Assistive Technology (AT) Training for Healthcare Professionals - PowerPoint PPT Presentation

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