Observational study of a voice-activated call light for people with limited arm and hand movement

The goal of this study is to evaluate whether a voice-activated call light system enables people in a rehabilitation facility who have limited use of their arms and hands to call for help more independently and reliably than with their previous call light access method. The study will also examine client confidence, family confidence and peace of mind, staff confidence, staff effort, system reliability, and the level of disruption to routine care. The main questions to be answered are:

1. People with what etiologies benefit most from access to the voice-activated call light system? 2. How reliable is the voice-activated call light system in alerting staff to a client's need for assistance? 3. How confident are clients, family members, and staff in the reliability of the voice-activated system for alerting staff of a client's need for assistance? 4. How does access to the voice-activated call light system compare to traditional call light systems regarding staff effort and disruption to routine care? Participants with limited upper extremity movement will use the voice-activated call light system as needed during normal daily activities for up to 90 days. At study initiation, clients with limited upper extremity movement, staff members working with those clients, and family members of the clients will complete a brief questionnaire about their experiences using the existing call light system. At approximately Days 30, 60, and 90, they will complete brief questionnaires about use of the voice-activated call light system and its effectiveness.