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A microswitch-aided program to enable people with extensive multiple disabilities to control environmental

Giulio E Lancioni¹, Nirbhay N Singh², Mark F O'Reilly³

¹Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy.

Frontiers in Psychiatry

|December 26, 2022

Summary

A simple technology program using microswitches and smartphones helped individuals with extensive multiple disabilities control environmental stimulation. Participants showed increased responses and happiness, suggesting improved mood and self-regulation.

Keywords:

intellectual disability microswitches motor impairment sensory impairment stimulation technology

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Area of Science:

Assistive Technology
Rehabilitation Engineering
Disability Studies

Background:

Individuals with extensive multiple disabilities often face challenges in controlling their environment.
Access to preferred stimulation is crucial for mood regulation and well-being.
Existing assistive technologies may not adequately address the complex needs of this population.

Purpose of the Study:

To evaluate a technology-aided program for enabling individuals with motor, sensory, and intellectual disabilities to control environmental stimulation.
To assess the program's impact on response control and user satisfaction.
To determine the feasibility of using microswitches and smartphone technology for this purpose.

Main Methods:

A cohort of ten participants with extensive multiple disabilities was enrolled.
An ABAB research design was employed, alternating between baseline and intervention phases.
The program involved microswitches linked to a smartphone to facilitate two distinct response movements for controlling stimulation.

Main Results:

The technology-aided program significantly increased participants' responding, leading to greater self-regulated stimulation.
Half of the participants demonstrated significant increases in both response movements, while others showed a preference for one.
All participants exhibited clear signs of satisfaction and happiness during the intervention sessions.

Conclusions:

The developed program offers a promising approach for enhancing self-regulation of environmental stimulation in individuals with extensive multiple disabilities.
This technology has the potential to improve mood and overall quality of life for users.
The findings support the integration of simple, accessible technology in disability support.