eminar, Facult y of Healt h and Wellbeing, CCCU 15 t h January 2020 Luncht ime Research S Assistive Technology (AT) Training for Healthcare Professionals The ADAPT Research Team, CCCU Prof Eleni Hatzidimitriadou Sharon Manship Dr Maria Stein Dr Rachael Morris Dr Gayaneh Szenkovits
• Ageing societ ies and chronic disabilit ies are irrevocable t rends in EU, leading t o loss of aut onomy and a breakdown of social relat ions • Key role of innovat ive Assist ive Technologies (AT), including S ocial Assist ive Robot ics (S AR) and CONTEXT smart EPW as effect ive t ools t o empower disabled and aged people and improve social inclusion • Exist ing barriers in t he upt ake of AT (st andardizat ion, int eroperabilit y, limit ed involvment of users, lack of healt hcare professional t rainings)
• Call for project : INTERREG VA FMA • Duration : 48 mont hs • T 0 : January 01st 2017 • T END : June 30t h 2021 • Budget : ≈8,7M€ ADAPT • Lead partner : ES IGELEC • Partnership • 16 partners : 8 FR / 8 UK • Large scale of competencies: • Universities • Hospitals • Health networks and economic clusters • SMEs and Charity
Academics Hospitals HIP Kent S urrey S ussex Health networks and economic cluster Academic Health S cience Network S ME and Charity ARNTES University College of University of Kent London Cornwall Mobility Canterbury Christ Church University MAPPING OF THE P Plymouth Hospital Université PJV Kent Canterbury Hospital + Health and Europe Center ERGOVIE ES IGELEC INS A Rennes Pôle S t Hélier CHU de Rouen / IFE Breizh PC Pôle TES
1. Framework of innovation for making the deployment of the solutions easier, including : TRATEGY • Development s from TRL 4 t o 8 int egrat ing indust rials requirement s • Cost effect ive product s OUR PROJECT S • S t andardizat ion issues 2. A set of training materials to cover a large scale of healthcare professionals 3. Co-construction and continuous integration process to improve the solutions to meet the user’s/ stakeholder’s needs
1. EPW S imulat or plat form using virt ual realit y Immersive experience to the user of the smart EPW WHAT WE ARE DOING Train the users to drive in everyday life Professionals will assess the suitability of the EPW for particular patients and environments and gain understanding from the user perspective 2. S mart EPW t o compensat e for user disabilit ies t hrough driving assist ance t echnologies and report users’ healt h Benefit to severely disabled users Enable health professionals to monitor changes in user health
3. Training of healthcare professionals in AT Address a gap in the current healthcare education. Proj ect platforms (EPW simulator + smart EPW) will be WHAT WE ARE DOING captured in training protocols for t he benefit of users and healthcare provider 4. Formalized agreements between research institutions and companies built through 20 events ranging from local to international meetings Promoting and disseminating ADAPT’s result s, creating synergies, identifying points of convergence for common studies Boost R&D and favour the spread of innovative ADAPT's AT to the market
ADAPT Project Work Packages WP M : PROJECT MANAGEMENT ES IGELEC – IRS EEM / HEC WP T3 WP T4 WP T1 WP T2 CCCU / BREIZH PC CORNWALL MOBILITY INS A RENNES / UCL UPJV / EKHUFT Training of Economic EPW S imulat or S mart and Healt hcare Development in Virt ual Realit y Connect ed Professionals in t he Cross Border Plat form Robot ic EPW Assist ive Area –Technology Technologies Transfer WP C : COMMUNICATION ES IGELEC – IRS EEM
DATE ACTIVITY LEADER DELIVERABLES START / END Benchmarking and Literature Review T3.1 Report Crossborder benchmarking AT 01.2017 / WP #T3 – LEAD: CCCU CM Report on results from the survey of service training and S urvey of 01.2018 knowledge, attitudes and training needs of Needs of health prof. regarding AT healthcare professionals T3.2 Development of the AT training 4 Training packages for different 08.2017 / CCCU programmes for healthcare qualifications of healthcare professionals 06.2018 professionals T3.3 01.2018 / Development of ‘ Train the Trainer’ IRS EEM ‘ Train the Trainer’ package 06.2019 Package Number of students/ professionals trained T3.4 08.2018 / CHU in UK/ France (680) Delivery of Training S essions 04.2020 Training hours in UK and France (576) 9 T3.5 08.2017 / EKHUFT Evaluation Reports for Training Evaluation of Training 03.2021
Literature Review: Challenges Encountered in the Adoption of Assistive Technology (AT) and Training of Healthcare Professionals
Purpose of the Literature Review To understand the challenges encountered by professionals in adoption/use of Assistive Technology (AT) in healthcare practice in UK and France To explore if/how training of healthcare professionals (HCPs) in AT practice takes place in UK and France To inform the relevant work package activities (WP3.2.1 and WP3.2.2) of ADAPT project: Online survey of HCPs in relation to their knowledge, experiences and training needs of AT Development of AT training materials for HCPs
Literature Review Methodology Narrative literature review approach Search of databases in UK/FR Academic Search Index, BDSP (Base de données en Santé Publique), Cairn, CINAHL, Documentation EHESP/MSSH (Ecole des Hautes Etudes en Santé Publique/Maison des Sciences Sociales et Handicap), Google Scholar, Pubmed, Social Sciences Citation Index Inclusion criteria: Search terms: assistive technology, AT provision, training, healthcare professional/s, health, technology autonomy, gerontechnology, electric powered wheelchairs, socially assistive robotics, virtual reality, simulation Language: English/French; Date of publication: 1990 onwards Thematic analysis undertaken to elicit key points
Summary of Literature Review Sources (n=79) Country N Type of N Type of N Key focus N Research Source UK 20 Practice report/ 18 Journal article 48 AT training/ 29 perspective education France 19 Evaluation/ 10 Report 11 Barriers in use of 15 survey AT US A/ Canada 27 Qualitative 9 Online source 11 Background 12 Europe* 7 Guest Editorial 2 Book 6 Evaluation of AT 10 Australia 3 S ystematic 2 Conference paper 3 AT principles/ 6 Review practice Unknown 2 Literature 2 Abandonment of 3 Review AT UK/ France 1 Case S tudy 2 Opportunities/ 2 access to AT RCT 1 Impact of AT 2 Action Research 1 *Papers were from S weden, Italy, S witzerland, Netherlands
Findings from the Review – Overall themes 1. Barriers to adopting AT solutions 2. Training of HCPs 3. Barriers to training in AT practice
Barriers to adopting AT solutions Inadequate information about appropriate AT solutions Complexities relating to financing/funding, acquisition and prescription/ recommendation of devices Obtrusiveness and stigmatisation experienced when using AT The above challenges contribute to abandonment of AT
Training of healthcare professionals Need for HCPs to be aware of availability and application of AT devices Lack of knowledge of healthcare regarding AT solutions Shortfalls in communication amongst professional groups and between HCPs/users Strong need for evaluation and assessment tools regarding the benefits of AT
Barriers to training in AT practice Different AT terminology/definitions across disciplines Inconsistent provision and quality of AT training Lack of evaluation of training Lack of access to professional help in area of AT Lack of resources and funding Shortage of qualified professionals to teach Increasingly rapid development of technologies
Conclusions Technology that enhances reablement/rehabilitation will increase in future - growing need for HCPs to be aware of availability and application of AT devices Challenges in availability, assessment and provision of appropriate AT leads to isolation of users, loss of independence, abandonment of devices Support, training and education for HCPs/AT users is vital in adoption and use of devices Need for comprehensive education, ongoing assessment and evaluation in AT field Paucity of studies examining content and impact of AT training and longer term outcomes – further research and evidence required
An Online Survey of AT Knowledge and Experiences of HCPs in the UK and France
Background to Survey Literature Review Findings Review t hemes informed survey t hemat ic areas Benchmarking Exercise Mapping of relevant healt hcare services and t raining of key professional groups in UK and French survey regions Purpose of the Survey To inform t he development of t he t raining programme t o be designed for t he purposes of t he ADAPT proj ect
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