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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Meg A Traci, PhD, Rural Institute on Disabilities, The University of Montana, 52 Corbin Hall, Missoula, MT 59812, 406-243-4956, matraci@selway.umt.edu, Tom Seekins, Phd, Rural Institute on Disabilities, University of Montana, 52 Corbin Hall, University of Montana, Missoula, MT 59812, and Rebecca Burke, MS, Rural Institute on Disabilities, 52 Corbin Hall, University of Montana, Missoula, MT 59812.
This presentation will focus on the application of Ecological Momentary Assessment (EMA; e.g., Shiffman, 2000) using palm-top computers within a prospective study as a means to collect direct observational data in residential field settings. It reflects the collaborative efforts of university researchers, state agencies, community-based service providers, and individuals with developmental disabilities to further study the relationship between the stability of personal assistants (PA) and the health of individuals whom they serve. Careful balancing of the provision of opportunities and the promotion of stability can have positive effects on the well-being, growth and development of individuals (AAMR, 1992). Cross-sectional survey data from prior research has suggested that change in PA – a disruption in the stability of the support environment – is associated with higher rates and greater severity of limitation due to secondary conditions, including dental hygiene, injuries to consumer and care provider, and physical fitness among others, and with higher rates of health care utilization (Seekins, Traci, & Szalda-Petree,1999). A recent pilot study conducted with 28 consumers and six group home managers and supported living coordinators over six months indicated that the palm-top observational system required substantial investment to develop yet enjoyed very high ratings of satisfaction among participants. Results of a reliability study comparing pilot EMA data to retrospective survey data, agency records, and Medicaid claims data will be presented in conjunction with financial cost descriptions of implementing EMA. Finally, EMA will be discussed as an alternative to traditional methods for evaluating programs that support individuals with developmental disabilities.
Learning Objectives: At the conclusion of the session, the participant in this session will be able to
Keywords: Disability Studies, Methodology
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.