Jeffrey Jutai | University of Ottawa | Université d'Ottawa (original) (raw)

Papers by Jeffrey Jutai

Research paper thumbnail of Cognitive impairment and assistive devices: Outcomes and adverse effects

Journal of rehabilitation and assistive technologies engineering, 2016

Research paper thumbnail of Schizophrenia and Spectral Analysis of the Visual Evoked Potential

British Journal of Psychiatry, Nov 1, 1984

Research paper thumbnail of Cerebral Asymmetries in Unmedicated Schizophrenic Patients in EEG Spectra and Their Relation to Clinical and Autonomic Parameters

Advances in biological psychiatry, Apr 16, 2015

Research paper thumbnail of Measuring the Effectiveness of Assistive Technology on Active Aging: Capturing the Perspectives of Users

Research paper thumbnail of Spectral Analysis of the Visual Evoked Potential (VEP): Effects of Stimulus Luminance

Psychophysiology, Nov 1, 1984

Research paper thumbnail of Outcomes Measurement of Assistive Technologies: An Institutional Case Study

Assistive Technology, Dec 31, 1996

The assistive technology (AT) community has been challenged to effectively measure the outcomes o... more The assistive technology (AT) community has been challenged to effectively measure the outcomes of AT services. There has been much discussion recently in the literature about how to conceptualize and respond to this challenge. In this paper, we suggest that these objectives are best accomplished when AT services are understood within the contexts of the total rehabilitation of AT users and the institutional culture in which services are delivered. We provide examples of outcome priorities we have identified and the tools and approaches we have used. These include projects in the areas of clinical, functional, and psychosocial outcomes assessment of ATs.

Research paper thumbnail of Psychometric and Administrative Properties of Measures Used in Assistive Technology Device Outcomes Research

Assistive Technology, Mar 31, 2005

Although there have been numerous calls for increasing the quantity and quality of assistive tech... more Although there have been numerous calls for increasing the quantity and quality of assistive technology outcomes research, no one has analyzed the nature of data that the field has been accumulating. This article summarizes our evaluation of 82 outcome studies, published between 1980 and 2001, addressing assistive technology devices (ATDs). Our data indicate that the "typical" ATD outcomes study published in the past 20 years is one that (a) used a sample population that was diverse in terms of age, disability population, and type of ATD being used; (b) measured user-reported dependent variables with instruments designed specifically for the study; (c) did not report adequate information on the reliability and validity for the measurement instruments that were used; (d) did not discuss the staff workload associated with learning, administering, and scoring its data collection tools; and (e) did not differentiate its findings in terms of distinguishable participant subgroups. Several suggestions are provided to guide future development of assistive technology outcome measures in the domains of usability, quality of life, and social role performance. In addition, seven recommendations are offered to outcomes researchers, policy makers, journal editors, and reviewers in order to improve the reporting of assistive technology outcomes research.

Research paper thumbnail of Introduction: Autonomy in older adults: Offering choice through human and technological connections

Routledge eBooks, Nov 8, 2022

Research paper thumbnail of Protecting the privacy of technology users who have cognitive disabilities: Identifying areas for improvement and targets for change

Journal of Rehabilitation and Assistive Technologies Engineering

Introduction Information Technologies (IT) may serve assistive roles that facilitate the interact... more Introduction Information Technologies (IT) may serve assistive roles that facilitate the interaction of people living with cognitive disabilities (CD) within their environments. However, there are some notable concerns related to privacy threats associated with the use of IT. The purpose of this study was to examine how assistive technology developers may best adapt over time to develop their IT to be resilient against threats to privacy. We therefore focused on the following areas: (1) developers’ knowledge and practices related to privacy protection; (2) challenges when applying recommended practices, and; (3) preferred channels to acquire knowledge. Method We conducted semi-structured interviews with ten technology developers who are members of the AGE-WELL network undertaking research and development of assistive technologies to be used by people who have cognitive disabilities. We used an inductive-deductive method for the analysis of qualitative data to examine participant res...

Research paper thumbnail of Policymaker perspectives on self-management of disease and disabilities using information and communication technologies

Health Research Policy and Systems

Background Policies that support health self-management are malleable and highly dependent on var... more Background Policies that support health self-management are malleable and highly dependent on various factors that influence governments. Within a world that is shifting toward digitalization due to pressures such as the COVID-19 pandemic and labor shortages, policymaking on older adults’ self-management of chronic diseases and disability using information and communication technologies (ICTs) needs to be better understood. Using the province of Ontario, in Canada, as a case study, the research question was What is the environment that policymakers must navigate through in development and implementation of policies related to older adults’ self-management of disease and disability using information and communication technologies (ICTs)? Methods This study used a qualitative approach where public servants from 4 ministries within the government of Ontario were invited to participate in a 1-h, one-on-one, semi-structured interview. The audio-recorded interviews were based on an adapte...

Research paper thumbnail of Evolution of public health policy on healthcare self-management: the case of Ontario, Canada

BMC Health Services Research

Background As people live longer, they are at increased risk for chronic diseases and disability.... more Background As people live longer, they are at increased risk for chronic diseases and disability. Self-management is a strategy to improve health outcomes and quality of life of those who engage in it. This study sought to gain a better understanding of the factors, including digital technology, that affect public health policy on self-management through an analysis of government policy in the most populous and multicultural province in Canada: Ontario. The overarching question guiding the study was: What factors have influenced the development of healthcare self-management policies over time? Methods Archival research methods, combining document review and evaluation, were used to collect data from policy documents published in Ontario. The documents were analyzed using the READ approach, evaluated using a data extraction table, and synthesized into themes using the model for health policy analysis. Results Between January 1, 1985, and May 5, 2022, 72 policy documents on self-manag...

Research paper thumbnail of Evidence and User Considerations of Home Health Monitoring for Older Adults: Scoping Review

JMIR Aging

Background Home health monitoring shows promise in improving health outcomes; however, navigating... more Background Home health monitoring shows promise in improving health outcomes; however, navigating the literature remains challenging given the breadth of evidence. There is a need to summarize the effectiveness of monitoring across health domains and identify gaps in the literature. In addition, ethical and user-centered frameworks are important to maximize the acceptability of health monitoring technologies. Objective This review aimed to summarize the clinical evidence on home-based health monitoring through a scoping review and outline ethical and user concerns and discuss the challenges of the current user-oriented conceptual frameworks. Methods A total of 2 literature reviews were conducted. We conducted a scoping review of systematic reviews in Scopus, MEDLINE, Embase, and CINAHL in July 2021. We included reviews examining the effectiveness of home-based health monitoring in older adults. The exclusion criteria included reviews with no clinical outcomes and lack of monitoring ...

Research paper thumbnail of Well-being In Later Life

Routledge eBooks, Nov 8, 2022

Research paper thumbnail of Measuring the psychosocial impact of mobility assistive products with elderly people: Findings from Italian surveys

Gerontechnology, 2016

Purpose. In 2014 and 2015 the authors surveyed two samples of 79 and 65 users who had obtained mo... more Purpose. In 2014 and 2015 the authors surveyed two samples of 79 and 65 users who had obtained mobility assistive devices from the National Health Service in Italy. The first sample was composed of powered wheelchair users, 71% of them being over 65 years old [1]. The second sample included users of seven different mobility assistive devices: powered wheelchairs, tilting manual wheelchairs, manual wheelchairs with seating system, tracked and wheeled stair-climbing devices, trans-femoral and trans-tibial lower limb prostheses); 42% of them were over 65 years old. Follow-up interviews were conducted in order to collect information about usage, effectiveness, usefulness and economic impact of their assistive device. Method. The instruments used in the interviews, which were conducted at the users’ homes, included an introductory questionnaire and other widely known assessment instruments, one of them being the PIADS (Psychosocial Impact of Assistive Devices Scale) [2], [3]. Results & ...

Research paper thumbnail of The Relationship Between Measures Of Visual Function And Assistive Device Impact Related To Quality Of Life

Investigative Ophthalmology & Visual Science, 2006

Research paper thumbnail of Self-Reported Visual Function and Quality of Life Following the Adoption of a Closed Circuit Television (CCTV) Device for Low Vision

Investigative Ophthalmology & Visual Science, 2007

Research paper thumbnail of Reconciling Needs and Feasibility When Developing Technologies for Persons with Cognitive Disabilities: A Case Study

2019 7th International conference on ICT & Accessibility (ICTA), 2019

Persons with cognitive disabilities (CD) can benefit from using technologies to support their hea... more Persons with cognitive disabilities (CD) can benefit from using technologies to support their health and independence. However, these users often struggle to access and use technologies because their needs are not accounted for in most technology development processes. One of the main reasons for this is because technology developers often experience tension between accommodating the needs of these users with feasibility considerations. In this case study, we describe our transdisciplinary, inclusive and iterative process for reconciling users' needs and feasibility considerations when developing a medication management app for persons with CD. This paper may serve as a valuable resource for technology developers who are interested in developing products for persons with CD, by highlighting some of the real-world challenges they may encounter and providing guidance on how to overcome them.

Research paper thumbnail of Effectiveness of Low Vision Rehabilitation

Investigative Ophthalmology & Visual Science, 2007

Research paper thumbnail of Self-Management Strategies Used by Older Hispanic Women to Overcome Functional Disabilities

Physical & Occupational Therapy In Geriatrics, 2020

Research paper thumbnail of Assessing the stigma content of urinary incontinence intervention outcome measures

Journal of Rehabilitation and Assistive Technologies Engineering, 2017

The goal of this narrative review is to evaluate the efficacy of available questionnaires for ass... more The goal of this narrative review is to evaluate the efficacy of available questionnaires for assessing the outcomes of “continence difficulty” interventions and to assess the selected questionnaires concerning aspects of stigmatization. The literature was searched for research related to urinary incontinence, as well as questionnaires and rating scale outcome measurement tools. The following sources were searched: Cochrane Library, EMBASE, Medline, and PubMed. The following keywords were used separately or in combination: “Urinary incontinence,” “therapy,” ”treatment outcome,” “patient satisfaction,” “quality of life,” “systematic reviews,” “aged 65+ years,” and “questionnaire.” The search yielded 194 references, of which 11 questionnaires fit the inclusion criteria; 6 of the 11 questionnaires did not have any stigma content and the content regarding stigma that was identified in the other five was very limited. A representative model of how stigma impacts continence difficulty int...

Research paper thumbnail of Cognitive impairment and assistive devices: Outcomes and adverse effects

Journal of rehabilitation and assistive technologies engineering, 2016

Research paper thumbnail of Schizophrenia and Spectral Analysis of the Visual Evoked Potential

British Journal of Psychiatry, Nov 1, 1984

Research paper thumbnail of Cerebral Asymmetries in Unmedicated Schizophrenic Patients in EEG Spectra and Their Relation to Clinical and Autonomic Parameters

Advances in biological psychiatry, Apr 16, 2015

Research paper thumbnail of Measuring the Effectiveness of Assistive Technology on Active Aging: Capturing the Perspectives of Users

Research paper thumbnail of Spectral Analysis of the Visual Evoked Potential (VEP): Effects of Stimulus Luminance

Psychophysiology, Nov 1, 1984

Research paper thumbnail of Outcomes Measurement of Assistive Technologies: An Institutional Case Study

Assistive Technology, Dec 31, 1996

The assistive technology (AT) community has been challenged to effectively measure the outcomes o... more The assistive technology (AT) community has been challenged to effectively measure the outcomes of AT services. There has been much discussion recently in the literature about how to conceptualize and respond to this challenge. In this paper, we suggest that these objectives are best accomplished when AT services are understood within the contexts of the total rehabilitation of AT users and the institutional culture in which services are delivered. We provide examples of outcome priorities we have identified and the tools and approaches we have used. These include projects in the areas of clinical, functional, and psychosocial outcomes assessment of ATs.

Research paper thumbnail of Psychometric and Administrative Properties of Measures Used in Assistive Technology Device Outcomes Research

Assistive Technology, Mar 31, 2005

Although there have been numerous calls for increasing the quantity and quality of assistive tech... more Although there have been numerous calls for increasing the quantity and quality of assistive technology outcomes research, no one has analyzed the nature of data that the field has been accumulating. This article summarizes our evaluation of 82 outcome studies, published between 1980 and 2001, addressing assistive technology devices (ATDs). Our data indicate that the "typical" ATD outcomes study published in the past 20 years is one that (a) used a sample population that was diverse in terms of age, disability population, and type of ATD being used; (b) measured user-reported dependent variables with instruments designed specifically for the study; (c) did not report adequate information on the reliability and validity for the measurement instruments that were used; (d) did not discuss the staff workload associated with learning, administering, and scoring its data collection tools; and (e) did not differentiate its findings in terms of distinguishable participant subgroups. Several suggestions are provided to guide future development of assistive technology outcome measures in the domains of usability, quality of life, and social role performance. In addition, seven recommendations are offered to outcomes researchers, policy makers, journal editors, and reviewers in order to improve the reporting of assistive technology outcomes research.

Research paper thumbnail of Introduction: Autonomy in older adults: Offering choice through human and technological connections

Routledge eBooks, Nov 8, 2022

Research paper thumbnail of Protecting the privacy of technology users who have cognitive disabilities: Identifying areas for improvement and targets for change

Journal of Rehabilitation and Assistive Technologies Engineering

Introduction Information Technologies (IT) may serve assistive roles that facilitate the interact... more Introduction Information Technologies (IT) may serve assistive roles that facilitate the interaction of people living with cognitive disabilities (CD) within their environments. However, there are some notable concerns related to privacy threats associated with the use of IT. The purpose of this study was to examine how assistive technology developers may best adapt over time to develop their IT to be resilient against threats to privacy. We therefore focused on the following areas: (1) developers’ knowledge and practices related to privacy protection; (2) challenges when applying recommended practices, and; (3) preferred channels to acquire knowledge. Method We conducted semi-structured interviews with ten technology developers who are members of the AGE-WELL network undertaking research and development of assistive technologies to be used by people who have cognitive disabilities. We used an inductive-deductive method for the analysis of qualitative data to examine participant res...

Research paper thumbnail of Policymaker perspectives on self-management of disease and disabilities using information and communication technologies

Health Research Policy and Systems

Background Policies that support health self-management are malleable and highly dependent on var... more Background Policies that support health self-management are malleable and highly dependent on various factors that influence governments. Within a world that is shifting toward digitalization due to pressures such as the COVID-19 pandemic and labor shortages, policymaking on older adults’ self-management of chronic diseases and disability using information and communication technologies (ICTs) needs to be better understood. Using the province of Ontario, in Canada, as a case study, the research question was What is the environment that policymakers must navigate through in development and implementation of policies related to older adults’ self-management of disease and disability using information and communication technologies (ICTs)? Methods This study used a qualitative approach where public servants from 4 ministries within the government of Ontario were invited to participate in a 1-h, one-on-one, semi-structured interview. The audio-recorded interviews were based on an adapte...

Research paper thumbnail of Evolution of public health policy on healthcare self-management: the case of Ontario, Canada

BMC Health Services Research

Background As people live longer, they are at increased risk for chronic diseases and disability.... more Background As people live longer, they are at increased risk for chronic diseases and disability. Self-management is a strategy to improve health outcomes and quality of life of those who engage in it. This study sought to gain a better understanding of the factors, including digital technology, that affect public health policy on self-management through an analysis of government policy in the most populous and multicultural province in Canada: Ontario. The overarching question guiding the study was: What factors have influenced the development of healthcare self-management policies over time? Methods Archival research methods, combining document review and evaluation, were used to collect data from policy documents published in Ontario. The documents were analyzed using the READ approach, evaluated using a data extraction table, and synthesized into themes using the model for health policy analysis. Results Between January 1, 1985, and May 5, 2022, 72 policy documents on self-manag...

Research paper thumbnail of Evidence and User Considerations of Home Health Monitoring for Older Adults: Scoping Review

JMIR Aging

Background Home health monitoring shows promise in improving health outcomes; however, navigating... more Background Home health monitoring shows promise in improving health outcomes; however, navigating the literature remains challenging given the breadth of evidence. There is a need to summarize the effectiveness of monitoring across health domains and identify gaps in the literature. In addition, ethical and user-centered frameworks are important to maximize the acceptability of health monitoring technologies. Objective This review aimed to summarize the clinical evidence on home-based health monitoring through a scoping review and outline ethical and user concerns and discuss the challenges of the current user-oriented conceptual frameworks. Methods A total of 2 literature reviews were conducted. We conducted a scoping review of systematic reviews in Scopus, MEDLINE, Embase, and CINAHL in July 2021. We included reviews examining the effectiveness of home-based health monitoring in older adults. The exclusion criteria included reviews with no clinical outcomes and lack of monitoring ...

Research paper thumbnail of Well-being In Later Life

Routledge eBooks, Nov 8, 2022

Research paper thumbnail of Measuring the psychosocial impact of mobility assistive products with elderly people: Findings from Italian surveys

Gerontechnology, 2016

Purpose. In 2014 and 2015 the authors surveyed two samples of 79 and 65 users who had obtained mo... more Purpose. In 2014 and 2015 the authors surveyed two samples of 79 and 65 users who had obtained mobility assistive devices from the National Health Service in Italy. The first sample was composed of powered wheelchair users, 71% of them being over 65 years old [1]. The second sample included users of seven different mobility assistive devices: powered wheelchairs, tilting manual wheelchairs, manual wheelchairs with seating system, tracked and wheeled stair-climbing devices, trans-femoral and trans-tibial lower limb prostheses); 42% of them were over 65 years old. Follow-up interviews were conducted in order to collect information about usage, effectiveness, usefulness and economic impact of their assistive device. Method. The instruments used in the interviews, which were conducted at the users’ homes, included an introductory questionnaire and other widely known assessment instruments, one of them being the PIADS (Psychosocial Impact of Assistive Devices Scale) [2], [3]. Results & ...

Research paper thumbnail of The Relationship Between Measures Of Visual Function And Assistive Device Impact Related To Quality Of Life

Investigative Ophthalmology & Visual Science, 2006

Research paper thumbnail of Self-Reported Visual Function and Quality of Life Following the Adoption of a Closed Circuit Television (CCTV) Device for Low Vision

Investigative Ophthalmology & Visual Science, 2007

Research paper thumbnail of Reconciling Needs and Feasibility When Developing Technologies for Persons with Cognitive Disabilities: A Case Study

2019 7th International conference on ICT & Accessibility (ICTA), 2019

Persons with cognitive disabilities (CD) can benefit from using technologies to support their hea... more Persons with cognitive disabilities (CD) can benefit from using technologies to support their health and independence. However, these users often struggle to access and use technologies because their needs are not accounted for in most technology development processes. One of the main reasons for this is because technology developers often experience tension between accommodating the needs of these users with feasibility considerations. In this case study, we describe our transdisciplinary, inclusive and iterative process for reconciling users' needs and feasibility considerations when developing a medication management app for persons with CD. This paper may serve as a valuable resource for technology developers who are interested in developing products for persons with CD, by highlighting some of the real-world challenges they may encounter and providing guidance on how to overcome them.

Research paper thumbnail of Effectiveness of Low Vision Rehabilitation

Investigative Ophthalmology & Visual Science, 2007

Research paper thumbnail of Self-Management Strategies Used by Older Hispanic Women to Overcome Functional Disabilities

Physical & Occupational Therapy In Geriatrics, 2020

Research paper thumbnail of Assessing the stigma content of urinary incontinence intervention outcome measures

Journal of Rehabilitation and Assistive Technologies Engineering, 2017

The goal of this narrative review is to evaluate the efficacy of available questionnaires for ass... more The goal of this narrative review is to evaluate the efficacy of available questionnaires for assessing the outcomes of “continence difficulty” interventions and to assess the selected questionnaires concerning aspects of stigmatization. The literature was searched for research related to urinary incontinence, as well as questionnaires and rating scale outcome measurement tools. The following sources were searched: Cochrane Library, EMBASE, Medline, and PubMed. The following keywords were used separately or in combination: “Urinary incontinence,” “therapy,” ”treatment outcome,” “patient satisfaction,” “quality of life,” “systematic reviews,” “aged 65+ years,” and “questionnaire.” The search yielded 194 references, of which 11 questionnaires fit the inclusion criteria; 6 of the 11 questionnaires did not have any stigma content and the content regarding stigma that was identified in the other five was very limited. A representative model of how stigma impacts continence difficulty int...