PDA-Enabled Job Coaching for Individuals with Acquired Brain Injury

An Online Guide at Virginia Commonwealth University sponsored by

The Commonwealth Neurotrauma Initiative

 

 

Job-Coaching with PDAs

Individuals with acquired brain injury may experience a wide range of on-the-job challenges, as you know, and assistive technology for cognition can help them face some of the most troubling of those challenges. Traditionally, these devices have been used to cue workers to perform a particular task at a particular time (everything from a wake-up alarm at home to medications to regularly scheduled job responsibilities) or to help workers carry out all the steps of complex multi-step tasks (such as on an assembly line). New uses include helping a worker find her/his way to work (GPS in the car), follow a behavioral plan (photo or video prompts), manage money and recognize names/faces. In order to provide assistance, however, a job coach must know how to assess a particular client's strengths and weaknesses, compare needs to job responsibilities, and provide both the right device and enough training to make the client independent in using the device on the job.

The Multiple Dimensions of Job Coaching:

Job coaching is no easy career, and the skills required are far-ranging. At minimum, you need to be able to assess a client's preferences, abilities, weaknesses and supports, balancing all of these characteristics with a particular job-site's requirements, then provide the right accommodations that help the client achieve success day-to-day at work.

Available accommodations may include: (1) restructuring the job, (2) modifying the work-site, (3) developing a flexible schedule, (4) training a supervisor or peer mentor, (5) solving transportation problems, (6) and providing onsite coaching, assistive technology, safety training, social skills training and money management training. The list does not stop here, and every client requires a different, individualized set of accommodations.

What Can a PDA Help You Do?

As mentioned above, PDAs can help clients remember to perform scheduled tasks, perform all the steps of multi-step tasks, and follow behavioral cues for on-the-job social settings. PDAs can also help clients who drive find their way to work or around the work-site, remember names/faces and manage money. If you have a client who might benefit from assistance in any of these areas, a PDA may help.

Who is a Good Candidate?

Individuals who are most likely to benefit from using a PDA as a cognitive aid include those who have: (1) functional vision and hearing, (2) enough dexterity to tap a PDA screen to respond to alerts, (3) an awareness of the need to use a device as a cognitive aid, (4) interest in using a PDA as a cognitive aid, (5) a supervisor who is willing to let the client use a PDA on the job, and most importantly, (6) the ability to respond to a reminder prompt and perform the prompted task.

Assessment Tools:

In determining whether your client has the potential to benefit from using a PDA as a cognitive aid, you may wish to use the following checklist:

ATC Checklist

Your Role in Providing Assistive Technology for Cognition:

When using a handheld computer as a cognitive aid, you are acting an assistive technology provider. To provide this service effectively, you will need to: (1) learn how to use the devices, (2) analyze client tasks with a focus on areas where a PDA may help, (3) determine the best device for your client, (4) collaborate with your client, supervisor and other support personnel to program the device, (5) train the client (and a caregiver) to use the device, (6) assist your client in learning how to use the device as a part of her/his daily routine, (7) provide follow-up consults to make sure the device is working properly for your client, and (8) gradually diminish supports as your client begins to use the device independently.

Basic Set-up and Training:

If your client appears to have the potential to utilize assistive technology for cognition on the job, a recommended first step is to introduce a good basic device that does not have too many bells and whistles. If the device includes computer software, you will probably want to download it to your client's home computer yourself. Then introduce the use of reminder alarms for daily activities. Train your client and a family member or caregiver to troubleshoot difficulties. Initially teach them to program in only 4-5 reminders each day for the first week.

If using the device as a reminder system works during the first week, you can add on more alarms, and consider using the device for more complex tasks. You may want to utilize a task-sequencing program such as Ablelink's Pocket Coach to program in step-by-step instructions for job tasks, for instance. As in training your client to use reminder alarms, you will need to program the device yourself, and provide follow-along assistance to make sure your client can use the device independently on the job.

Learning to use a PDA:

The only way to learn how to use a PDA is to get your hands on one, and then follow instructions as you program in reminder alarms, contact information, memos, etc. If you have never used one before, you will be surprised how easy it is to use the PDA stylus to tap in information. Links on this page provide instructions for using either a Palm PDA or a Pocket PC. Once you have signed up to participate in this research project, we will provide you with a PDA of your choice to use with your client. We recommend that you practice programming and using the PDA for a week or so before you introduce it to your client. Your PDA will include an instruction manual that can provide more detailed instructions than are provided here. Also, the research team is always available to help you troubleshoot difficulties as you learn to use the PDA.

A Research Reminder:

The reason we are conducting this research is to find out whether PDAs can help individuals with brain injury perform more independently on the job. But just as important, we want to know whether training a client to use a PDA as a job aid is worthwhile for you as a job coach. We will be asking you what you liked and disliked about the process and how much time was needed to learn to use a PDA, train your client and provide PDA-related follow-along. We will also ask your advice on how we can improve our efforts to make PDAs useful as job coaching tools. We appreciate your attention to these issues as you proceed with the project and hope you enjoy participating.

Troubleshooting Issues:

Let's look now at some common troubleshooting issues faced by PDA users.

 

 

 

 

 

 

 

 

 

 
 
   
 
 
  Instructions for using the basic features of a Palm PDA.
 
Palm Zire 22
  Palm Z 22. The least expensive basic PDA.
   
 
HP Pocket PC
 
A Hewlett-Packard Pocket PC with Microsoft Windows CE software.
   
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