A pilot study of eye-tracking devices in intensive care

Jonah Garry, Kelly Casey, Therese Kling Cole, Angela Regensburg, Colleen McElroy, Eric Schneider, David Efron, Albert Chi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background Eye-tracking devices have been suggested as a means of improving communication and psychosocial status among patients in the intensive care unit (ICU). This study was undertaken to explore the psychosocial impact and communication effects of eye-tracking devices in the ICU. Methods A convenience sample of patients in the medical ICU, surgical ICU, and neurosciences critical care unit were enrolled prospectively. Patients participated in 5 guided sessions of 45 minutes each with the eye-tracking computer. After completion of the sessions, the Psychosocial Impact of Assistive Devices Scale (PIADS) was used to evaluate the device from the patient's perspective. Results All patients who participated in the study were able to communicate basic needs to nursing staff and family. Delirium as assessed by the Confusion Assessment Method for the Intensive Care Unit was present in 4 patients at recruitment and none after training. The device's overall psychosocial impact ranged from neutral (-0.29) to strongly positive (2.76). Compared with the absence of intervention (0 = no change), patients exposed to eye-tracking computers demonstrated a positive mean overall impact score (PIADS = 1.30; P =.004). This finding was present in mean scores for each PIADS domain: competence = 1.26, adaptability = 1.60, and self-esteem = 1.02 (all P <.01). Conclusion There is a population of patients in the ICU whose psychosocial status, delirium, and communication ability may be enhanced by eye-tracking devices. These 3 outcomes are intertwined with ICU patient outcomes and indirectly suggest that eye-tracking devices might improve outcomes. A more in-depth exploration of the population to be targeted, the device's limitations, and the benefits of eye-tracking devices in the ICU is warranted.

Original languageEnglish (US)
Pages (from-to)938-944
Number of pages7
JournalSurgery (United States)
Volume159
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Critical Care
Intensive Care Units
Equipment and Supplies
Self-Help Devices
Delirium
Communication
Confusion
Aptitude
Nursing Staff
Neurosciences
Self Concept
Mental Competency
Patient Selection
Population

ASJC Scopus subject areas

  • Surgery

Cite this

Garry, J., Casey, K., Cole, T. K., Regensburg, A., McElroy, C., Schneider, E., ... Chi, A. (2016). A pilot study of eye-tracking devices in intensive care. Surgery (United States), 159(3), 938-944. https://doi.org/10.1016/j.surg.2015.08.012

A pilot study of eye-tracking devices in intensive care. / Garry, Jonah; Casey, Kelly; Cole, Therese Kling; Regensburg, Angela; McElroy, Colleen; Schneider, Eric; Efron, David; Chi, Albert.

In: Surgery (United States), Vol. 159, No. 3, 01.03.2016, p. 938-944.

Research output: Contribution to journalArticle

Garry, J, Casey, K, Cole, TK, Regensburg, A, McElroy, C, Schneider, E, Efron, D & Chi, A 2016, 'A pilot study of eye-tracking devices in intensive care', Surgery (United States), vol. 159, no. 3, pp. 938-944. https://doi.org/10.1016/j.surg.2015.08.012
Garry J, Casey K, Cole TK, Regensburg A, McElroy C, Schneider E et al. A pilot study of eye-tracking devices in intensive care. Surgery (United States). 2016 Mar 1;159(3):938-944. https://doi.org/10.1016/j.surg.2015.08.012
Garry, Jonah ; Casey, Kelly ; Cole, Therese Kling ; Regensburg, Angela ; McElroy, Colleen ; Schneider, Eric ; Efron, David ; Chi, Albert. / A pilot study of eye-tracking devices in intensive care. In: Surgery (United States). 2016 ; Vol. 159, No. 3. pp. 938-944.
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N2 - Background Eye-tracking devices have been suggested as a means of improving communication and psychosocial status among patients in the intensive care unit (ICU). This study was undertaken to explore the psychosocial impact and communication effects of eye-tracking devices in the ICU. Methods A convenience sample of patients in the medical ICU, surgical ICU, and neurosciences critical care unit were enrolled prospectively. Patients participated in 5 guided sessions of 45 minutes each with the eye-tracking computer. After completion of the sessions, the Psychosocial Impact of Assistive Devices Scale (PIADS) was used to evaluate the device from the patient's perspective. Results All patients who participated in the study were able to communicate basic needs to nursing staff and family. Delirium as assessed by the Confusion Assessment Method for the Intensive Care Unit was present in 4 patients at recruitment and none after training. The device's overall psychosocial impact ranged from neutral (-0.29) to strongly positive (2.76). Compared with the absence of intervention (0 = no change), patients exposed to eye-tracking computers demonstrated a positive mean overall impact score (PIADS = 1.30; P =.004). This finding was present in mean scores for each PIADS domain: competence = 1.26, adaptability = 1.60, and self-esteem = 1.02 (all P <.01). Conclusion There is a population of patients in the ICU whose psychosocial status, delirium, and communication ability may be enhanced by eye-tracking devices. These 3 outcomes are intertwined with ICU patient outcomes and indirectly suggest that eye-tracking devices might improve outcomes. A more in-depth exploration of the population to be targeted, the device's limitations, and the benefits of eye-tracking devices in the ICU is warranted.

AB - Background Eye-tracking devices have been suggested as a means of improving communication and psychosocial status among patients in the intensive care unit (ICU). This study was undertaken to explore the psychosocial impact and communication effects of eye-tracking devices in the ICU. Methods A convenience sample of patients in the medical ICU, surgical ICU, and neurosciences critical care unit were enrolled prospectively. Patients participated in 5 guided sessions of 45 minutes each with the eye-tracking computer. After completion of the sessions, the Psychosocial Impact of Assistive Devices Scale (PIADS) was used to evaluate the device from the patient's perspective. Results All patients who participated in the study were able to communicate basic needs to nursing staff and family. Delirium as assessed by the Confusion Assessment Method for the Intensive Care Unit was present in 4 patients at recruitment and none after training. The device's overall psychosocial impact ranged from neutral (-0.29) to strongly positive (2.76). Compared with the absence of intervention (0 = no change), patients exposed to eye-tracking computers demonstrated a positive mean overall impact score (PIADS = 1.30; P =.004). This finding was present in mean scores for each PIADS domain: competence = 1.26, adaptability = 1.60, and self-esteem = 1.02 (all P <.01). Conclusion There is a population of patients in the ICU whose psychosocial status, delirium, and communication ability may be enhanced by eye-tracking devices. These 3 outcomes are intertwined with ICU patient outcomes and indirectly suggest that eye-tracking devices might improve outcomes. A more in-depth exploration of the population to be targeted, the device's limitations, and the benefits of eye-tracking devices in the ICU is warranted.

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