1. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. View: Universal Access FeaturesUniversal Access Features Or: Begin PresentationBegin Presentation The IMPACT 2 Model

2. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. IMPACT 2 Model Integrated Multi-Intervention Paradigm for Assessment and Application of Concurrent Treatments

3. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Overview of the IMPACT 2 Model This model describes the theoretical relationship of key intervention approaches used to optimize function of people with disabilities. The model delineates variables we must measure to understand outcomes of assistive technology interventions as they are practiced in the natural environment.

4. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Background of IMPACT 2 Model The diverse set of rehabilitation intervention approaches has been documented for decades in the literature. The rehabilitation and occupational therapy fields have emphasized these factors as constructs used for determining best treatment options. In the past few years, this model has focused on illustrating variables relevant to measuring assistive technology outcomes. This provides the context for the following slide presentation.

5. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. IMPACT 2 Model Schematic Detail OUTCOMES BASELINECONTEXT INTERVENTION APPROACHES OUTCOMES COVARIATES PRE-INTERVENTION

6. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. The IMPACT 2 Model CONTEXT Environment Task Person BASELINE Function (performance, quality of life, participation) INTERVENTION APPROACHES Reduce the Impairment Compensate for the Impairment Redesign the Activity Redesign the Environment Use personal assistance Use Assistive Technology Devices and Services OUTCOME COVARIATES OUTCOMES Function (performance, quality of life, participation) Universal Design Health Promotion PRE-INTERVENTION $$ Precursor Variables Satisfaction Device Service Dissatisfaction Device Service Discontinuance Use

7. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Selected Bibliography: Smith, R. O. (2004). Using assistive technologies to enable self care and daily living. In C. Christiansen (Ed.), Ways of Living: Self-Care Management for People with Special Needs. (3 rd Ed.) Bethesda, MD: American Occupational Therapy Association, Inc. Rust, K. L. & Smith, R. O. (2004, June 20). Satisfaction with assistive technology: What are we measuring? Poster presented at the the RESNA 27th International Conference on Technology & Disability: Research, Design, Practice & Policy, Orlando, Florida. Smith, R. O. (2002). Assistive Technology Outcome Assessment Prototypes: Measuring "Ingo" Variables Of “Outcomes". Proceedings of the RESNA 2002 Annual Conference, RESNA Press, 22, pages 115- 125. Christiansen, C. (1991). Occupational Therapy: Intervention for Life Performance. In In C. Christiansen & C. Baum (Eds.), Occupational Therapy: Overcoming Human Performance Deficits. Thorofare, NJ: Slack Publishers.

8. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. This work is supported in part by the National Institute on Disability and Rehabilitation Research, grant number H133A010403. The opinions contained in this paper are those of the grantee and do not necessarily reflect those of the NIDRR and the U.S. Department of Education. Acknowledgements

9. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Copyright Presenter’s may choose to use slides as a stand alone presentation or use all or a subset of the slides in another presentation. Slides may be displayed and duplicated as long as credit to the authors and the copyright information is maintained. Go back to the opening presentation slide.

10. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Presenter Options: Universal Access Features The “speaker notes” function in PowerPoint is used as a universal access feature.  The speaker notes contain long text descriptions of the graphics, because it was not feasible to do this with PowerPoint’s ALT text function to provide access for people with disabilities, including vision and cognitive impairments.  The notes can also be used to prepare a presenter for delivering the slides.  Where graphics repeat, the descriptions for graphics only describe what has changed from the previous slide.  Unfortunately, current versions of the free PowerPoint Viewer do not support “speaker notes.”

11. © 2004 Rehabilitation Research Design & Disability (R 2 D 2 ) Center, UW-Milwaukee, www.r2d2.uwm.edu Copy & distribute freely, but use in its entirety and do not alter. Presenter Options: Viewing Speaker Notes Using the “Slide Show” view  In Windows, right click on the slide in use or use the CONTEXT key to bring up the menu, and then select “speaker notes”  On a Mac, using Ctrl + Click on the slide and select “speakers notes” from the menu. The notes can also be seen as a part of the “Normal” view or directly by using the “Notes Page” view. When in “Normal” view, F6 can be used to switch between the slide, notes, and outline panes respectively. Go back to the opening presentation slide