About this trial
The overall objective of this study is to develop an Augmentative and Alternative Communication (AAC) system that is effective in delivering a person-centric communication device that will provide a versatile access method that can automatically learn and adapt to the user's physical abilities by creating a personalized, comprehensive keyboard interface for communication, not otherwise available to people in need of alternative communication.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults or Children; age greater than or equal to 6 y.o.
Male or female
Able to (a) spell, (b) follow 2-3 step directions, (c) read 40 point text
Have complex communication needs representing a broad spectrum of developmental and acquired severe motor impairments resulting from high spinal cord injury (SCI), chronic Guillain-Barre syndrome, brain stem stroke, cerebral palsy (CP), locked-in syndrome, among others.
Disqualifiers
Non-English speaker.
Inability to follow simple instructions in English.
Medical history of musculoskeletal conditions (arthritis, spondylosis, etc.) that causes pain on head, hand, or foot movement.
Restricted active or passive rotation of head and neck resulting from unstable vertebral, spinal cord, or nerve roots that places the subject at risk for execution of the protocol.
Trial design
Single group
Treatments tested in this trial
Experimental AAC
DeviceParticipant receives an AAC system comprising 2 wearable sensors for movement-mediated cursor control and muscle activity mediated cursor selection that is integrated with an adaptive and individualized keyboard to test communication performance.
Generic AAC
DeviceParticipant receives an AAC system that is similar to that used to satisfy their normal daily communication needs such as an eye-tracking device with a generic AAC keyboard to test communication.
Treatment groups
Trial outcomes
Primary outcomes
Tele-healthcare Satisfaction Questionnaire - Wearable Technology (TSQ-WT)
Measures quantitative ratings on the TSQ-WT scale from a minimum rating of 0 to a maximum rating of 4, where the higher value means a better outcome.
Information Transfer Rate
Measures the speed in meters/second of accurately moving a cursor to a specified target on a computer screen.
National Aeronautics and Space Administration (NASA) Task Load Index
Measures qualitative ratings that are rated on an interval scale ranging from low (1) to high (100) of perceived user demand, performance, effort, and frustration.
Secondary outcomes
Character-to-character Movement Time
Measures the duration in seconds required to move a cursor to a specified target on a computer screen.
Path Efficiency
Measures the ratio of an ideal cursor path between targets to the actual path traveled.
Frequency of Selecting Word Completion Options
Measures the number of times per session a predicted word is chosen in place of spelling out the individual letters of the word.
Number of Written Disfluencies
Measures the number of times per session a target is substituted, inserted, or deleted as well as the number of pauses between target selections.
Sponsors and contacts
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Altec Inc.
Lead sponsor
University of Nebraska
Collaborator