Design and Testing of a Novel Communication System for Non-Vocal Critical Care Patients With Limited Manual Dexterity
AuthorsGoldberg, Miriam A.
Faculty AdvisorDr. Robert Brown
UMass Chan AffiliationsDepartment of Anesthesiology
Document TypeDoctoral Dissertation
Augmentative and alternative communication
Intensive Care Unit
ICU patient communication
Communication Sciences and Disorders
Health Information Technology
MetadataShow full item record
AbstractNonvocal alert patients in the intensive care unit setting often struggle to communicate due to inaccessible or unavailable tools for augmentative and alternative communication. A novel communication tool, the Manually-Operated Communication System (MOCS), was developed for use in intensive care settings for patients unable to speak due to mechanical ventilation. It is a speech-generating device designed for patients whose limited manual dexterity precludes legible writing. In a single-arm device feasibility trial, 14 participants (11 with tracheostomies, 2 with endotracheal tubes, and 1 recently extubated) used MOCS. Participants, family members, and observing nurses were interviewed whenever possible. Interviews included a modified version of the System Usability Scale (SUS) as well as open-ended questions; a qualitative immersion/crystallization approach was used to evaluate these responses. Participants with a tracheostomy and their family members/care providers rated MOCS on the SUS questions as consistently “excellent” (average rating across all groups was 84 +/- 17; all subgroups also rated the device highly). Through a qualitative interview process, these stakeholders expressed support for the use of MOCS in the ICU. Based on these data, MOCS has the potential to improve communication for nonvocal patients with limited manual dexterity.
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/31321
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