APPS and EBP - AzTAP · ASHA 2016. Course #1356. APPS and EBP: How to succeed in the quest to identify research based apps. ... payment for apps which have been designated as rating

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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3

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

• • • • • • • • • •

• • • • • • • • • • • • • • •

•• • • • • • • • • • • • • •

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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23

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