DP 16 Google Glass: An Alternate Access Solution Deneé Kroeger, MOTR/L Shriners Hospitals for Children - Portland

What is Google Glass all about? Impact of Glass in the medical field across the country: Many medical practitioners across the country are in process of developing their own purpose for Glass. Some researchers have discovered Google Glass is a wearable device which allows the the pro-social impact that wearable technology may have as they look at using this technology to measure user to access their phone, email, GPS, internet, attention and behavior¹. There has recently been a surge of interest for use of Glass in the emergency room to take pictures or videos and other features yet to be access critical medical information more quickly. A telemedicine application for emergency providers is being designed. It is navigated by voice or simple touch tested with dermatologists at a hospital in Rhode Island. The hope seems to be that Glass could be used to help patterns on the side of the device. The menu is provide remote care in an effort to decrease the need for further readmissions². An exploratory study of Glass projected via a display from the Glass as if it were was performed in a University Children’s Hospital in pediatric surgery. They used Glass for a month and reported viewing a 42 in TV about 6-8 feet in front of you. it was well received and beneficial for hands-free photo/video documentation, phone calls, looking up billing codes and internet searches for unfamiliar medical terms/syndromes ³.

More research regarding using Glass for alternate access methods is needed to better track its ability and potential to help children and adults alike become more independent in accessing their world via electronics. According to our case study, it appears training and follow up to help the user learn how to use Glass functionally is very important to increase their likelihood of using the device regularly and with efficacy.

Other alternate access methods for Glass Case Study: A local youth was able to obtain Glass this past considered by the AT team: May (2014). He is a 16 y/o boy with a diagnosis of Duchenne’s Muscular Dystrophy which is a progressive neuromuscular disease 1) Alternate classroom experience: wherein a student uses “google hangout” causing muscle weakness. to virtually attend a class. 2) Hands free word processing: reminders, notes and short essays He reported originally that his hope was to use Glass in order to 3) Environment Control Unit (ECU): ECU app can be used to control independently: electronics, lights or doors via WeMo or other home automation products -take notes - reminders How is Shriners Hospitals for Children (currently WiFi driven). -take videos/pics - phone calls (SHC) – Portland using Glass? 4) Operating a powered wheelchair: it may be possible to use head tilt, eye -check email - access the computer/ blink or voice commands to initiate a powered wheelchair. -text message internet

5) Real time language interpretation -record lectures - ECU control (lights & TV) The SHC-P assistive technology team implemented a new Google 6) Real time virtual adventures and accessible geo-caching Glass program August 2013 which provides the opportunity for 7) For the Blind (via Dapper Vision): ⁴ The Psychosocial Impact of Assistive Devices Scale (PIADS)⁵ is a 26- children with disabilities to trial this innovative technology and A) Memento app: recognizes scenes and provides info accordingly item self-report used to help us gather information on how he felt give feedback regarding its functionality and usefulness to with previously downloaded content obtaining Google Glass was affecting his functional independence, developers. The information obtained from the 15 children B) “OpenGlass Project”: allows user identify in real time what they well-being, and quality of life. This assessment is divided into three through interview and survey was reported back to Google to see in front of them via twitter and mechanical turk (objects, places, subscales: 1) competence 2) adaptability 3) self-esteem which are provide insight into how they can improve their product to better people etc) scored using a Likert system (-3 to +3). He scored himself: 1)1.17 serve children and adults with motor impairments. Since Google 2)1.67 3)1.13 respectively in these areas after having Glass for two Glass is “application (app) driven”, similar to a smart phone or months. After given “Glass homework” assignment he scored You’re invited to try Google Glass! PIADS SCORING SHEET tablet device, the Shriners assistive technology team is in process Enter Client ID# and the device being rated in the white spaces below. himself higher (1.92) in competence and (1.5) in self-esteem. Name: ______DOB: ______Date: ______Client ID#: Device: Google Glass of working with app developers to create apps for individuals Enter the value selected for each item on the PIADS in the "Item Score" column. Subscale Dx: ______MRN: ______Grade: ______scores are calculated automatically and inserted in the "Subscale Score" column. Appropriate Benefits: with upper extremity limitations as well as to create customized What do you hope to be able to do with Google Glass? ______values will range from -3 to +3. ______Item Item • Increases his independence in taking videos & pictures apps to meet an individuals’ personal wants/needs. The voice ______Number Item Score Subscale Scores How much do you currently use technology? 1 Competence 2 Competence 1.17 • Comfortable and compact activated feature is helpful for children with neuromuscular □ Never □ Occasionally □ Some of the time □ Frequently □ Always 2 Happiness 3 Adaptability 1.67 3 Independence 1 Self-Esteem 1.13 What devices and for what purpose? ______4 Adequacy 0 • disease who are unable to access their world conventionally. subscale item Allows portability and easy access for his electronics ______5 Confusion -1 count 6 Efficiency 2 0 ______• “more connected” via email and social media Google Glass has the potential to revolutionize the way many 7 Self-esteem 1 0 LET’S TRY IT!!!! 8 Productivity 0 0 1) □ Make sure you have a good fit; ask your OT if it you can’t see part of the display. 9 Security -1 • Increases his competence in exploring new technology individuals with motor impairments access their world. We are 2) □ Google your favorite topic or find the nearest Starbucks. 10 Frustration 0 3) □ Take a picture or short video. 11 Usefulness 1 12 Self-confidence 2 exploring how these ideas and apps may increase the quality of How often do you think you would use Google Glass? 13 Expertise 0 □ Never □ Occasionally □ Some of the time □ Frequently □ Always 14 Skillfulness 1 Barriers: life in the children we see. 15 Well-being 2 16 Capability 3 Was any part of using Glass difficult? Explain. ______• new technology often means there is not yet a robust group to 17 Quality of life 2 References: ______18 Performance 1 19 Sense of power 2 ______provide support ¹ Nasioplous E, Risko EF, Foulsham T, Kingstone A. (2014 Jul 8). Wearable computing: Will it make people prosocial? British Psychology Society. 20 Sense of control 1 What part of your daily activities would you like Glass to do for you that is difficult now? 21 Embarrassment -1 ² Unknown Author (2014 may 26) Emergency providers see big potential for Google Glass. ED Manag. (5) 55-58 ______22 Willingness to take chances 0 • 1 day battery life (shorter with excess video) ³ Muensterer OJ, Lacher M, Zoeller C, Bronstein M, Kubler J. (2014 Feb 15) Google Glass in pediatric surgery:an exploratory study. Int J Surg (4) 281-289 ______23 Ability to participate 1 24 Eagerness to try new things 2 ______• Social participation (he reported he was sometimes not ⁴ http://www.visionaware.org/blog.aspx?BlogID=9&BlogEntryID=859 25 Ability to adapt to the activities of daily 2 Thank you for your input!!! 26 Ability to take advantage of opportunities 3 ⁵ Day H, Jutai J. (1996) Psychosocial Impact of Assistive Devices Scale (PIADS) v4.2b (2003). attending conversations etc)