Comprehensive Summary

McDonagh et. al studied the feasibility and efficacy of Smart Steps AI, which is a voice-controlled artificial intelligence software, to improve activities of daily living (ADLs) in people with Acquired Brain Injury (ABI). As a single case experiment, this pilot project studied Breda, who developed a Traumatic Brain Injury (TBI) and impairments in executive function. Smart Steps AI displayed limited impact on ADLs although there were learning effects maintained through each phase of testing, like through AI helping Breda with steps of cooking. However, Breda, who was able to verbalize her condition and experiences well, found application maneuverability difficult with the necessity of clear enunciation and slow response time, leading to accessibility issues for those with ABI-related speech impediments. Additionally, the app was unable to help the patient maintain their safety and hygiene, like through washing hands and vegetables while cooking. While Smart Steps AI could be a supplement to therapy for less severe patients, clinicians would need more expertise in more situations to refine the model for broader applications and patients. In the future, the speech recognition and response time and safety precautions could be improved to help manage impulsive behavior in patients.

Outcomes and Implications

While assistive technology for neurohabilitation can reduce caregiver burden to increase the autonomy of those with ABI, Smart Steps AI still needs more improvements to cater better to diverse patient needs and sequencing performance. The AI must also be adapted to better ensure safety and hygiene in patients, like making sure the patients wash their hands, so for now, this application may only be most suited for those with milder cognitive impairments. By adjusting recognition software and increasing safety, this technology could reach a broader audience through the ABI population.

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© 2025 AIIM. Created by AIIM IT Team

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© 2025 AIIM. Created by AIIM IT Team