Effect of touch screen tablet use on fine motor functions in children with hemiparetic cerebral palsy: A randomized controlled trial.

BACKGROUND: Cerebral palsy is the most frequent condition affecting the central nervous system and causing large disability. OBJECTIVE: To determine the impact of touch screen tablet upon fine motor functions in children with hemiparesis. METHOD: This was a randomized controlled trial involving 60 children, ranging in age from 5 to 7 years old, randomized into two groups: intervention or control group (30 children per group). Both groups were given 12 consecutive weeks of designed fine motor tasks. Additionally, for thirty minutes, the intervention group was given a fine motor exercise program on a touch screen tablet. Upper limb function, finger dexterity and pinch strength were measured pre and post the recommended treatment program using the quality of upper extremity skill test (QUEST), Nine-Hole Peg Test and Jamar hydraulic pinch gauge, respectively. RESULTS: All outcome measures were equivalent between intervention groups at admission (P > 0.05). Significant improvements were found in all assessed variables within the two groups. Meanwhile, the intervention group had significantly higher improvements (P < 0.05) in finger dexterity, pinch strength, and upper limb function when compared with the control groups. CONCLUSION: Including a touch screen smart tablet application with a specially designed fine motor program is an effective method that helps children with U-CP perform more effectively with their fine motor skills.

Digital clock drawing test reflects visuospatial ability of older drivers.

Objectives: To keep older drivers safe, it is necessary to assess their fitness to drive. We developed a touch screen-based digital Clock Drawing Test (dCDT) and examined the relationship between the dCDT scores and on-road driving performance of older drivers in a community-setting. Methods: One hundred and forty-one community-dwelling older drivers (range; 64-88 years old) who participated in this study were included in the analysis. Participants completed the dCDT, the Mini-Mental State Examination-Japanese (MMSE-J), and an on-road driving assessment. We examined the relationship between dCDT scores using the method by Rouleau et al. (maximum 10 points) and the on-road driving performance based on a driving assessment system originally developed by Nagoya University. Results: Multiple regression analyses showed that errors in the driving test were associated with dCDT score for the items "confirmation," "turning left" and "maintains driving lane position". Discussion: This study confirmed the relationship between the dCDT score and driving errors, such as confirmation, turning left and maintaining driving lane position. The increase in these errors indicates a decline in visuospatial ability while driving. The dCDT score may reflect older drivers' visuospatial abilities while driving.

"It helps and it doesn't help": maternal perspectives on how the use of smartphones and tablet computers influences parent-infant attachment.

As families increase their use of mobile touch screen devices (smartphones and tablet computers), there is potential for this use to influence parent-child interactions required to form a secure attachment during infancy, and thus future child developmental outcomes. Thirty families of infants (aged 9-15 months) were interviewed to explore how parents and infants use these devices, and how device use influenced parents' thoughts, feelings and behaviours towards their infant and other family interactions. Two-thirds of infants were routinely involved in family video calls and one-third used devices for other purposes. Parent and/or child device use served to both enhance connection and increase distraction between parents and infants and between other family members. Mechanisms for these influences are discussed. The findings highlight a new opportunity for how hardware and software should be designed and used to maximise benefits and reduce detriments of device use to optimise parent-infant attachment and child development.Practitioner Summary: Many families with infants regularly use smartphones and tablet computers. This qualitative study found that how devices were used either enhanced or disrupted feelings of parent-infant attachment. Practitioners should be aware of the potential beneficial and detrimental impacts of device use among families given implications for attachment and future child development.

Impaired reversal learning in the Dlg2+/- rat model of genetic risk for psychiatric disorder: Important questions regarding the neuro-behavioral mechanisms of reversal learning.

In this issue, Griesius et al report that heterozygous Dlg2+/- rats showed a reversal learning impairment on a specific bowl-digging task, whereas other reversal tasks were unaffected. The study suggests that Dlg2 gene disruption, which has been linked to neuropsychiatric disorders, including schizophrenia, may cause relatively specific impairments in reversal learning, an important aspect of cognitive flexibility. The study draws attention to two important issues regarding the neuro-behavioral mechanisms of reversal learning, namely that hippocampal dysfunction, which is prominent in Dlg2+/- rats, may contribute to reversal learning impairments and that, depending on the task and previous experience, brain and behavioral mechanisms of reversal learning may differ.

Eye-Tracking on Touch Screen - Evaluating User Interaction.

This paper suggests a setup for using remote eye-tracking on a touchscreen tablet to evaluate user interaction for older adults interacting with a user-driven hearing test. By using video recordings to support the eye-tracking data, it was possible to evaluate quantitative usability metrics that could be compared to other research findings. The video recordings revealed useful information to distinguish between reasons for gaps in data and missing data and to inform future similar studies of human-computer interaction on a touch screen. Using only portable equipment allows researchers to move to the location of the user and investigate the user interaction of devices in real-world scenarios.

Self Capacitance Mismatch Calibration Technique for Fully-Differential Touch Screen Panel Self Capacitance Sensing System.

This paper presents a fully-differential touch screen panel (TSP) self-capacitance sensing (SCS) system with a self-capacitance mismatch calibration technique. Due to the self-capacitance mismatch of TSP, the analog front-end (AFE) of the receiver (RX) circuit suffers from dynamic range degradation and gain limitations, which lead to the signal-to-noise ratio (SNR) loss for the TSP SCS system. The proposed calibration introduces the difference in input resistance and the driving amplifier's strength between the fully-differential input. Thus, the mismatch effect is efficiently relieved in terms of area and power consumption. The proposed calibration restores the SNR by 19.54 dB even under the worst self-capacitance mismatch case.

Influence of size and location of buttons on the usability of interface on large touch screens.

This study examined how large touchscreen buttons affect user task completion time, error rate, and subjective satisfaction (ease of pointing and clicking on targets). In this experiment, 31 participants completed button click tasks of square targets placed at 30 (5 × 6) different locations, with seven button sizes (10 mm, 30 mm, 50 mm, 70 mm, 90 mm, 110 mm, and 130 mm). Repeated measures ANOVAs showed that on a 65'' large touch screen (W 1428 × H 803 mm), 70 mm buttons achieved essentially the best performance in completion time, 50 mm in error rates, and 90 mm in subjective satisfaction, respectively. We also compare the differences in efficiency among different button areas and button sizes. The surrounding area and lower area require a bigger button size to achieve the best performance in terms of error rates and subjective satisfaction. The right area requires a bigger optimal button size than the left area considering error rates, while it is the opposite for subjective satisfaction.Practitioner summary: This study investigates how the size and location of buttons on the increasingly popular large touch screen affect user experience. The study reveals that 70, 50, 90 mm size buttons are recommended when speed, accuracy and satisfaction are priorities respectively. The interaction between button size and button area is significantly different. The surrounding area and lower area require a bigger button size to achieve the best performance in terms of error rate and subjective satisfaction. Considering error rates, the right area requires a bigger optimal button size than the left area, while it is opposite for subjective satisfaction. These findings could facilitate the optimal design of usable large touch screens.

UnpadStat Design: Portable Potentiostat for Electrochemical Sensing Measurements Using Screen Printed Carbon Electrode.

In this research a portable potentiostat was built for electrochemical sensing measurements with three electrodes, specifically SPCEs. The circuit uses a microcontroller as the main controller to manage all activities, starting from adjusting the input voltage for the SPCEs, setting measurement parameters, measuring the resulting current, displaying graphics on the touch screen, sending data to the computer via the USB port, and connecting to the SD card. Measurements and errors with cyclic voltammetry techniques have been compared with commercial potentiostats. The measurement results on a dummy circuit and commercial SPCEs have an accuracy of more than 90% compared to commercial potentiostats. In addition, measurement data can also be saved to an SD card in .CSV format for further purposes.

Effect of icon size, icon position and sex on clicking motion when operating smartphones with single hand.

Nowadays, increasingly more situations exist where smartphones are operated with one hand, requiring an in-depth understanding of human-computer interaction in single-hand scenarios. 104 volunteers (57 men, 47 women) participated in this study. We aimed to explore thumb movements with the right and left hand on smartphone touchscreens at different icon sizes (50, 80, 110 and 140 rpx) in different operation areas (a 4*7 icon matrix). The results partially conformed to Fitts' Law. The movement time (MT) significantly increased as the icon size decreased, but this effect was not found over 110 rpx. The MT increased with distance in the vertical direction, but icons with the same horizontal distance had different MTs, indicating that one-handed operation restricted the click on the same side. Additionally, subjects rated 140 rpx better than other sizes, and men clicked faster than women. Suggestions regarding one-handed interface design for different hands of different sexes are provided.Practitioner summary: This study investigated how icon size, position and sex influenced one-thumb click usability on touch-screen mobile phones with different hands of different sexes. The results indicate single-hand operation partially conformed to Fitts' Law. We suggested the most economical and comfortable size and the fast operation area in one-handed interface design.Abbreviations: MT: movement time; ID: index of difficulty; RPX: responsive pixel; NASA-TLX: task load index of National Aeronautics and Space Administration; ANOVA: analysis of variance.

Impact of the FindMyApps program on people with mild cognitive impairment or dementia and their caregivers; an exploratory pilot randomised controlled trial.

PURPOSE: FindMyApps is a web-based selection-tool and errorless learning training program to help people with mild dementia/Mild Cognitive Impairment (MCI) and caregivers find user-friendly apps. In preparation of a definitive trial, the impact and feasibility of the FindMyApps intervention on self-management and engagement in meaningful activities, including social participation, was explored. MATERIALS AND METHODS: An exploratory pilot randomised controlled trial (trial registration approval number: NL7210) with pre/post measurements was conducted with community-dwelling people with mild dementia/MCI and their caregivers (n = 59) in the Netherlands. Dyads in the experimental group (n = 28) received training to use the tablet and FindMyApps, and the errorless learning method was taught to their caregivers. Control group dyads (n = 31) received a tablet (without FindMyApps), instructions on tablet-use and links to dementia-friendly apps. Validated instruments were used to assess person with dementia's self-management, meaningful activities and social participation, caregiver's sense of competence and both their quality of life. RESULTS AND CONCLUSIONS: No statistical significant group differences on the outcomes were found. Small to moderate effect-sizes in favour of the FindMyApps group were found for self-management and social participation. Caregivers tended to have more positive care experiences. Subgroup analyses showed that people older than 70 benefitted more from FindMyApps regarding self-management and higher educated people benefitted more regarding social participation. FindMyApps is feasible for the target group and may have potential to improve self-management and social participation. For a future definitive effectiveness trial a larger sample size is recommended, as well as taking into account the possible impact of education and age.IMPLICATIONS FOR REHABILITATIONThe FindMyApps program is feasible for people with dementia/MCI and may have potential to improve their self-management and social participation.Informal caregivers may develop a more positive care experience when utilizing FindMyApps to find suitable apps for self-management and social participation for the person with dementia/MCI.

Touch Screen Device Usage and its Effect on Sleep among Young Children: Do Parents Delude Younger Generation Deliberately? Time to Ruminate and Impede this Technological Harm.

Context: The American Academy of Pediatrics had recommended that children younger than 2 years should avoid digital media. However, in the Indian context, it was less explored. Aims: The study aimed to determine the relationship between touch screen device (TSD) usage and sleep of infants, toddlers. Methodology: Using a cross-sectional design, 76 parents of infants and toddlers attending well-baby clinic of a tertiary care hospital in Eastern India were approached, and 57 parents who fulfilled the eligibility criteria were selected using a nonprobability convenient sampling technique. Data were collected using a pretested validated tool including TSD usage pattern, the brief infant sleep questionnaire. Descriptive statistics and Pearson correlation were used to analyze the data. Results: The mean age of TSD usage was 15.6 ± 5.8 months with a mean duration of 65 ± 9.6 min/day. Mothers (51%) reported circumstances to offer TSD was feeding the child. There was a significant negative relationship between night sleep and TSD usage among children (r = -0.35, P < 0.01). Conclusions: TSD usage time significantly affects the nighttime duration of sleep of infants and toddlers. Parents to be educated on proper usage and ill effects of TSD to prevent sleep issues.

Graphene-Induced Performance Enhancement of Batteries, Touch Screens, Transparent Memory, and Integrated Circuits: A Critical Review on a Decade of Developments.

Graphene achieved a peerless level among nanomaterials in terms of its application in electronic devices, owing to its fascinating and novel properties. Its large surface area and high electrical conductivity combine to create high-power batteries. In addition, because of its high optical transmittance, low sheet resistance, and the possibility of transferring it onto plastic substrates, graphene is also employed as a replacement for indium tin oxide (ITO) in making electrodes for touch screens. Moreover, it was observed that graphene enhances the performance of transparent flexible electronic modules due to its higher mobility, minimal light absorbance, and superior mechanical properties. Graphene is even considered a potential substitute for the post-Si electronics era, where a high-performance graphene-based field-effect transistor (GFET) can be fabricated to detect the lethal SARS-CoV-2. Hence, graphene incorporation in electronic devices can facilitate immense device structure/performance advancements. In the light of the aforementioned facts, this review critically debates graphene as a prime candidate for the fabrication and performance enhancement of electronic devices, and its future applicability in various potential applications.

Impact of Intestinal Microbiota on Cognitive Flexibility by a Novel Touch Screen Operant System Task in Mice.

Cognitive flexibility is the ability to rapidly adapt to a constantly changing environment. It is impaired by aging as well as in various neurological diseases, including dementia and mild cognitive impairment. In rodents, although many behavioral test protocols have been reported to assess learning and memory dysfunction, few protocols address cognitive flexibility. In this study, we developed a novel cognitive flexibility test protocol using touch screen operant system. This test comprises a behavioral sequencing task, in which mice are required to discriminate between the "rewarded" and "never-rewarded" spots and shuttle between the two distantly positioned rewarded spots, and serial reversals, in which the diagonal spatial patterns of rewarded and never-rewarded spots were reversely changed repetitively. Using this test protocol, we demonstrated that dysbiosis treated using streptomycin induces a decline in cognitive flexibility, including perseveration and persistence. The relative abundances of Firmicutes and Bacteroides were lower and higher, respectively, in the streptomycin-treated mice with less cognitive flexibility than in the control mice. This is the first report to directly show that intestinal microbiota affects cognitive flexibility.

A Low-Computing-Complexity Touch Signal Detection Method and Analog Front-End Circuits Based on Cross-Correlation Technology for Large-Size Touch Panel.

This paper proposes a low-computing-complexity touch signal detection method and analog front-end (AFE) circuits based on cross-correlation technology for large mutual capacitance touch screen panels (TSPs). To solve the traditional touch signal detection method problem of lots of invalid data being sampled and processed in a large-size TSP, the proposed method only samples and processes the signals around the touch points rather than full-screen data to decrease the computing complexity and analog-digital convertor (ADC) acquisition number. Compared with the traditional method, the proposed touch points search algorithm complexity decreases from MN to M + nN where M, N, and n are the number of RX channels, TX channels, and touch points, respectively. The maximum ADC acquisition number of the proposed method decreases from MN to 18n. Based on the proposed touch signal detection method, the AFE circuits are designed by a 0.11 µm process. The proposed dual cross-correlation AFE achieves detection of the weak touch signal submerged in the large display panel noise. The average channel area and power consumption are decreased to 0.015 mm2 and 0.227 mW, respectively. The maximum frame rate is 384.6 Hz with 10 touch points. The proposed cross-correlation AFE achieves a high frame rate while reducing the die area and power consumption.

'There's good and bad': parent perspectives on the influence of mobile touch screen device use on prenatal attachment.

The potential for human-computer interaction to have a substantial impact on adults is well documented. However, its potential importance prior to birth has rarely been reported. Parental use of smartphones and tablet computers could influence the relationship between parent and baby during pregnancy (prenatal attachment) and thus child development. Twenty-seven families were interviewed to explore how parents used these devices during pregnancy, and how device use influenced parents' thoughts, feelings and behaviours towards their baby while in utero. All used devices for a variety of purposes, and all described good levels of prenatal attachment. Parents described both disrupted and enhanced connectedness as a result of device use, and increased parental stress. The findings highlight a new opportunity for how device design and use guidelines could support families to maximise benefits and reduce detriments of device use to optimise prenatal attachment, and thus future parent-child attachment and child development. Practitioner summary: Many parents regularly use smartphones and tablet computers while pregnant. This qualitative study found that how devices were used either enhanced or disrupted feelings of prenatal attachment. Practitioners should be aware of potential beneficial and detrimental impacts of device use during pregnancy given implications for future attachment and child development.

The use of digital touch screen technology to deliver reminiscence therapy among people with dementia in Jordanian care homes: a mixed-method feasibility study.

BACKGROUND: Using technology to deliver psychosocial interventions such as reminiscence therapy (RT) to people with dementia may improve their mental health. Yet, establishing the feasibility of digital interventions in low- to middle-income countries is still in the early stages. This study aimed to: (i) determine the feasibility of using digital touch screen technology to deliver RT among people with dementia living in Jordanian care homes; and (ii) compare study outcomes pre- and post-reminiscence sessions to investigate whether specific outcomes are sensitive to change and explore the acceptability and experiences of the intervention. METHODS: A pragmatic mixed-method study design was implemented. Sixty residents with dementia were recruited from two Jordanian care homes (Site 1: n = 35; Site 2: n = 10). A process evaluation was conducted alongside a single-group pre-post-intervention study. The intervention involved 10 supported RT sessions of up to 1 h each, delivered over 5 weeks. Feasibility was determined by assessing the rate of recruitment, adherence, retention, data completion, implementation fidelity, and adverse events. Qualitative semi-structured interview questions were used to explore experience and acceptability, and data were thematically analysed. RESULTS: Response rate was 100%; loss to follow up at post-intervention was 25%. Median session attendance for those who received the intervention was 80%. No serious adverse events were reported. A positive, statistically significant and clinically relevant difference was found in all outcome measures before and after reminiscence sessions. Qualitative findings suggest that digital RT intervention is generally well accepted by people with dementia who reported positive changes, including enhanced communication and cognitive abilities. CONCLUSION: Using digital touch screen technology to deliver RT is feasible and acceptable among people with dementia in Jordanian care homes. Digital RT intervention is a promising approach to improving mental health and communication for people living with dementia.

Exploring the performance of click and slide gestures on large in-vehicle touch screens.

Because of the operation distractions created by large in-vehicle touch screens, it is necessary to explore the influence of the locations at which clicking and sliding gestures are performed on driving safety and operation performance. This study conducted two experiments to identify an easy operation area. In experiment 1, the influence of control size and control position on click offsets was discussed. The results showed that click offsets increased with increasing control size. Click offsets were larger at positions blocked by a driver's arm and that were far away from drivers. The click accuracy equation was fitted for different hot zone sizes. Experiment 2 focused on identifying easy sliding ranges. The results revealed sliding areas for 20%, 50%, and 80% of users under different sliding directions and positions. This study identified easy and difficult areas for users to operate large in-vehicle touch screens, providing theoretical guidance for display buttons arrangement.

"Coronavirus Changed the Rules on Everything": Parent Perspectives on How the COVID-19 Pandemic Influenced Family Routines, Relationships and Technology Use in Families with Infants.

This study explores how the first wave of the COVID-19 pandemic influenced family routines, relationships and technology use (smartphones and tablet computers) among families with infants. Infancy is known to be an important period for attachment security and future child development, and a time of being susceptible to changes within and outside of the family unit. A qualitative design using convenience sampling was employed. A total of 30 mothers in Perth, Western Australia participated in semi-structured interviews by audio or video call. All mothers were parents of infants aged 9 to 15 months old. Interviews were audio-recorded and transcribed, and data were analysed using thematic analysis to code and identify themes in an inductive manner. Families described staying home and stopping all external activities. Three themes relating to family interactions and wellbeing were found: enhanced family relationships; prompted reflection on family schedules; and increased parental stress. Two themes related to family device use were found: enabled connections to be maintained; and source of disrupted interactions within the family unit. Overall, participants described more advantages than downsides of device use during COVID-19. Findings will be of value in providing useful information for families, health professionals and government advisors for use during future pandemic-related restrictions.

Usage time of touch screens in relation to visual-motor integration and the quality of life in preschooler children.

OBJECTIVES: This study aims to examine the usage of touch screen time in relation to the visual-motor integration and the quality-of-life in preschool children. Additionally, we compare the difference between children who practiced sports and attended nursery with those who did not attend such activities. METHODS: This study includes a convenience sample of 100 preschool children aged between three and five years. The Peabody Developmental Motor Scale is used to assess visual-motor integration and the Arabic version of the Paediatric Quality of Life Inventory™ generic scale to assess the quality of life (QoL). RESULTS: The Pearson correlation coefficient equation reveals a negative significant correlation (p = 0.0001) between touch screen usage time and visual-motor integration (r = -0.37), physical (r = -0.38), psychosocial (r =--0.55) and the QoL total score (r = --0.48). Children who practiced sports showed lower visual-motor integration and higher QoL scores than those who did not. Children who attended nursery showed higher visual-motor integration and lower QoL scores than those who were not given the chance to attend these activities. CONCLUSION: Based on the results of the current study, it can be concluded that increased touch screen usage time was found to adversely affect visual-motor integration and the QoL in preschool children. Practicing sports and attending nursery influence the visual-motor integration and the QoL.

The Effect of the 'Touch Screen-Based Cognitive Training' for Children with Severe Cognitive Impairment in Special Education.

Traditional education in special schools have some limitations. We aimed to investigate if the 'touch screen-based cognitive training' is feasible and effective for children with severe cognitive impairment (developmental age 18-36 months) in special education. In this case, 29 children were randomly allocated to intervention (n = 17, 'touch screen-based cognitive training', 30 min/session, 3 times/week, 12 weeks) and control (n = 12, traditional education) groups. Psychoeducational Profile-Revised (PEP-R), Early Childhood Behavior Questionnaire (ECBQ), Sequenced Language Scale for Infants (SELSI), Pediatric Evaluation of Disability Inventory (PEDI), and Goal Attainment Scale (GAS) were measured before and after 12 weeks of education. The 'touch screen-based cognitive training' was applicable in special education. When repeated measures analysis of variance (ANOVA) was used, significant groupⅹtime effect was found for GAS, and significant group effect was found for ECBQ (attentional shifting) and GAS. When adjusting for pre-education measurements, the intervention had a significant effect on the post-education measurements of ECBQ (attentional shifting) and GAS (p < 0.05). No relationship existed between the degree of improvements and the severeness of developmental delay in the measurements. 'Touch screen-based cognitive training' in special school was feasible and it improved cognition in children with severe cognitive impairment (developmental age 18-36 months), irrespective of the severeness of the developmental delay.