Marina Ramella, Francesca Borgnis, Claudia Salatino, Maurizio Saruggia, Chiara Folini, Rosa Maria Converti
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引用次数: 0
Abstract
Background: Despite the widely recognised benefits of assistive technology (AT) in everyday life, AT abandonment rate due to unmet user needs or expectations is high. World Health Organisation emphasised the importance of evaluating AT outcomes as a top research priority, but comprehensive approaches to assess users' needs and AT impact are still limited.
Aim: The research study OMAT (outcomes of mobility assistive technology in rehabilitation pathways) aimed to evaluate the feasibility of a new AT assessment protocol for mobility AT, spanning from an initial evaluation of users' and relatives' needs to a follow-up after real-world use of assistive products (APs).
Material and methods: An observational single-arm study involving 95 AT users was conducted at Fondazione Don Gnocchi (Milan, Italy). The OMAT protocol encompassed baseline assessment, user training, prescription, authorisation, delivery and follow-up. The evaluations blend standard clinical evaluations with validated AT outcome measures for perceived effectiveness of AT, user satisfaction and changes in quality of life.
Results: The feasibility of OMAT in clinical settings was established, with 67 user participants completing the protocol. Data showed positive impacts on user satisfaction and perceived AT effectiveness by all participants (users and relatives), with an improvement in the perceived degree of severity in problems. Quality of life outcomes, however, showed mixed results across various domains.
Conclusion: OMAT is a feasible protocol for assessing mobility APs in clinical settings, underscoring the importance of involving users in the prescription process and the need for comprehensive AT monitoring mechanisms. This approach could enhance AT service delivery, exceeding the current standards of the Italian-National-Health-Service.Implication for rehabilitationPersonalise assistive technology (AT) based on user needs for higher effectiveness.Include structured follow-up in rehabilitation for better AT outcomes.Enhance patient involvement in AT selection to improve use.Focus on AT's role in enhancing overall quality of life.Use validated tools for AT impact assessment and monitoring.
背景：尽管辅助技术（AT）在日常生活中的益处已得到广泛认可，但由于用户的需求或期望未得到满足而放弃使用辅助技术的比例却很高。目的：OMAT（康复路径中的移动辅助技术结果）研究旨在评估新的移动辅助技术评估方案的可行性，评估范围从最初的用户和亲属需求评估到实际使用辅助产品（APs）后的随访：在 Don Gnocchi 基金会（意大利米兰）进行了一项单臂观察研究，共有 95 名辅助器具使用者参与。OMAT 方案包括基线评估、用户培训、处方、授权、交付和跟踪。评估融合了标准临床评估和有效的辅助器具结果测量，包括辅助器具的感知效果、用户满意度和生活质量的变化：结果：67 名用户完成了评估方案，确定了 OMAT 在临床环境中的可行性。数据显示，所有参与者（使用者和亲属）对使用者满意度和感知到的辅助器具有效性都产生了积极影响，感知到的问题严重程度也有所改善。然而，生活质量结果在各个领域的表现不一：OMAT是在临床环境中评估行动不便人士的可行方案，强调了让使用者参与处方过程的重要性以及建立全面的辅助器具监测机制的必要性。对康复的启示：根据用户需求对辅助技术进行个性化设计，以提高辅助技术的有效性；在康复过程中进行结构化跟踪，以提高辅助技术的效果；加强患者对辅助技术选择的参与，以提高辅助技术的使用率；关注辅助技术在提高整体生活质量方面的作用；使用经过验证的工具对辅助技术的影响进行评估和监测。
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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