Donna Bainbridge, PT, EdD, ATC and Meg Ann Traci, PhD. Rural Institute, University of Montana, 52 Corbin Hall, Missoula, MT 59812, 406 243-5741, dbridge@ruralinstitute.umt.edu

The PA, identified as a critical contextual component in ICF (2001), is responsible for organizing and managing the environment for many adults with ID living in supported settings (AAMR, 1992). In a recent survey, 77% of adults with ID reported a change in PA. These changes were estimated to cost average service corporations more than $200,000 annually. PA change can decrease recognition of physical, behavioral, and psychological changes, and can disrupt routines, reinforcement contingencies, and communication systems.

Handheld devices (PDA) were introduced to these environments as part of a research study to study and stabilize these environments. Sixty-one service staff and nine People First members, trained to use a PDA, were queried regarding ease and utility of use, and other potential applications.

Researchers found 96% agreement between corporation records and PDA data. Staff noted that PDAs were easy to use, were efficient for tracking consumer information, and integrating field data with computerized records. People First members enjoyed using PDAs for scheduling, medications, and general information. They found concurrent information entry sharpened their recall. Additional uses included: organizing schedules and information; accessing paperwork “on-the-go”; documenting workplace payroll and productivity; implementing individual plans; planning menus; communicating with professionals; and posting resumes.

The use of PDAs for data collection and management has great potential for capacity change in supported living environments to improve the lives of consumers.

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