Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study

BMC Neurology

Tom Griffiths¹  Abigail Allsop²  Claire Galea²  Petra Karlsson²  René Pereksles³  Kate Himmelmann⁴  Michael T. Clarke⁵  Saranda Bekteshi⁶  Elegast Monbaliu⁶  Margaret Wallen⁷ 

[1] Cambridge University Hospital, NHS Foundation Trust, Cambridge, UK;Division of Psychology and Language Sciences, University College London, London, UK;Cerebral Palsy Alliance Research Institute, Discipline of Child and Adolescent Health, The University of Sydney, PO Box 6427, Frenchs Forest, 2086, Sydney, NSW, Australia;Cerebral Palsy Alliance, Sydney, Australia;Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Division of Psychology and Language Sciences, University College London, London, UK;KU Leuven – University of Leuven, Department of Rehabilitation Sciences Campus Bruges, Bruges, Belgium;School of Allied Health, Australian Catholic University, Sydney, Australia;

关键词: Accessibility;    Eye-gaze control technology;    Cerebral palsy;    Disabilities;    Clinical decision-making;    Assistive technology;    Augmentative and alternative communication;   

DOI  :  10.1186/s12883-021-02077-z

来源: Springer

【 摘 要 】

BackgroundLimited research exists to guide clinical decisions about trialling, selecting, implementing and evaluating eye-gaze control technology. This paper reports on the outcomes of a Delphi study that was conducted to build international stakeholder consensus to inform decision making about trialling and implementing eye-gaze control technology with people with cerebral palsy.MethodsA three-round online Delphi survey was conducted. In Round 1, 126 stakeholders responded to questions identified through an international stakeholder Advisory Panel and systematic reviews. In Round 2, 63 respondents rated the importance of 200 statements generated by in Round 1. In Round 3, 41 respondents rated the importance of the 105 highest ranked statements retained from Round 2.ResultsStakeholders achieved consensus on 94 of the original 200 statements. These statements related to person factors, support networks, the environment, and technical aspects to consider during assessment, trial, implementation and follow-up. Findings reinforced the importance of an individualised approach and that information gathered from the user, their support network and professionals are central when measuring outcomes. Information required to support an application for funding was obtained.ConclusionThis Delphi study has identified issues which are unique to eye-gaze control technology and will enhance its implementation with people with cerebral palsy.

【 授权许可】

CC BY