m-Assist : The development of a client-centred Occupational Performance Assistive tool for people with executive dysfunction

Background: People with executive dysfunction have problems in independent performance of instrumental activities of daily living (iADL). They often need individual assistance towards autonomy and participation. This applied... [ view full abstract ]

Background: People with executive dysfunction have problems in independent performance of instrumental activities of daily living (iADL). They often need individual assistance towards autonomy and participation. This applied research project focuses on requirements and features of an app(lication) for use on tablets, smartphones and -watches.
Aim: To describe the development of a mobile Occupational Performance Assistive tool (m-Assist) that guides clients with executive dysfunction through the steps of iADL.
Method: A client centred design was used to develop the m-Assist in an iterative way.
Results: Based on the results of a qualitative study, problems in executive functioning and iADL were described. Recommendations for the m-Assist app were implemented in a mock-up version and in a next stage into a prototype. In all stages, both the perspective of the client and the occupational therapist (care taker) were taken into account. To improve usability, the tool was further elaborated and digitalized .
Conclusion: The m-Assist shows potential in increasing independence in occupational performance in iADL. The tool must be able to provide support in planning, organisation, timing, initiative, attention, memory, problem solving and self-control. It demands visual, verbal and auditory cues adapted to specific client' abilities and needs. A pilot-study needs to be conducted to research differences in effectivity between traditional approaches and the use of the m-Assist.
Application into practice: The m-Assist is a client-centred digital coach that guides and facilitates independent performance of iADL. The tool can be an added value for occupational therapists, clients, care takers & education .