apps and ebp - aztap · asha 2016. course #1356. apps and ebp: how to succeed in the quest to...
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ASHA 2016Course #1356
APPS and EBP:How to succeed in the quest to identify research based apps.
Mary E. Huston, MS, CCC-SLP
Mai Ling Chan MS, CCC-SLP
Jessica Solari, MA, CCC-SLP
Mai Ling CHAN, MS, CCC-SLPCEO and CoFounder of YappGuru
Disclosure:Financial• Receives honoraria for CE courses and seminars. • Mai Ling’s company, YappGuru, receives an application submission payment for apps which have been designated as rating a 4
or 5 star App Excellence Award achievement based on the rubric available at yappguru.com. • Co-author and receives royalties for a text: Exceptional M.O.B.I.L.E.
Non Financial• Occasionally receives promotional codes for apps in order to participate in beta testing and complete reviews. Occasionally,
Mai Ling’s company, YappGuru is provided with promotional codes for apps to gift to members/users.
• Personal:• Familiarity with application developers
Presenter
@mailingchan
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DELIVERYMODEL
QUALITY PURPOSE. USE ENGAGEMENT
2010
2011
20132012 2014
2015
Samsung Galaxy Tab10.5-inch iPad Pro
2017
Tablet HistoryWhen did we get these cool gadgets?
Surface Pro 3iPad Air2
iPad (iOS)Samsung Galaxy Tab(Android)
iPad 2Kindle Fire(Android)B&N Nook(Android)
iPad AiriPad Mini2
iPad 3 & 4iPad MiniNexus 7Samsung Galaxy NoteMicrosoft Surface
Surface Pro 4iPad Pro
AndroidiPad
Other
•
2010# of Apps Available(https://www.statista.com/statistics/276623/number-of-apps-available-in-leading-app-stores/)
140,000iOS
100,000Android
2017# of Apps Available(https://www.statista.com/statistics/276623/number-of-apps-available-in-leading-app-stores/)
2.2iOS
2.8Android
Articulation ScreeningsArtic
SwallowPhonological Awareness
Language
AACGrid Based
Context Based
Aphasia
LanguageGrammar
Sentence StructureVerbs
Caseload Management
PragmaticsSocial Skills
Conversations
Types of AppsEDUCATION ● MEDICAL ● TOOLS
Cognition
0 •
FUN APPS
Research Based
Find the BEST apps
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The Challenge:Finding the BEST apps
Research based therapy
Takes time to conduct research
Expense
Ethical responsibility
(www.asha.org/Research/EBP/)
Client/Patient/CaregiverPerspectives
EBP
RubricsRate your APP
F PC Y
FIVES PICO
Critical Evaluation ofA Content-BasediPad/iPod app
YappGuruExcellenceAward
The FIVES CriteriaSean SWEENEY, MS, CCC-SLP
FFIVES
Originally designed to understand how to apply
“re-purposed” apps, still applicable for
evaluating ALL apps.
https://www.scribd.com/doc/44503715/Fives-Booklet
The FIVES CriteriaSean SWEENEY, MS, CCC-SLP
FairlyPriced
Interactive Visual EducationallyRelevant
Specific orSocial
FFIVES
Using FIVESBitsboard
• $39.99 for unlimited use, free limited version available.Fair Price
• The user can customize the boards for individual use.Interactive
• Allows pictures to be usedVisual
• Can be used for a variety of purposes (flashcards, spelling words, etc.)
Educational Relevant
• Not specifically speech related, but definitely as specific as the individual cares to create the boards.
Specific
F
PICO+ 5 Steps
http://blog.asha.org/2012/08/23/apps-and-ebp/
Lara WAKEFIELD, PhD, CCC-SLP & Theresa SCHABER, MA, CCC-SLP
Originally designed tocreate an
answerableclinical question.
PPICO
PICO+ 5 Steps
Age, grade, gender,
diagnosis, onset, demographics
Population
Lara WAKEFIELD, PhD, CCC-SLP & Theresa SCHABER, MA, CCC-SLP
PPICO
Situations related to theory, setting, delivery,
etc.
Theoretical basis,
methodology, tools, settings,
delivery
Intervention
Comparison
OutcomeConsider long and short-term outcomes or
goals
Critical Evaluation of a Content-Based iPad/iPod appKathy SCHROCK, M.L.S.C
Critical Evaluation ofA Content-BasediPad/iPod app
Comprehensive online rubric that
can be completed and printed out.
http://www.ipads4teaching.net/critical-eval-of-apps.html
Content & Components
Blooms Taxonomy
CCritical Evaluation of aContent-BasediPad/iPod app
Critical Evaluation of a Content-Based iPad/iPod appKathy SCHROCK, M.L.S.
iTunes Ratings
KathySHROCK
http://ipads4teaching.net
Na1me: ------------------------- Date: _____ _
CRITIC,AL EVALUATION OF A CONTENT-·BASED IPAD/IPOD APP ©2011 -2015 Kathl,een Schrock ([email protected])
iPads for Teaching siite: http:// ipads4teaching.net
What is the title of t;he app? ______________ Cost: ___ Size of app {MB) __
C reator oftheapp ______________ _ iTt1nes URL: -----------Contentarea(s) : ______________________ Grade level(s): ___ _
CO·NTENT AND COIMPONEN'TS OF THE APP YES NO NIA
I Curriculum connection: Are the skills reinforced connected to targeted skill/concept? D D D Authenticity: Are skills praotioed in an authentic format/problem-based environment? D D D IFe,edback~ Is feedback specific and result in improved student performance? D D . D
I !Differentiation: Does the app offers flexibil1ity to alter settings to meet student needs? D D D User friendliness: Can st udents launch and navi.gate within :1,e app independently? D D D Student motivation: Are students motivated to use the app and select it to use often? D D D !Reporting: Is assessmentlsummary data available electronically to the student/teacher? D D D Sound: Does the music/sound in the app add to the educational aspects of the content? D D D !Instructions'. Are the instructions incl!uded helpful and the correct reading level for the student? D D D Support page: Does the app's supporting Web page provide additionail useful information? D D D 1Navigat1ion: Does the app use the touchscreen effectively throughout its use? D D 0 1 IMoc:talltles: Are multiple versions of instructions such as text video, and audio, inc luded? D D __ D
Level(s) of Bloom 's Taxonomy addr,essed with this app (che,ck all that apply)
Remembering Understanding Applying Analyzing Evaluating I Creating
WhatCCSS or stateJlocal standard(s} can this app address?
Su mma1ry of the app
Using the data you have collected above, explain why you wou ld or would not recommend thi1s application for L11se in t he classroom. Include arny specific ideas you nave for its use .
iTunes Application Ratings 4+ D 9+ D 12+ D 17+
D 1 (click on ratings while in he App Stor,e to learn more}
©2011-15. ·1th. ch.rock. AJI .rigllt re erved. Penni· lon to reproduce for cla ·sroom use gra nted.
YappGuru App Excellence AwardMary HUSTON, MS, CCC-SLP
& Mai Ling CHAN, MS, CCC-SLP
Rewards apps which reflect best practices
from creation through usage.
http://yappguru.com/excellence
YYappGuruExcellenceAward
ExpertApproved
Evidence BasedPractice
EngagementProfessionalGuidance
Mary HUSTON, MS, CCC-SLP & Mai Ling CHAN, MS, CCC-SLP
Relevance
YappGuru App Excellence Award
APP EXCELLENCE
AWARDS
Exce ence R ting
BY YAPPGURU
Targets and Attributes The following rubric defines criterion based targets
and corresponding attributes which establish
YappGuru's strict evaluation process for the
YappGuru App Excellence Award disfnction.
Evidence-Based Practice: Making the best clinical
decisions based on the integ ration of the best evidence o,vailab lle via resea rch studies, practitioner expertise
a.nd other resources. These decisions focus on the
cha racteristics, state, needs, values, and preferences of those who will be affected.
Relievant: Having direct con nection wilh a spec iflc
torgef(s)1
Engaging: Encourages interaction/utilization Note: This cri teria may also reflect on N/A (Not Applicable) rating when an app's purpose is for
functional use only i.e. Calcu lato r opp
Professional Developer: Industry professiona ls in eluding educators, speech/ occu patio no I/ physic a I
therapists, assislive techno logy experts, psycho llogy/ beh ovio,r analyst
Expert Approved:· Reviewed and rated by YappGuru Experts a t www.yoppguru com
YAPPGURU .com I [email protected]
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What the Stars Mean:
An ulti mate app with the· highes standard of in·d1ustry recognize1d qua lity, relevance, and research-based k owl,edg,e.
A great app1 show'i ng high s an da rds of qua Ii -y, releva nee, a ·· d res 1earch~based knowledlg1e .
. A good app wit standards ·of qual ity, relevance·, or r1esearch-based kno1w1l1edge.
A ,good app1 with el1ements of 1qual ity, ,e,levance, or res,ea rch-based kn101wledge.
No connection with evidence based research.
Created with the knowledge of evidence based research (as
mentioned in he ap1p description and/or software
developer websi· e) OR ecommends/ men ions the in egration of s ecific evidence based
s rategies/ echniques which have proven effectiveness
based on research studies and/or demonstrated clinical
expertise - 1i n the app desc:r~ pt:ion, d1i rections, or a pp i nformat1iori.
Other apps by th[s developer are created with he
knowledge of evldence based research (as evidenced by
the software developer website), however, no specific
references are made to the app under revfew for
certification - either in the app description or on the
software, developer website.
Created with the knowledge of ev1dence based research (as
mentioned in the app description or software developer websi e), AND recommends/ mentions the in egrat" on of
specffic evi . ence based strategies/techniques wh[ch have
proven effectiveness based on research s udies ndlor demonstrated clin[cal expertise - [n the app descrfption,
dire.er o,ns, or app information.
Th [s app appears to be created with the knowledge of
evidence based research bu EBP ·snot efere ced in the
desc1 iption of lhe app under review for certifica ion or in
he specific app informatio,n on he software developer
web,site
Created with the knowledge of evidence based research (as
mentioned in the app description or software developer websi et recommends/mentions evidence based prac Ice,
AND specifica I ly in egrales techniques aind/o argets
academic or therapeu ic ski I1s w · ich have proven
effect1iveness based on research studies and/or
demonstrated clinical expertise - into the functionality o:f
the app.
,Rellevant N/A: Not meant to 1rarg,et any specific: goals or learning (e.g. dropboxlp1rofessional tools).
D1oes not sperirfy I arnrng or other speci·fic targets in the
a pp d 1escription.
App specifies a targe (s) in the app descrip ion and
demonstr tes a1 we k connection w·th its designed
purpos .
1 Does not: s1pecify learning or oth1er specific: targets in the
.app but appears to have learni n.g targets in place.
Ap .· specifies a arget(s) in ·the a pp descrip ion and
demonstra es some direct con nee ion with its designed
purpose.
2 App specff ies a target(s) in th1e app descript ion, however,
does not demonstrate a direct connection w ith its designed
1purpos,e.
5 App specifies a targe (s) fn the app1 descrip ion and
demo11strates a st ong direct connection with its designed
purpose.
Natt engaging and does not encourage use.
3 Parts of app are engaging and encourages use for short
periods of i m,e.
NlA: This c:riteria is not re levant for th is app. (i.e. Professronal tools)
1 Parts of app are engaging for shon periods of time but
does not encourage use.
4 Somewhat effective in encouraging engagement and use.
2 Encourag,es ,engagement far a short period of time but not
sustained engagement or use ..
5 Highly effective in encouraging engc;1gement and use.
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Ni/A: Not meant/required to be ,developed this way (e.g. dropbox, cal cu la1tor)
0 App does not refer to education'', 1•rehabilitati,on'\ or 11therapy~ in the app descript~on, and there is no evidence
of creation with industry professional guidance as reported
in the app descrj pt ion or software developer website.
3 App1 refers to 111educationr', •Jrehabilitation11
, or "therapy~ in
the app description, and probab~ was created with
industry professional guidance based on the app
description or software developer website.
App refers t,o 11education'\ 11rehab'litation'', or f1therapy' in
the app ,description, however, no evidence of creation with
industry pr,ofess1onal guidance in app use/ lay out or ,as
reported in the app description or software dev,eloper
websit,e.
App does not refe,r ta ,.reduc:ation'\ ·~rehabilitation", ,or
··therapy- ,n the app description, but was ,created ·with
Industry pr,ofessional gu id a nee as reponedl in the app
description or software, developer website.
2 App refers to' education''j "rehabi litation'\ or 11therapy1 in
the app description, and layout OR app us,e suggests it was
created with industry professional guidance b,ut this is not
evident in the app de,srri pt ion or software developer
webs~te.
App refers to ~1education'\ -~rehabilitation", or ntherapy' in
the app description, an1d wa1s created with industry
professional guid1ance/authorship as reported in the app
description ar so,ftware developer website.
Has not been reviewed by a leas . one (1) YappGuru Expert
a www.yappguru.com
Reflects a minimum of a 2 star review by at l1earst two (2}
YappGuru Experts at www.yappguru,..com
Exp1ert A.pp1roved
Reflects a 1-star review by at least one (1) YappGuru Expert
atwww.yappguru.com
Re·fliects a minimum1 of a 3 star review by at least one (1)
YappGuru Expert atwww.yappguru.com
Refilects a minimum of a 2 star r1eview by a least one (11)
Y ppGu ru Expert at www.yapp,guru.com
Reflects a min·i mum of a 4-star review or higher by at least
one (1) YappGuru Experts at www.yapp1guru.com
FIVES
PICO
YG ExcellenceAward
APP
2 Apps3 Rubrics
i ................ ..
...................... i
FIVESArticulate it! Pro
• $42.99 for unlimited use, includes all consonants, processes, and distinctive features. Buying sets individually would cost over $100.00.
Fair Price
• The user can customize the words, includes recording feature, keeps data.Interactive
• Uses pictures and themesVisual
• Speech therapy, includes a language component with reading also.
Educational Relevant
• Specifically for articulation therapy, keeps data, individual or group.Specific
F
PICO + 5Articulate it! Pro
• School-aged children.Population
• Vertical treatment strategy with articulation application four 15-minute sessions per week.
Intervention
• Vertical treatment strategy with articulation drill flashcards for two 30-minute sessions per week.
Comparison
• Help students become more intelligible.Outcome
PStep 1
PICO + 5Articulate it! Pro
• ASHA Practice Portal & Evidence Maps for Speech-Sound Disorders.
Step 2: Find evidence
• Research articles and a Systematic Review.
Step 3: Assess evidence
• “articulation” apps search = 65+ results. This app had one of the highest ratings.
Step 4: Search app store
• Developed by SLP, vertical treatment approach, distinctive feature therapy, cyclical approach, visual feedback, data collection, REMLE project.
Step 5: Clinical decision
P
YG App ExcellenceArticulate it! ProY
• Appears to be based on traditional articulation therapy as recognized by professionals.
Evidence Based Practice
• “designed by a certified speech-language pathologist.” Barbara Fernandes, MS CCC-SLP.
Professional Guidance
• Designed for speech-therapy. States this on the website.Relevant
• Has fun themes, limited games, and fun pictures.Engaging
• 7 reviews have been completed by YappGuru App Review Experts.
Expert Approved
Language Therapy: Aphasia & Stroke
FIVES
• $59.99. Four different apps in one. Definitely a fair price.Fair Price
• Individuals select choices App can be customized.Interactive
• Uses real images.Visual
• Rehabilitation relevant. States it is for speech-language therapy on the website.
Educational Relevant
• Specifically for treatment of Aphasia.Specific
F
• Adults with chronic aphasia.Population
• Using language-impairment based treatment to improve language expression, spoken language comprehension, written expression, & reading comprehension
Intervention
• Using an application for therapy versus no treatment.Comparison
• See improvement in language-impairment over a year’s time.Outcome
PStep 1 Pico + 5Language Therapy: Aphasia & Stroke
• ASHA Practice Portal & Evidence Maps for Speech-Sound Disorders.
Step 2: Find evidence
• Effect of Computer Therapy in Aphasia: A Systematic Review.
Step 3: Assess evidence
• “aphasia” apps search = 77+ results. This app had one of the highest ratings and includes 4 apps.
Step 4: Search app store
• Developed by SLP, research on website, word-retrieval cueing, semantic approaches for anomia, cues for reading, verb network, etc.
Step 5: Clinical decision
P Pico + 5Language Therapy: Aphasia & Stroke
Y• .
Evidence Based Practice
• Created by Megan S. Sutton, MS, RSLP, CCC-SLP (C)
Professional Guidance
• Designed for speech-therapy, combining two receptive and two expressive aphasia apps in one.
Relevant
• Completely customizable with words, pictures, prompts, & sounds.Engaging
• 1 review has been completed by YappGuru App Review Experts.
Expert Approved
YG App ExcellenceLanguage Therapy: Aphasia & Stroke
App · pee
Evidence
Ne\11/S
Stark, B. C., & Warburton, E. A. {2016). Improved language in chron ic aphasia after self-delivered iPad speech therapy. NeuropsychoLog ical Rehabilitation, 1-14.
Knollman-Porter, K., Dietz, A. &. Lundeen, K. (2011). Seveu~ Chronic Aphasia: An Intensive Treatrnent Protocol for Auditoiy Comprehension. http://aphasiology.pin.edu/a rchive/00002 27 6/
I
Conclusion
The quest is complete!
EBP Appropriate Supportive
RUBRICS
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I a a a a a a a a a a
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QUESTIONS?
THANK YOU