Table 3 Summary of studies characteristics.
From: Online training programs for adults with disabilities: a systematic review
Study | Aim | Methodology | Measurements | Instruments | Analysis | Main results |
|---|---|---|---|---|---|---|
Arachchi et al. (2021) | Analyze how people with intellectual disabilities (ID) perform web searches and design an e-learning tool | Qualitative (iterative participatory approach) | Participants’ perspective on Google search, support requirements, computer use and web search skills | Semi-structured interviews and observations | Thematic analysis | Improved web search skills and decreased need for individual support. Effectiveness of teaching and auditory material |
Ayuso and Santiago (2022) | Analyze the process of applying dialogic reading in people with intellectual disability level (IDL) in face-to-face and virtual | Mixed methods (multiple case study design) | Average Length of the Statement (LME), percentage of communicative interaction, self-perception of learning | Ad-hoc questionnaire and video recordings | Descriptive analysis, Wilcoxon, and content analysis | Significant difference between all variables for virtual and face-to-face, being lower in the virtual sessions. No significant difference between groups in LME variables. Face-to-face sessions had better results |
Bruce et al. (2017) | Analyze whether Drive Smart online training improves hazard perception skills in young drivers with ADHD | Quantitative (randomized (1:1), controlled, parallel group) | Mean time of hazard perception reaction at three moments (at baseline T0, after intervention T1 and after 6 weeks T3) | Hazard Perception Test (HPT) | Descriptive analysis, one-way ANCOVA on HPT change scores, paired-samples t-test | Better scores in G1: magnitude of the change scores at T1 (−0.88); effect on HPT change scores at T1 (p = 0.02, η2 = 0.212); difference in mean scores at T1 (−1.35). Better scores in G1 in magnitude of the change pre-post (p < 0.02; −1.28; η2 = 20.39). Improvement of hazard perception skills after online intervention |
Busse et al. (2022) | Evaluate a web-based lifestyle, exercise, and activity (LEAP-MS) intervention for people with progressive multiple sclerosis. | Quantitative (non-randomized, single group with pre-test and post-test) and qualitative (perception on process evaluation) | Feasibility, self-efficacy, routine activities, emotional well-being, social participation, fatigue; physical, impact of MS. Intervention Fidelity | Self-efficacy scale (UW-SES-SF); the Oxford Activities and Participation Questionnaire (OxPAQ); health-related quality of life (EQ-5D-5 L); modified form of the Fatigue Impact Scale (MFIS); Multiple Sclerosis Impact Scale (MSIS- 29); Modified Patients’ Global Impression of Change (PGIC) and semi-structured interview | Descriptive analysis | Acceptance/adherence: 90.5% received intervention; Recruitment: >50% < 70% (lack of viability); Retention: 76%. Improvements in routine activities and emotional well-being. No changes in social participation. At three months, improvements in the impact of MS and in fatigue, at 6 months the improvements in physical and cognitive fatigue scores were maintained. The LEAP-MS intervention is feasible and associated with improvements in self-management and physical activity skills scores. |
Chiu et al. (2023) | Evaluate cognitive abilities, cognitive functioning, and quality of life after virtual reality intervention in older people with cognitive impairment. | Quantitative (randomized controlled trial) | Cognitive skills, cognitive-motor interaction (baseline vs follow training), accuracy, error, and repetition rate (weekly) Intervention Fidelity | Cognitive Assessment Screening Instrument (CASI); Mini-Mental State Examination (MMSE); Clock Drawing Test-Drawing Part, (CDT-D); World Health Organization quality of life scale brief version (WHOQOL-BREF) Taiwan version | Pairwise comparisons (t-tests and chi-square tests), repeated-measures ANOVA, Generalized Estimating Equation (GEE) analyses. | Main effect of treatment group: better scores in VR group in Global cognitive abilities (p = 0.00, ŋ2 = 0.54); General cognitive functioning (p = 0.00, ŋ2 = 0.42); Quality of life (p = 0.00, ŋ2 = 0.45). Medium effect sizes VR intervention improves cognitive function and quality of life |
Curtiss et al. (2023) | Explore a research-based learning process for creating reliable information about sexuality education on Instagram | Qualitative (community-based participatory research; CBPR) | Experiences and learning acquired. | Interviews | Thematic analysis | Mutual learning on sexual education topics; co-creation (between people with and without disabilities) of accessible, inclusive, and relevant sexuality education content for people with intellectual disabilities through a research-based process. Learning facilitation skills, research, instruction, and using Instagram as an educational tool. |
De Felice et al. (2023) | Investigate how people with autism learn online, comparing live learning vs. recorded learning. Compare its impact on people with and without autism. | Quantitative (repeated-measures design (2 (group)×3 (learning condition) ×2 (time)) | Difference in learning performance between groups, time, and conditions | Background battery (verbal fluency, non-verbal reasoning and mentalizing), Learning quiz and enjoyment questionnaire (post-intervention and at follow-up) | ANOVA and mixed-linear effect regression model | Main effect of time and learning condition: better scores immediately after the session (p < 0.001, η2 = 0.56 and p = 0.03, η2 = 0.15: better scores in Live vs Recorded-alone condition (p = 0.008). No interaction effects. Similar results in experiment 2; Regression Model 1: ‘Condition’ (beta = −0.07, p = 0.003); verbal fluency (beta = 0.02, p = 0.002) and non-verbal reasoning (beta = 0.01, p = 0.0003) were significant predictors of learning performance. Live learning showed better scores immediately after the session, and people with autism performed similarly to those without autism |
Fjellström et al. (2022) | Explore the feasibility and effectiveness of a web-based training program for people with intellectual disabilities. | Quantitative (descriptive) | Adherence rate; body composition measurements (fat mass, body mass, waist circumference (WC)), quality of life and PA level (before and after the intervention); PA enjoyment post intervention | Body Composition Analyzer; measuring tape; questionnaire Manchester Short Assessment of Quality of Life (MANSA); International Physical Activity Questionnaire (IPAQ-SF); Questionnaire Physical Activity Enjoyment Scale (PACES) | Descriptive analysis, Paired-samples t-test and Wilcoxon signed-rank test. | High adherence rate: 83%, significantly decreased in fat mass y WC (p < 0.001; p < 0.5), non-significant changes in quality of life, increased PA level (p <0.05) and enjoyment (3.9 of 5) The application of a web program in adults with ID shows a higher level of physical activity. |
Garcia et al. (2023) | Evaluate the feasibility of a remote nutrition education and culinary skills program for young adults with autism spectrum disorder (ASD) | Mixed Method | Feasibility (attendance records, retention rates), Intervention Fidelity | Records, session notes surveys, interview | Descriptive analysis, content analysis and thematic approach | Online nutrition program is viable and well accepted (83% attendance, 7% attrition), offering various communication methods and enhancing knowledge related to nutrition, self-efficacy, and behavioral capacity. |
Güdül Öz and Yangın (2021) | Evaluate a web-based sexual health education for people with visual impairments | Quantitative (descriptive) | Quality, content, and usability of the website | Personal Information Form; System Usability Scale (SUS), Website Evaluation Form for Individuals with Visual Impairments | Descriptive analysis | High website usability, most useful modules included sexual health and rights (48.86%). Among other suggestions: increase in descriptive images and descriptive videos and greater details in some content, among other. |
Mead et al. (2023) | Analyze if institutions offer accommodations to students with disabilities studying online vs. in person | Quantitative (descriptive) | Demographics, disability type and status, frequency of accommodations, and performance | Data register | Descriptive analysis, mixed-effects linear regression, logistic regression | Students in the in-person program were almost 30% more likely to be enrolled in the disability resource center. Students in the online program had a more limited range of accommodations but performed better than those in the in-person program. Students with disabilities in the online program do better than students with disabilities in the in-person program. |
Moëll et al. (2015) | Evaluate an online course (Living Smart) for adults with ADHD. | Quantitative (randomized 1:1, controlled, parallel group) | Attention, organization, depression, anxiety, stress, quality of life, general level of functioning, activity, and compliance. | Scales: ASRS subscale measuring Inattention and hyperactivity; Sheehan Disability Scale (SDS); Hospital anxiety and depression scale (HADS); The perceived stress scale (PSS); adapted version of the Clinical Global Impressions Scale-Improvement before and after intervention and structured telephone interviews | T tests, Chi-2 tests, 2 × 2 repeated measures ANOVA. | Reduced average scores on ASRS-Inattention from 28.1 to 22.9 after the intervention, indicating improvements in organization and attention. |
Rimmer et al. (2022) | Evaluate the MENTOR program (Mindfulness, Exercise, and Nutrition to optimize Resilience) for people with physical disabilities | Mixed method (multiple case study design) | Effectiveness, physical activity, wellness assessment, participants’ perceptions of their experience with the MENTOR program | Enrollment data, Godin Leisure-Time Exercise Questionnaire (GLTEQ), UAB/Lakeshore Wellness Assessment (LWA), interview | Descriptive analysis, paired t-tests, Wilcoxon rank tests, Inductive thematic analysis | Better scores in participant with physically inactive in GLTEQ total activity (p = 0.005, ŋ2 = 0.53); in exercise behavior (p = 0.006, ŋ2 = 0.39) in contribution to society/community (p = 0.013, ŋ2 = 0.37). Better scores in participant with low overall wellness in various measures (p < 0.05, ŋ2range = 0.43 to 1.07) MENTOR is feasible and potentially effective, showing improvements in physical activity and well-being in physically inactive participants. |
Silva de Souza et al. (2018) | Analyze a training system based on a virtual environment (VR) for a blind wheelchair user. | Mixed method (case study) | System performance, participant execution, communication time, signs, physiological data | Systematic observation | Descriptive analysis | Use of VR with EEG signals could improve the quality of life and independence of blind wheelchair users. |
St. John et al. (2022) | Evaluate a virtual course to improve the mental health and well-being of adults with intellectual disabilities. | Mixed methods: quantitative (non-randomized study of a single group repeated measures) and qualitative (perception participant experience) | Feasible, acceptable, attendance, mental well-being, mental health self-efficacy | Basic demographic data, satisfaction and self-efficacy survey, Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) and interview (before and after intervention) | Descriptive, inferential statistics (repeated measures ANOVA -pre, post and follow‐up) and content analysis | Feasible and acceptable course (>88% were satisfied), high attendance (average of sessions, 5 of 6, and average of 14 participants per session), positive changes in mental health self-efficacy (p < 0.01), no significant changes in well-being |
Worobey et al. (2018) | Determine the effectiveness of a web-based transfer training module in improving transfer technique (independent wheelchair transfers). | Quantitative (randomized control trials) | Transfer technique in three groups (personal training, web training, control). | Demographic questionnaire and Transfer Assessment Instrument (TAI version 3.0) pre, post and follow‐up) | Descriptive statistics, Kruskal-Wallis Test, Fisher’s Exact Test, Friedman Test, Mann-Whitney Tests, and multiple linear regression model | Both in-person and web-based training groups improved post-intervention and at follow-up (p < 0.01), with web-based training comparable to in-person training |