Tying the Delivery of Activity Step Instructions to Step Performance: Evaluating a Basic Technology System with People with Special Needs

Abstract Objectives This study assessed a new technology system that automatically presented instructions for multistep activities to people with intellectual and sensory disabilities. The instructions were presented one at a time, and tied to the participants’ performance of the activity steps. That is, a new instruction occurred only after the participant had carried out the previous step. Methods The new system involved a Samsung Galaxy A10 with Android 10.0 operating system equipped with Amazon Alexa, MacroDroid, and Philips Hue applications and a Philips Hue indoor motion sensor. The assessment of the new system was carried out with seven participants who were exposed to two or three pairs of activities. They performed one activity of each pair with the new system and the other with a system presenting instructions at preset time intervals according to an alternating treatments design that included a cross-over phase. Results The mean percentage of correct responses tended to be higher with the new system than with the control system. Paired t-tests carried out to compare the sessions with the new system with the sessions with the control system of each participant showed that the differences in correct responses between the two sets of sessions were statistically significant for all participants. Conclusions The new system may represent a useful (advantageous) tool for supporting people like those involved in this study in the performance of multistep activities.