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How do environmental control systems affect mental health and psychological well-being? A pilot study
Graham Henderson1, Hannah Harris1, Michael John Dolan1
1SMART Services, NHS Lothian, Edinburgh, UK.
Disability and Rehabilitation. Assistive Technology
|July 4, 2026
Summary
Environmental control systems (ECSs) positively impact mental health and psychological well-being. This pilot study suggests PROMIS-10 and PIADS-10 instruments effectively measure these improvements, supporting wider evidence building.
Area of Science:
- Environmental Control Systems (ECSs)
- Mental Health Research
- Psychological Well-being Studies
Background:
- Limited research exists on the mental health and psychological well-being effects of Environmental Control Systems (ECSs).
- This study addresses the need for validated methods to explore the impact of ECSs on user well-being.
Purpose of the Study:
- To refine methods and instruments for assessing the impact of ECSs on mental health and psychological well-being.
- To evaluate the effectiveness of PROMIS-10 and PIADS-10 instruments in this context.
Main Methods:
- A pilot study involving five participants was conducted.
- Data were collected using the PROMIS-10 and PIADS-10 instruments, alongside a custom questionnaire.
- Measurements were taken at baseline, 3 weeks, and 8 weeks post-intervention.
Main Results:
- All participants showed improvement in mental health and psychological well-being scores, surpassing the minimal clinically important difference (MCID) in most cases.
- The majority of participants reported satisfaction with their ECS devices.
- Participants demonstrated reduced reliance on caregivers for controlling home electronic devices.
Conclusions:
- Environmental Control Systems (ECSs) positively influence users' mental health and psychological well-being.
- The PROMIS-10, PIADS-10, and a custom questionnaire are suitable instruments for assessing ECS impact.
- This approach can contribute to building robust evidence for ECS provision and utilization.
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