Jon Sanford

Jon Sanford
Georgia State University | GSU · Occupational Therapy

M.Arch.

About

132
Publications
18,096
Reads
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1,632
Citations
Citations since 2017
26 Research Items
828 Citations
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2017201820192020202120222023050100150
2017201820192020202120222023050100150
2017201820192020202120222023050100150
Introduction
Skills and Expertise
Additional affiliations
January 2008 - November 2017
Georgia Institute of Technology
Position
  • Managing Director

Publications

Publications (132)
Article
Background: People with disabilities acquired in early to mid-life are living longer, contributing to growing numbers of older adults who are aging with disability, an understudied population likely to be underserved. Objectives: This paper demonstrates the usefulness of the TechSAge Minimum Battery as a holistic assessment of health for people...
Article
Full-text available
The overwhelming preference of older adults is to stay in their homes for as long as possible (AARP). However, most housing lacks supportive features and presents barriers that jeopardize residents’ ability to successfully age in place. Only 1% of houses have five key features to ensure accessibility: no-step entry, single-floor living, lever door...
Article
Full-text available
Persons with disability are living longer and are at risk of experiencing greater disability as a result of additional age-related declines. These individuals, “aging with disability”, could benefit greatly from technology supports – if such supports are designed and developed with their capabilities and limitations in mind. To ensure technology in...
Article
In designing technologies and environments to support people aging with disability, it is critical to consider the characteristics of the individual. There are a number of personal factors that can impact one’s ability to maintain daily living activities, independence, and quality of life. Developed by TechSAge investigators, the Minimum Battery is...
Article
Full-text available
Multiple sclerosis (MS) is a complex inflammatory disorder of the central nervous system. It is characterized by a large number and variety of symptoms, with cognitive changes and mobility limitations being the most significant ones related to disability. A majority of individuals diagnosed with MS experience a major decline in their abilities due...
Conference Paper
Full-text available
Identifying useful features of health and fitness technologies has the potential to lead to more effective pervasive technology interventions. Through collaborative creative processes, co-design provides useful insight and direction for the design of these technologies from populations such as older adults who are often neglected in design. Additio...
Article
Full-text available
There is a critical need to develop supports for older adults who have a wide range of abilities, including those aging with long-term impairments. Without appropriate support, many individuals will be functioning below optimal levels and will face participation barriers. Technology holds great promise to provide individualized support for a wide r...
Conference Paper
Multiple Sclerosis (MS) presents with chronic symptoms that share many of the functional limitations associated with aging. Additionally, following the period of five years post-diagnosis a large number of individuals diagnosed with MS experience a major decline in their abilities due to the progression of MS. Consequently, they need to learn how t...
Article
Purpose: Kinetic characteristics of transfers to and from a toilet performed using bilateral grab bars are not fully quantified to inform grab bar design and configuration. The purpose of this study was to (1) determine effects of bilateral swing-away grab bars on peaks of ankle, knee and hip joint moments during grab bar assisted stand-to-sit and...
Article
The usability of mobile interfaces for older adults is becoming more important as the population ages and their use of technology increases. Whereas a few design strategies have been developed to guide the design of the mobile interfaces for an aging population, these strategies and their related principles and guidelines are focused on either olde...
Article
Full-text available
Over 50 million United States citizens (1 in 6 people in the US) have a developmental, acquired, or degenerative disability. The average US citizen can expect to live 20% of his or her life with a disability. Rehabilitation technologies play a major role in improving the quality of life for people with a disability, yet widespread and highly challe...
Chapter
As people age, many of them experience decline in both health and function, which can negatively impact their use of and interaction with user interfaces. Four of the most widely accepted strategies for the design of user interfaces for an aging population and individuals with functional limitations were analyzed as part of this project: universal...
Article
Purpose: To identify the optimal spatial and dimensional requirements of grab bars that support independent and assisted transfers by older adults and their care providers. Background: Although research has demonstrated that toilet grab bars based on the Americans with Disabilities Act (ADA) Accessibility Standards do not meet the needs of older...
Article
For people aging with long term ambulatory disabilities, the onset of age-related comorbid functional losses can severely restrict community mobility. The purpose of this project is to develop and evaluate the feasibility of a mobile application (ALIGN) based on static (e.g., sidewalk condition, street networks, land uses) and dynamic (e.g., traffi...
Conference Paper
Airport activity planning and navigation are challenging because they involve planning for complex activities, including the mandatory activities for someone to get on a flight (e.g. check-in, security check), the discretionary activities (e.g. shopping, dining) and the travels connecting different activity areas. In order to successfully plan the...
Conference Paper
Mobile health (mHealth) applications are emerging as a convenient approach to monitoring and tracking health informatics and promoting health-related behaviors. Despite proven health benefits of these systems, many are not designed in consideration of older users. Studies report low or inconsistent usage and high abandonment among these application...
Conference Paper
Since its beginnings almost 3 decades ago, universal design has been called many things, from another term for accessible design to a process for designing to a panacea encompassing all design. Clearly, it is all of things, yet at the same time it is none. As a product it has form and function, yet it is not specialized, accessible design. As a pro...
Conference Paper
The majority of individuals diagnosed with multiple sclerosis (MS) experience a major decline in their abilities due to the progression of MS after five years post-diagnosis. Following this period, they need to learn how to cope with the functional limitations caused by the disease and how to age with MS. The World Health Organization (WHO) and the...
Article
Full-text available
Aim: Environmental assessments and subsequent modifications conducted by healthcare professionals can enhance home safety and promote independent living. However, travel time, expense and the availability of qualified professionals can limit the broad application of this intervention. Remote technology has the potential to increase access to home s...
Article
Date Presented 4/8/2016 A standardized remote home-safety assessment protocol was developed and validated on the basis of experts’ opinions and caregivers’ feedback and demonstrations. This protocol can be used by a caregiver to assist an occupational therapist in conducting a remote assessment of a client’s home. Primary Author and Speaker: Mijung...
Conference Paper
As with people who are experiencing normal aging, there is great potential for technology to provide supportive solutions for people aging with disability. Yet, while little is known about the needs and abilities of people aging with disability, universal design (UD), which is an approach that promotes usability for all, regardless of ability or im...
Conference Paper
The number of older adults using technology is steadily increasing. However, this group of users has faced a variety of user interface (UI) usability issues due to various and multiple age-related limitations they have. Four different strategies designed to solve the usability issues older adults have while interacting with user interfaces were ana...
Conference Paper
Airports are challenging for travellers with disabilities and senior travellers with functional limitations due to the complexity of terminal environments and the variety of activities (e.g. navigation, check-in, security check) required for one to successfully depart or arrive. Without sufficient information associated with the context of airport...
Chapter
Universal design is the design of products and environments to be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design. Whereas this strategy is typically applied to broadly enhance usability of design—including its safety, accessibility, and simplicity—universal design can also be applied in...
Conference Paper
Voting is a glocalized event across countries, states and municipalities in which individuals of all abilities want to participate. To enable people with disabilities to participate accessible voting is typically implemented by adding assistive technologies to electronic voting machines to accommodate people with disabilities. To overcome the compl...
Book
Wayfinding is the process of finding our way from place to place. It is an essential part of everyday life, dependent not only on our personal resources but also the legibility of community environments and availability of aids to support wayfinding. Community Wayfinding: Pathways to Understanding examines the process and consequences of human wayf...
Article
Universal design is an accommodation strategy that is compatible with the International Classification of Functioning, Disability and Health (ICF) con-structs of activity and participation. It is rooted in a rehabilitation paradigm that integrates human factors with social equity approaches into accommodation practices that provide opportunities to...
Conference Paper
Voting is a glocalized event across countries, states and municipalities in which individuals of all abilities want to participate. To enable people with disabilities to participate accessible voting is typically implemented by adding assistive technologies to electronic voting machines to accommodate people with physical and visual disabilities. T...
Conference Paper
In a typical design process, the decision making process by which desirable and predictive outcomes are achieved is clearly defined by problem definition, goals and objectives setting, design criteria development, design solution generation and evaluation of the solutions. In contrast, the current literature on Universal Design typically jumps from...
Conference Paper
Typical design approaches for technology interventions for seniors tends to focus on specialized design to accommodate functional limitations associated with either disability or aging. This paper will propose universal design as an alternative approach that focuses on design for all users, regardless of age or ability. Moreover, while specialized...
Conference Paper
Current mobile interfaces have numerous usability problems, especially when used by older adults, population of users diverse in ranges and combinations of dis(abilities). However, user interfaces need to be usable by all users, including older adults and disabled people. Universal design (UD), Design for Aging (DfA), and Universal Usability (UU) c...
Article
We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans Affairs Medical Centers. Participants who experienced a stroke in the past 24 months were ran...
Article
Although persons with dementia (PWD) and their family caregivers need in-home support for common neuropsychiatric symptoms (NPS), few if any assistive technologies are available to help manage NPS. This implementation study tested the feasibility and adoption of a touch screen technology, the Companion, which delivers psychosocial, nondrug interven...
Article
For those who rely on wheeled mobility devices for many or all of their mobility needs, barriers in the physical environment can pose significant obstacles in everyday life. Current Americans With Disabilities Act Accessibility Guidelines standards do not address barriers at the level of specificity necessary to ensure accessibility for wheelchair...
Conference Paper
Mobile technology can improve lives of older adults through remote health monitoring (telehealth), memory aids (including medicine reminders), personal data management, and social and communication assistance. Although numerous design guidelines, design principles, and heuristics have been developed to improve the user interface (UI) design of mobi...
Conference Paper
We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care in stroke patients. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans with stroke from 3 Veterans Affairs medical centers. Individuals who experienced a stroke in t...
Article
Full-text available
This paper describes the studies undertaken in order to improve and simplify communication of health information for a Remote Patient Monitoring (RPM) devices, specifically the BL Healthcare Access Tablet, to older adults. Current icon and information design of the RPM devices are not well designed to reflect the needs, experiences and limitations...
Article
In this work, we present SlideType, an intuitive text-entry system on touchscreen devices with touch and gestural inputs as well as visual and auditory output to be used by as many people as possible, including those have vision, dexterity and cognition impairments. 9 participants were tested using SlideType to input a name such as "John Smith" wit...
Article
Voting systems must be usable by all eligible voters regardless of their skills, abilities, and experiences. However, current voting systems do not provide accessibility to all voters, including those with physical and cognitive limitations. To make voting easier for people with and without disabilities, we developed a universal voting interface th...
Conference Paper
The purpose of this case study is to describe the studies undertaken in order to improve remote patient monitoring devices (RPM), specifically The BL Healthcare Access Tablet. Current RPM devices are expensive devices that are not well designed to reflect the needs, experiences and limitations of the user. In this paper, we propose mobile applicati...
Conference Paper
The purpose of this paper is to describe the studies undertaken in order to improve and simplify user interface (UI) design of a Remote Patient Monitoring (RPM) device, specifically the BL Healthcare Access Tablet. Current icon designs for UIs of the RPM devices are not well designed to reflect the needs, experiences and limitations of the end-user...
Conference Paper
This study evaluated the feasibility of using the iPod Touch as an alternative low-vision magnifier by comparing its usability issues, subjective ratings, and preferences with those of two existing low-vision magnifiers (SmartView Pocket and Amigo). Thirty participants (30-91 years) performed magnification adjustment tasks and reading tasks using t...
Article
Workplace accommodations to enable employees with disabilities to perform essential job tasks are an important strategy ways for increasing the presence of people with disabilities in the labor market. However, assessments, which are crucial to identifying necessary accommodations, are typically conducted using a variety of methods that lack consis...
Article
Full-text available
Communication dysfunction that results from dementia can be exacerbated by environmental barriers such as inadequate lighting, noisy conditions, poor or absent environmental cues, and visual clutter. Speech-language pathologists (SLPs) should address these environmental barriers as part of a comprehensive treatment plan for clients with dementia. T...
Article
Objective: By comparing an Americans with Disabilities Act Accessibility Guidelines (ADAAG) compliant design with alternative designs, this pilot study resulted in recommendations for designing patient bathrooms to facilitate assisted toileting. Background: The ADA Accessibility Guidelines were developed primarily to address the needs of disable...
Article
Background: Formal functional assessment tools for use with older adults have been in widespread use since the 1960s. Instruments have been designed to assess a wide range of different aspects of a person's everyday life. This article seeks to document the evolution of the tools used in such a way as to inform the development of the field. Study...
Article
Workplace accommodations to enable employees with disabilities to perform essential job tasks are an important strategy ways for increasing the presence of people with disabilities in the labor market. However, assessments, which are crucial to identifying necessary accommodations, are typically conducted using a variety of methods that lack consis...
Article
Relatively inexpensive remote tele-video technology offers a practical alternative to traditional in-home rehabilitation. This paper describes three studies of 'hands-on' AT skills training delivered via in-home and remote tele-video technologies. Study 1 was a randomized clinical trial that demonstrated a significant change in self-efficacy (F=6.3...
Article
The 'Caregiver Assessment of Skill Sets & Individualized Support through Training' or 'CG ASSIST' project is a feasibility study that was designed to adapt, implement and evaluate a comprehensive hands-on skills training program with family caregivers of older adults who required assistance with transferring and/or positional change during daily ac...
Conference Paper
Current accessible voting machines require many voters with visual, cognitive and dexterity limitations to vote with assistance, if they can vote at all. To address accessibility problems, we developed the EZ Ballot. The linear layout of the EZ ballot structure fundamentally re-conceptualizes ballot design to provide the same simple and intuitive v...
Article
This study compared different types of magnification and navigation methods on low-vision handheld magnifiers to determine the feasibility of a touch screen gesture interface. The results show that despite the fact that participants had no experience using gestures for magnification or navigation, participants were more satisfied with them. Gesture...
Conference Paper
A randomized controlled pre-post intervention study was undertaken to assess changes in task self-efficacy after a four-week intervention protocol. The intervention groups received once-weekly, one-hour therapy sessions targeting 3 mobility and 3 transfer tasks delivered either by Traditional In-Home Therapy or remote interactive Tele-Technology. P...
Article
To determine the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on physical function, and secondarily on disability, in veterans poststroke. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans with stroke from 3 Veterans Affairs medical centers. Veterans with a stroke in the preceding 24...
Article
Full-text available
This paper describes relationships among home and community environmental features, activity performance in the home, and community participation potential to support aging in place. A subset of data on older adults with functional limitations (N = 122), sixty three (63) with mobility and 59 with other limitations, were utilized in this study from...
Article
Research has shown that communication is affected by the environment and that modifications can improve communication skills in individuals with dementia. Poorly designed environmental features contribute to unsatisfactory responses or behaviors in individuals with cognitive impairment. Environmental modifications must be customized to the person,...
Conference Paper
Full-text available
Computer mediated group collaboration, particularly in the design and engineering disciplines, is in need of better applications that suit the needs of effective exchange of information. Multi-touch surfaces offer the capabilities to augment and better enable face-to-face interaction with digital content and applications. This paper presents the de...
Article
Full-text available
Telerehabilitation (TR) is the use of telehealth technologies to provide distant support, rehabilitation services, and information exchange between people with disabilities and their clinical providers. This article discusses the barriers experienced when implementing a TR multi-site randomized controlled trial for stroke patients in their homes, a...
Article
Full-text available
Stroke is one of the most disabling and costly impairments of adulthood in the United States. Stroke patients clearly benefit from intensive inpatient care, but due to the high cost, there is considerable interest in implementing interventions to reduce hospital lengths of stay. Early discharge rehabilitation programs require coordinated, well-orga...
Conference Paper
This paper presents an empirical study of two student pairs collaborating on two small products design session in both face-to-face and distributed settings while using computer-mediated communication (CMC) technologies and a collaborative virtual environment (CVE). To gain insight about the way designers communicate and collaborate, the observatio...
Article
The ageing workforce and returning veterans have generated a heightened awareness of the need to accommodate people with disabilities in the workplace. A critical factor in developing useful accommodations is being able to accurately quantify the abilities of the person and the demands of the environment. Human factors specialists are often involve...
Article
In less than two years the oldest of the baby boom cohort will begin to turn 65 and the projected mass exodus of the older workforce will begin—or will it? With the recent change in the economy and loss of trillions of dollars in retirement savings, many older workers will most likely need to work slightly longer than expected. Additionally, compan...
Article
This paper reports on a randomized controlled trial to evaluate the effectiveness of using interactive video conferencing technology to diagnose problems, prescribe interventions, and implement solutions for six mobility and transfer tasks in comparison with traditional home visits. Thirty-two community-dwelling adults with new mobility devices wer...
Article
Full-text available
Modifying one's home is an important strategy to manage chronic health conditions, increase independence, and ensure safety of frail older adults. However, in many areas of the country home modifications are difficult to obtain due to either a lack of specialists or a comprehensive assessment tool that would enable specialists to diagnose problems...
Article
ADA accessibility guidelines are based primarily on the capabilities of young people, and as such may not compensate adequately for the range of comorbidities and secondary conditions that are common among older people with disabilities. This paper reviews findings from three studies of toilet transfer which suggest that ADA accessibility guideline...
Article
This article summarizes the proceedings of the Environmental Barriers and Supports to Health, Function and Participation Work Group that was part of the "State of the Science in Aging with Developmental Disabilities: Charting Lifespan Trajectories and Supportive Environments for Healthy Living" symposium. The aim was to provide a research and polic...
Article
Full-text available
Many studies of workplace accommodations have primarily focused on a particular disability or functional limitation. The need exists for a broad-based study of the types and frequency of accommodations recommended for a variety of functional limitations, including multiple limitations. The researchers conducted a retrospective analysis of 266 perso...
Article
A randomized clinical trial was undertaken to examine the effect of a multi-factorial, individualized, physical/occupational therapy intervention on mobility self-efficacy delivered via teletechnology and traditional in-home visits. Sixty-five community-dwelling adults with new mobility devices were randomized to either the control or usual care gr...
Article
Modifications to personal workstations and architectural changes to the work environment are some of the most common types of accommodation used to facilitate work performance by people with mobility impairments (Zolna, Sanford, Sabata, & Goldthwaite, in press). However, workplace accommodations may vary by what mobility function the person finds t...
Article
The importance of the assistive technology (AT) device acquisition process is well documented. Service delivery has been cited as a key factor in the high rates of device nonuse or abandonment, accidents, and fraud and abuse. This paper reports the results of a quasiexperimental study that compared a "multifactorial" intervention (IG) with a "usual...
Article
To describe the characteristics of the wheelchairs, the users, and their wheelchair use among persons newly prescribed a manual wheelchair. Cohort study. Veterans Affairs teaching hospital. Ninety-nine consecutive, cognitively intact veterans prescribed a manual wheelchair. Not applicable. Self-reported difficulty transferring into and propelling t...
Article
The goal of this literature review is to gather, review, and summarize knowledge regarding accommodation of persons with mobility and dexterity impairments in the workplace environment and use that knowledge to inform universal design. Accommodations to the physical work environment, the use of assistive technology, changes in job requirements, and...
Article
Few people with chronic health conditions actively engage in work activities. Yet workplace accommodations including assistive technologies and more accessible environments are creating the potential for more employment opportunities. Occupational therapists are trained to assist clients in maximizing participation in self-care, work activities, an...
Article
To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. Randomized, clinical trial. One Department of Veterans Affairs and one private rehabilitation hospital. Sixty-five community-dwelling adults with new mobility devices...
Article
Full-text available
Museums, science centers, zoos and aquaria are faced with educating and entertaining an increasingly diverse visitor population with varying physical and sensory needs. There are very few guidelines to help these facilities develop non-visual exhibit information, especially for dynamic exhibits. In an effort to make such informal learning environme...
Article
Full-text available
Our ability to provide in-home rehabilitation is limited by distance and available personnel. We may be able to meet some rehabilitation needs with videoconferencing technology. This article describes the feasibility of teletechnology for delivering multifactorial, in-home rehabilitation interventions to community-dwelling adults recently prescribe...
Article
One solution to the underutilization of workplace accommodations is to use teleconferencing technology to conduct remote assessments, effectively expanding the geographical area that experienced rehabilitation specialists can cover. However, such an effort requires a highly structured and comprehensive assessment protocol. This paper reports on the...