The Institute for Cognitive Prosthetics
For more Information contact:
Elliot Cole, PhD, Institute for Cognitive Prosthetics
P.O. Box 171, Bala Cynwyd, PA 19004
"Patient-Centered Design of Cognitive Assistive Technology for Traumatic Brain Injury Telerehabilitation" a book by Elliot Cole, PhD, 2013. For the summary and chapter titles, click here and available for purchase on amazon.com for the print edition and content-preview.
These papers trace three themes in our work. First, computer technology can uniquely help people with moderate to profound cognitive deficits and increase their participation in everyday activities in the home, in the community, at school, and at work. This theme also involves techniques and methods of software design for people with cognitive deficits.
The second theme is that cognitively impaired users typically provide significant contributions to the design of their software. More important, these designs highly leverage the individual’s abilities toward maximizing personal performance .
The third theme is the design of a delivery system, and scalability. We have 2 classes of users: (1) individuals with cognitive disabilities and (2) professionals who address the needs of these individuals. These professionals develop new treatment modalities and techniques for working with their clients.
Some Key Papers
“Patient-Centered Design: Interface personalization for individuals with brain injury”, Elliot Cole, PhD Because cognitive assistive technology can help achieve a partial recovery in patients with enduring cognitive disabilities, clinicians can and should be involved in the design process. Patient-Centered Design (PCD) is a method of customizing cognitive prosthetic software for use as a therapist's tool in treating patients. The patient is viewed as a user with rapidly changing software needs. PCD can be used to personalize the software fast enough to be an appropriate therapy tool. Two mini case-studies are presented. One used almost no features yet overcame a barrier to achieving a significant therapy goal. The second shows the significant role of therapist and patient in designing a powerful new tool that enables patients to remind themselves, in their own words and voices, of upcoming events. The paper also relates advances in neuroscience to new clinical opportunities for cognitive assistive technology.
Cognitive Prosthetics: Overview of a method of treatment. First survey article of the cognitive prosthetics area. Describes the different approaches of researchers in the field, various findings and techniques, and develops criteria for a cognitive prosthesis compared with software meant for the general population.
A high functioning brain aneurysm patient is used to illustrate how occupational therapy and speech therapy services are delivered. The benefits are described for 1) cognitive prosthetics, 2) in-home delivery of services, and 3) rehabilitation where neither therapist nor patient needs to travel.
Computer-Based Cognitive Prosthetics: Assistive Technology for the Treatment of Cognitive Disabilities, ACM ASSETS 1998 conference. For computer scientists, an introduction to addressing the needs of individuals with brain injury, with 6 case studies.
Design and Outcomes of Computer-Based Cognitive Prosthetics for Brain Injury: A Field Study of Three Subjects” A “schedule engine” is used in very different ways for different patients. 3 plateaued outpatients used computers installed in their homes for 2-3 months. All exceeded expectations, and achieved both increases in level of functioning targeted by the study as well as a generalized increase on neurobehavioral and psychological dimensions. During the 12-week field-study, 23 software versions were produced by 2 parttime programmers. Changes were made to 389 software components; 40% of the changes were suggested by the patients.
“The Future is Now” A speech therapist describes treatment methods and advantages for using cognitive prosthetics and telerehabilitation with brain injury clients. With these techniques, she has been able to have faster and more substantial outcomes than with conventional therapy modalities.
Rapid functional improvement and generalization in a young stroke patient following computer-based cognitive prosthetic intervention. This is a case study of a patient who made a remarkable recovery from severe cognitive and profound physical disabilities. The patient quickly became very engaged with and empowered by the technology. The results were attributed to brain plasticity by one of the world's foremost authority on brain plasticity. Extended abstract at the NIH Neural Prosthesis Workshop, 1994.
“Use of “Therapist-Friendly” Tools in Cognitive Assistive Technology and Telerehabilitation”. Therapist-friendly tools are needed for an effective delivery system. Therapy with a patient 500 miles away, with physical and cognitive involvement, illustrates therapist-friendly tools. Our prosthetic software is client-centered, addressing the client’s priority activities. This requires 1) that the prosthetic software is highly customized to the individual client, and 2) that the software can address a broad array of daily activities. The therapist is in the best position to customize prosthetic software for their client. “Therapist-friendly” tools enable the therapist to learn how to customize software as well as run therapy sessions via telerehabilitation with a minimum of training.
“Computer-Based Cognitive Prosthetics: Meeting Clients’ Functional Priorities”. Workshop presented at the American Speech and Hearing Association’s 1998 annual conference, San Antonio, Nov 12, 1998. This paper describes the half-day workshop, and includes 4 case studies which were used as instructional materials.
“Interface Design as a Prosthesis for an Individual with a Brain Injury” 1990 SIG CHI Bulletin. Data is presented from the first 314 days of use of 2 prosthetic software applications by a 3-year post-TBI woman with some profound deficits. Nonetheless, the client was able to make significant contributions to the design of her prosthetic software, and was able to develop unanticipated functionality for the software. Interface design was able to have the patient use both applications independently of caregivers. Shows the advantages of using system-logging data.
The NIH Neural Prosthesis Workshop series of papers. , 1992, 1993, 1994, 1997
The ACM SIG CHI Human Computer Interaction series: 1988, 1990, 1992, 1994, 2006, 2011
The RESNA series of papers. 1990, 1992, 1993, 1994, 2000
Chronological Listing of Papers, Presentations & Selected Media Coverage
“Patient-Centered Design: Interface personalization for individuals with brain injury”, Elliot Cole, PhD Proceedings of HCI International, HCI (6): 291-300 (2011) – Orlando, July 11,2011.
"Lessons learned and challenges discovered in developing cognitive technology for individuals with brain injury", Elliot Cole, PhD. presentation at CHI 2011 workshop on Dynamic Accessibility: Detecting and accommodating differences in ability and situation. Vancouver, BC May 9, 2011. ACM 978-1-4503-0268-5/11/05
“Cognitive Prosthetics and tele-rehabilitation: Technological scaffolding for the treatment of cognitive deficits from TBI” – Elliot Cole, PhD, Presentation at the Syracuse NY VA Medical Center, April 15, 2008.
“Technological support for individuals with cognitive disabilities: The role of i-Schools” Elliot Cole, PhD, Presentation to Syracuse University School of Information Studies, April 14, 2008.
“Technological scaffolding for individuals with cognitive disabilities: Unleashing abilities” Elliot Cole PhD, Presentation to Syracuse University School of Education - April 14, 2008.
“Technological Scaffolding for Students with Brain Injury and Learning Disabilities” February 26, 2008.
“TBI and return to work: Lessons learned from the use of technological tools”, Presentation to Burton Blatt Institute, Syracuse University. February 18, 2008.
“Technological Scaffolding with cognitive prosthetics for TBI cognitive rehabilitation” May 23, 2007.
“Patient-centered design as a research strategy for cognitive prosthetics: Lessons learned from working with patients and clinicians for 2 decades”, Keynote address to the Workshop on Designing Technology for People with Cognitive Impairments, ACM SIGCHI Conference 2006, Montreal, April 22-3, 2006. Click here for PowerPoint Slides.
“A field experiment with a high school student with severe learning disabilities” Elliot Cole, Ph.D., Working Paper June 2003
“Telerehabilitation uses technology to bridge gaps in care” Sharon Rolene, Headlines,Minnesota Brain Injury Association, Winter 2003.
“Cognitive Prosthetics and Wearable Computers” Elliot Cole, Ph.D., DARPA/ MIT Workshop on Attention and Memory in Wearable Interfaces, MIT Media Lab, January 13, 2003.
“The Future is Now”, Sonya M. Wilt, Ph.D., CCC-SLP, National Council of State Boards of Examiners of Speech and Language Pathologists and Audiologists, invited paper, Annual Conference, St. Louis, Oct 18 – 19, 2002
“Riding the Brain Waves”, Elliot Cole, Ph.D., Advance for Providers of Post-Acute Care, January/February 2001.
“Telerehabilitation: New Tools for Brain Injury Rehabilitation” Michelle Ziegmann, OTL/R, Anita Lichtenberg, MPH, Roberta Brooks MA-CCC, Elliot Cole, Ph.D. OT Practice November 5, 2001
Ziegmann, Michelle OTR/L BCN; Cole, Elliot, Ph.D.; Wu, Yue, MS; Yonker, Valerie, Ph.D. "Design and Implementation of Cognitive Assistive Technology". Presentation at POTA 23rd Annual Conference, October 13-14, 2000.
Cole, Elliot, Ph.D.; Ziegmann, Michelle, OTR/L; Wu, Yue, MS; Yonker, Valerie, Ph.D.; Gustafson, Candace, RN; and Cirwithen, Suedell. "Use of "Therapist Friendly" Tools in Cognitive Assistive Technology and Telerehabilitation". Presentation at RESNA Annual Conference, June 28 - July 2, 2000.
Cole, Elliot, Ph.D.; Ziegmann, Michelle, OTR/L; Gustafson, Candace, RN; and Cirwithen, Suedell. "Therapists' Use of Patient Functional Data from Telerehabilitation in Home Settings." Presentation to the Brain Injury Association Annual Symposium, Chicago, IL, July 30 - Aug 1, 2000.
Cole, Elliot, Ph.D.; Ziegmann, Michelle, OTR/L; and Lichtenberg, Anita, MPH. "The Delivery of Rehabilitation Services to the Home: Adding Technology to the Toolkit".
Kennedy Krieger Institute, Home and Community Rehabilitation Rounds, November 1, 1999.
Cole, Elliot, Ph.D.; Gustafson, Candace, RN; Cirwithen, Suedell, AA; Ziegmann, Michelle, OTR/L. "User-Friendly Technology for Cognitive Rehabilitation" Invited presentation to the Brain Injury Association of Illinois, October 15 - 16, 1999.
Cole, Elliot, Ph.D.; and Matthews, Jr., Michael K., MD, Ph.D. "Cognitive Prosthetics and Telerehabilitation", Proceedings of Basil Therapy Congress, Basel, Switzerland, Pp. 111 - 120. June 1999.
Cole, Elliot, Ph.D. "Cognitive Prosthetics: An Overview to a Method of Treatment," NeuroRehabilitation 12(1): 39 - 51 (1999).
Wilt, Sonya, Ph.D., CCC/SLP; Cole, Elliot, Ph.D., Mahr, Richard, Psy.D., Yonker, Valerie, Ph.D., Wu, Yue, MS. "Computer Based Cognitive Prosthetics: Meeting Clients' Functional Priorities." Workshop Presentation to the American Speech-Language and Hearing Association Annual Conference, San Antonio, TX, November 15 - 19, 1998.
Cole, Elliot, Ph.D; and Dehdashti, Parto. "Computer-Based Cognitive Prosthetics: Assistive Technology for the Treatment of Cognitive Disabilities" Assets 98: The Third International ACM Conference on Assistive Technologies, ACM SIGCAPH April 15 - 17, 1998 NY: ACM Press 1998. Available on the web at: www.acm.org
Matthews, Jr., Michael K., MD, Ph.D., and Cole, Elliot, Ph.D. "High-Achieving Individuals with Brain Injury: Asymmetric Improvement of Cognitive Function after Cognitive Rehabilitation" ANPA Abstract published in Journal of Neuropsychiatry, 1998 Vol. 9; P. 639.
Cole, Elliot, Ph.D. "Cognitive Prosthetics and Assistive Technology" Workshop organized and presented at the Brain Injury Association National Symposium, Philadelphia, PA. November 1-4, 1997.
Cole, Elliot, Ph.D. "New Treatment Methods for Executive Dysfunction" Panel presentation at the Brain Injury Association National Symposium, Philadelphia, PA, November 1-4, 1997.
Cole, Elliot, Ph.D.; Dehdashti, Parto; and Yonker, Valerie "Treatment of Plateaued Traumatic Brain Injury Patients by Using Computer-Based Cognitive Prosthetics: A Field Study" NIH Neural Prosthesis Workshop, October 15-17, 1997.
Matthews, Jr., Michael K., MD, Ph.D., and Cole, Elliot, Ph.D. "Comparison of Independence Training" Presentation at American Neuropsychiatric Association Annual Conference. Abstract published in Journal of Neuropsychiatry, 9(1): 155. September, 1997.
Cole, Elliot, Ph.D. "Computer-Based Cognitive Prosthetics for the Treatment of Acquired Cognitive Disorders," Second World Congress on Brain Injury, Seville, Spain. May 9-14, 1997.
Cole, Elliot, Ph.D. and Matthews, Jr., Michael K., MD, Ph.D., "Participatory Design and Usability in a Computer-Based Prosthetic Approach to Cognitive Rehabilitation" Poster Presentation, 19th Annual Meeting of the American Society of Neurorehabilitation April, 1997.
Matthews, Jr., Michael K., MD, Ph.D. and Cole, Elliot, Ph.D. "Progression of Dementia in Neuroacanthocytosis and Comparison of Independence Training and a Computer-Based Cognitive Prosthetic Approach to Cognitive Recovery in a Head-Injured Patient." Abstract Presentation, Eighth Annual Meeting of the American Neuropsychiatric Association (ANPA), Walt Disney World Village, Orlando, FL February 2-4, 1997.
Friedman, Mark and Cole, Elliot, Ph.D. "Opportunities for AI in the Use of Computer-Based Cognitive Prosthetics" AAAI Fall Workshop on AI for Disabilities, AAI Press, November 19-23, 1996.
Cole, Elliot, Ph.D.; Matthews, Jr., Michael K., MD, Ph.D.; Petti, Linda; and DeStefano, Mary "Tutorial on Computer-Based Cognitive Prosthetics." Organized and presented at the Brain Injury Association National Symposium, Dallas, TX, November, 1996.
Cole, Elliot, Ph.D.; DeStefano, Mary; and Petti, Linda "Cost Effective Treatment of Brain Injury." Presentation at the Medical Case Management Conference, Orlando, FL. September, 1996.
Cole, Elliot, Ph.D. and Matthews, Jr., Michael K., MD, Ph.D., "A Computer-Based Cognitive Prosthesis Developed for a Young Stroke Patient" Journal of Neuropsychiatry 7;415 1995.
Cole, Elliot, Ph.D. "Survivor Contributions to the Design of Complex Compensatory Strategies" Workshop at the National Head Injury Foundation Annual Symposium, November 6-8, 1994.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Matthews, Jr., Michael K., MD, Ph.D. & Petti, Linda, "Rapid Functional Improvement and Generalization in a Young Stroke Patient Following Computer-Based Cognitive Prosthetic Intervention," Presentation at NIH Neural Prosthesis Workshop, Bethesda, MD, October 19-21, 1994.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Petti, Linda; Angert, Marlene, Ed. D. "Design and Outcomes of Computer-Based Cognitive Prosthetics for Brain Injury: A Field Study of 3 Subjects," Neurorehabilitation, Vol. 4, No.3. July, 1994.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Petti, Linda; Angert Ed.D., Marlene, and Dray, Susan "Participatory Design with Cognitively Impaired Users: The Insight of Brain Injury Patients Designing Their Prosthetic Software." Paper presented at the International Symposium on Human Factors in Organizational Design and Management, Stockholm, Sweden, May 31, 1994.
Cole, Elliot, Ph.D. "Organizational Factors Influencing the Design of a Technology-Based Therapy" Paper presented at the International Symposium on Human Factors in Organizational Design and Management in Stockholm, Sweden, May 31, 1994.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Petti, Linda; Angert, Marlene, Ed.D. "Participatory Design for Sensitive Interface Parameters: Contributions of Traumatic Brain Injury Patients to Their Prosthetic Software," CHI '94, ACM Conference on Human Factors in Computing Systems, Poster Sessions, Boston, MA, April 26-27, 1994.
Cole, Elliot, Ph.D. "Computer-Based Cognitive Prosthetics: An Update on Research in Progress" Rehabilitation Grand Rounds, University of Pennsylvania Medical School, February 1, 1994.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Petti, Linda "Patient Participation in the Design of Complex Compensatory Strategies", Society for Cognitive Rehabilitation Conference on Applied Cognitive Rehabilitation: A Training Seminar, Atlanta, GA. December 3-4, 1993
Cole, Elliot, Ph.D.; Petti, Linda; Matthews, Jr., Michael K. MD; Dehdashti, Parto "Participatory Design in Computer-Based Cognitive Prosthetics" Presentation at NIH Neural Prosthesis Workshop. October 13-15, 1993
Cole, Elliot, Ph.D. "Computer-Based Cognitive Prosthetics: Applying Computer Science Concepts to BrainInjury Rehabilitation" Neurology Grand Rounds, Medical College of Pennsylvania, October 12, 1993.
Cole, Elliot, Ph.D; Dehdashti, Parto. "Interface Design Techniques for Cognitive Prosthetic Software for Individuals with Traumatic Brain Injury" Presented at the 5th International Conference on Human-Computer Interaction, Orlando, FL. August 8-13, 1993.
Cole, Elliot, Ph.D. "Computer-Based Cognitive Prosthetics: An Update on Research in Progress" Colloquium at the Medical Research Council, Applied Psychology Unit, Cambridge, England, July 2, 1993.
Cole, Elliot, Ph.D.; Dehdashti, Parto; Petti, Linda "Implementing Complex Compensatory Strategies for Brain Injury." Presentation to the American Congress of Rehabilitation Medicine, 70th Annual Meeting, Denver, CO, June 25-27, 1993. Abstract published in Archives of Physical Medicine and Rehabilitation, 74(6): 672, June 25-27, 1993.
Cole, Elliot, Ph.D. "Design Parameters and Outcomes for Cognitive Prosthetic Software with Brain Injury Patients" Proceedings of the 15th Annual RESNA Conference, Las Vegas, NV. June 7-12, 1993.
Cole, Elliot, Ph.D. "Designing Prosthetic Systems for Brain Injury" Workshop on "Computing for Persons With Special Needs." Philadelphia Area Computer Society, Philadelphia, PA, January 16, 1993.
Cole, Elliot, Ph.D. "Computer Based Cognitive Prosthetics" National Head Injury Foundation Annual Symposium Pre-Conference Course, Boston, MA. December 8, 1992.
Cole, Elliot, Ph.D. "Enhancing the User Interface" RESNA Pre-Conference Instructional Course, RESNA International, 1992 Conference, Toronto, Canada, June 7, 1992.
Cole, Elliot, Ph.D. and Dehdashti, Parto "Prosthetic Software for Individuals with Mild Traumatic Brain Injury: A Case Study of Client and Therapists." Proceedings of the RESNA International 1992 Conference, pp170-172 Toronto, Canada. June 6-11, 1992.
Cole, Elliot, Ph.D. and Dehdashti, Parto "Cognitive Prosthetics," RESNA Pre-Conference Instructional Course, RESNA International 1992 Conference, Toronto, Canada, June 6, 1992.
Cole, Elliot, Ph.D. and Dehdashti, Parto "Interface Design for Individuals with Mild Learning Disabilities from Traumatic Brain Injury." Human Factors in Computing Systems, CHI, 1992, P. 16, Monterey, CA, May 3-7, 1992.
Cole, Elliot, Ph.D. and Trauth, Eileen M. "The Organizational Interface: A Method for Supporting End Users of Packaged Software." MIS Quarterly, Vol. 16 (1), P. 35-53. March, 1992.
Cole, Elliot, Ph.D. "Cognitive Prosthetics: Software." Pre-Conference Instructional Course Faculty, Rehabilitation Engineering Society of North America (RESNA), Kansas City, MO, June 1991.
Cole, Elliot, Ph.D. "Community Re-Entry and Vocational Training: Recent Advances in Alleviating Limitations Due to Enduring Cognitive Deficits." Panel Presentation, National Head Injury Foundation 9th Annual Symposium Proceedings, P. 77-78, New Orleans, LA, November, 1990.
Cole, Elliot, Ph.D. "Cognitive Prosthetics for TBI." Presentation at Keystone Head Injury Annual Meeting, Seven Springs, PA, November, 1990.
Cole, Elliot, Ph.D. and Dehdashti, Parto "Interface Design as a Prosthesis for Individuals with Brain Injuries." SIG/CHI Bulletin, 22(1): P. 28-32, July, 1990.
Cole, Elliot, Ph.D. "A Multi-Functional Computer-Based Cognitive Orthosis for a Traumatic Brain Injured Individual with Cognitive Deficits." Proceedings, Rehabilitation Engineering Society of North America 13th Annual Conference, P. 387-388, June, 1990.
Cole, Elliot, Ph.D. "Enhancing the User Interface: Software Design Consideration for Individuals with Acquired Cognitive Deficits." Pre-Conference Instructional Course Faculty, Rehabilitation Engineering Society of North America, June 1990.
Cole, Elliot, Ph.D. "Interface Design as a Prosthesis for Individuals with Brain Injuries." Presentation at Human Factors in Computing Systems ACM SIG/CHI '90. Seattle, WA, May 2-5, 1990.
Cole, Elliot, Ph.D.; Abbot, Nan; and Foschi, Maria "Word Processing as a Compensatory Device in the Traumatically Head-Injured Survivor." Cognitive Rehabilitation Vol. 7(1): 36-38, January/February, 1989.
Cole, Elliot, Ph.D. and Dehdashti, Parto "Increasing Personal Productivity of Adults with Brain Injury through Interface Design." Presentation at ACM SIG/CHI 88, May 1988, Washington, D.C., (abstract Only) SIG/CHI Bulletin, October, 1988.
Cole, Elliot, Ph.D. and Bergman, Marilyn "Application of Theory and Methods from Computer Science to the Use of Microcomputers for Community Re-Entry of Closed Head Trauma Clients." (Abstract Only) Cognitive Rehabilitation Vol. 5(4): 29 (July/August 1987), Presentation at Cognitive Rehabilitation Conference, Medical College of Virginia, September, 1987.
See: "Cognitive Prostheses for Brain Impaired." Review by William J. Lynch, Ph.D., Technology Editor, Journal of Head Trauma Rehabilitation 5(3):78-80 (1990). A Review of Dr. Elliot. Cole's work.
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