing personal feelings, making judgments
Environmental
- Physical, organizational, and social
- e.g., lighting, noise, chemicals, forklift, telephone, ladder
Performance
- Job tasks, responsibilities
- e.g., answering the telephone and assisting callers, recording messages for department personnel,
Usability Factors
Chart depicting a column for "person", one for "place", and one for "performance" which
list the types of information that might be gathered in each area.
Mediating Factors
Individual/Family/Caregiver Contributions:
- Preferences
- Cultural, spiritual beliefs, values
Employer/Organizational and Situational
- Preferences
- Regulations and policies
- Existing equipment, technologies, furniture
- Support
- Financing (e.g., decisions by third party payers)
External Contributions - extrinsic to and outside the control of the individual, practitioner or other members of the accommodations team
- Legal restrictions - building codes, safety regulations
- Cost & Availability of equipment and/or training
Investigation
Existing Conditions
- Discovery and acquisition of relevant information from multiple sources, rather than just intuition and experience
- Description of contributing factors, i.e., conditions, processes and events that influence, restrict and/or enhance P-E fit
- Independent measures (e.g., range of motion, height of shelf, use of a AT)
Problems
- Description of P-E fit/misfit based on actual (e.g., observable) or self reported outcomes of P-E transactions
- Outcome variables of P-E transactions (how well: ability is demonstrated, interface works, task is done) and associations (e.g., abilities are affected by the demands of the environment)
- Dependent measures (e.g.: success/failure, ease/difficulty, independence/ dependence, satisfaction, comfort)
Judgments
- Causal relationship between: a) existing conditions and problems and b) among the 3 usability factors
- Characterized by adverbs/adjectives of degree or intensity of a defined level or characteristic of person (e.g., can't reach low enough), place (e.g., shelf too low), or performance (e.g., not bending enough)
Interpretation
Prescriptive Requirements for Accommodations
- Characteristics of the intervention (needs) based on investigative efforts filtered through clinical reasoning and previous experience
- Usability criteria: physical description of accommodation characteristics (e.g., raise toilet seat to 17" min, install fold-down grab bars on both sides of toilet)
or
Performance Requirements for Accommodations
- Characteristics of the intervention (needs) based on investigative efforts filtered through clinical reasoning and previous experience
- Usability goals: performance requirements that accommodations must meet (e.g., minimize lowering down to toilet, provide supports for both arms when transferring to toilet, make toilet higher)
Intervention
Alternative Solutions
- Translation of usability criteria filtered through mediating factors into strategies or specific accommodations that will potentially create desired conditions or "best fit"
- Action plan with of one or more potential "best fit" alternatives that meet some or all criteria
Trial Outcomes
Evaluation of alternative solutions for usability
Best Fit
Solution that is believed to meet the most salient needs and will produce the best rehabilitation outcomes
Next steps
Develop a comprehensive assessment for remote use by rehab professionals
Approach to comprehensive assessment
- The greater the number of activities and types of information included in the assessment the > comprehensiveness
- However, while all of the types of information/factors (rows) are required, all activities (i.e., columns) are not
- e.g., Judgments may not be specifically included in an expert assessment tool as judgment are intuitively develop through the expert's clinical reasoning skills
Work RERC
Supported by grant #H133E020720
from the National Institute on Disability and Rehabilitation Research (NIDRR),
U.S. Department of Education