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• W2586397730 abstract "In the psychiatry, isolation cells are used to lock up patients, when they become emotionally instable, behave aggressively and become a danger towards their selves or his environment. The isolation cell is a low stimulus and high safety environment. This means simply put that the patient has no control in the room. He is dependent on the staff for daily needs, e.g. get food, and get drink, and personal hygiene. The staffs also control activities such as listening to the radio, reading a book and even flushing the toilet and controlling the lighting in the room. The period of seclusion can vary from a couple of days to weeks and in some cases even more than a year. The main target group in this project are patients with a mental disorder called psychosis. Psychosis is an umbrella terminology for disorders such as schizophrenia, borderline, hallucinations, delusions and paranoia. Psychosis can be viewed as the loss of touch with the reality and having an over stimulated mind. Patients are often stuck in their own chaotic thought, which makes it hard to focus. That is why low stimulus isolation cells are used to give the psychotic mind peace. However in practice, patients often suffer from traumas after seclusion. Many patients described the experience as inhumane: feelings of boredom, abandoned, humiliation, loneliness and anxiety were dominating. In project Sensory rooms, an alternative solution for the isolation cell is developed, which should reduce the negative feelings caused by seclusion. The challenges in this project are restricted context in the psychiatry, and the fact that the main users are not allowed to be contacted nor are they able to be involved in a user research which requires their attention. And the target group is very heterogenic, which probably will require a very versatile solution. Alternative ways to research the context and the main user group were used, e.g. extended literature research, interviews with experts, experience mapping with ex-patients and caregivers, experiencing myself a seclusion of 24 hours at the psychiatry and shadowing a caregiver during his shift at the psychiatric ward. Literature research showed that the uncertainty and loss of control over the situation, failure to comprehend the situation, or solely the imagination of the threat are sources for anxiety. Giving back control and provide crucial information helps the patient to reduce anxiety. In the healing environment theory, just watching nature views has proven to be effective in reducing anxiety. Interactional objects and interacting with animals showed potential. Literature indicated that watching TV only distracts momentarily the mind from the psychotic symptoms, and will increase the frequency and anxiety caused by the psychosis. A strategy in which the patient accepts and interacts positively with their psychotic symptoms reduces anxiety and gave them the ability to be more in control over their psychosis. Interview with experts in the fields concluded that the communication between patient and caregivers is complex. Patients feel overruled in conflicts with the caregivers, they feel misunderstood and powerless. Some patients have difficulty with expressing themselves, due to the psychosis. In the post-evaluation, patients indicated that if the communication between them and the caregiver would improve, they would have solved the conflict earlier and got out of the seclusion faster. The caregivers appear strong and in lead when dealing with patients, however they feel in fact vulnerable in many cases. They are cautious, due to past negative experience with patients, and arm themselves emotionally to keep a professional posture. This often reduces their openness to listen or going into discussion with the patient, when the decision is made that he needs to be secluded. During the seclusion, the caregivers are in charge of observing the status of the patient. However the interaction between the patient and caregiver is limited, which also limits the observational value. For both parties it is hard to start a conversation, due to lack of topic or not knowing what the background is of the involved people. From patient perspective, a source of anxiety is the fact that they are dependent of unfamiliar people. Caregivers do not have different clothes or any marks to indicate that they are the medical or nursing staff. The most important moments of a day in the seclusion are the short contacts with caregivers. Even though a conversation might not emerge, the fact that there is company gives a positive feeling. An interactive wall in the Sensory room has been designed, with a special user interface (UI) that supports the patient during the seclusion. The UI is displayed on a 55” portrait monitor with touch screen function, and placed behind 17 mm safety glass. The usability is designed using intuitive gestures to control the UI. The UI appears simple but flexible. The features are categorized into different screens. Each screen has a different level of stimulus. The features are chosen to provide different level of interactivity. Features which make the patient passive, such as TV are avoided at the beginning. The chosen features were: nature videos, drawing program, picture wall, digital pet dog, information screen, video call, radio and ambient lighting. In the final user evaluation, both the affection for the chosen features and the usability were tested with real patient at the department of psychotic disorder. The patients diverged in their preference to the features. The more active patient liked the features with higher interactivity and the freedom to explore, while the passive patient rather watches the videos from the Ambient Experience and pictures of nature. In terms of usability the patients were surprisingly able to navigate through the UI with minimal issues. They were able to complete all the given tasks during the evaluation session of the usability. The evaluation was positive; however the effect of reducing anxiety and give emotional support could not be evaluated due to conditions. In the feature if the sensory room reach the stage that it is used as a living lab, the effects should be tested and feedback to the further development of the interactive wall." @default.
• W2586397730 created "2017-02-17" @default.
• W2586397730 creator A5019409643 @default.
• W2586397730 date "2012-01-01" @default.
• W2586397730 modified "2023-09-23" @default.
• W2586397730 title "Project Sensory room: From isolation to interaction" @default.
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