Disability and Rehabilitation-Assistive Technology最新文献

{"title":"Wheelchair Skills test - questionnaire for manual wheelchair users: Italian translation and preliminary validation.","authors":"Paula W Rushton, R Lee Kirby, Yohali Burrola-Mendez, Anna Berardi, Mariangela Aceto, Valentina Grossi, Rosanna Porcaro, Donatella Valente, Marco Tofani","doi":"10.1080/17483107.2026.2664016","DOIUrl":"https://doi.org/10.1080/17483107.2026.2664016","url":null,"abstract":"<p><strong>Purpose: </strong>To translate and culturally adapt the Wheelchair Skills Test-Questionnaire (WST-Q) into Italian, and to assess its reliability, measurement error and validity in manual wheelchair users.</p><p><strong>Materials and methods: </strong>The WST-Q was translated and culturally adapted using forward-backward translation, expert review, and cognitive debriefing with wheelchair users and rehabilitation professionals. Internal consistency (Cronbach's α), test-retest reliability (Intraclass Correlation Coefficient, [ICC]), measurement error (Standard Error of Measurement [SEM] and the Smallest Real Difference [SRD]) were calculated. Validity was examined through WST-Q scores correlations (concurrent validity) and known-groups comparisons (years of use, training) (construct validity). A General Linear Model (GLM) was used to explore the effects of clinical and demographic factors, accounting for interaction terms.</p><p><strong>Results: </strong>Seventy-four manual wheelchair users, with a mean age of 44.0 years (SD: 15.7), participated in the study. Cronbach's α was 0.96-0.97 across WST-Q scores. ICCs indicated excellent test-retest reliability (0.88-0.92). SEM ranged from 4.9 to 6.9, and SRD from 13.6 to 19.3. Strong correlation among WST-Q scores was observed (<i>p</i> = 0.81-0.90, <i>p</i> < 0.001). Known-groups validity showed higher scores in participants with >2 years of wheelchair use and in those with training. GLM analysis identified significant effects of baseline pathology, wheelchair type, gender, and training, with several interaction effects, explaining 77-89% of score variance.</p><p><strong>Conclusion: </strong>The Italian WST-Q demonstrated excellent reliability, acceptable measurement error, and good validity. It is suitable for assessing self-reported manual wheelchair skills in Italian rehabilitation settings, supporting standardised and evidence-based practice.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a 3D animation-based mobile self-exercise program on physical function and rehabilitation adherence in individuals with spinal cord injury: a prospective pilot study.","authors":"Jin Hong Kim, Gangpyo Lee","doi":"10.1080/17483107.2026.2653071","DOIUrl":"https://doi.org/10.1080/17483107.2026.2653071","url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study aimed to evaluate the feasibility, safety, and preliminary effects of a 12-week self-exercise program delivered via a three-dimensional (3D) animation-based mobile application for individuals with spinal cord injury (SCI).</p><p><strong>Materials and methods: </strong>Fifteen manual wheelchair users with SCI participated in a progressive 12-week intervention. The program utilised a smartphone application featuring 3D animated exercises designed to enhance motor learning and rehabilitation adherence. Primary outcomes included adherence rates, user satisfaction, and physical function (muscle strength, arm circumference). Secondary outcomes included metabolic markers and health-related quality of life (HRQoL).</p><p><strong>Results: </strong>The intervention demonstrated high feasibility, with an 81.0% adherence rate and a satisfaction score of 39.8/50. Significant improvements were observed in upper extremity strength, including elbow flexors, extensors, and grip strength (p < 0.001). However, no significant changes were found in cardiometabolic markers or HRQoL. This divergence likely reflects the strategic focus of the protocol on musculoskeletal strengthening rather than intensive cardiorespiratory conditioning. No serious adverse events occurred; minor events, such as transient muscle soreness (28.6%), resolved spontaneously.</p><p><strong>Conclusion: </strong>A 3D animation-based mobile exercise program is a feasible and well-accepted tool for SCI rehabilitation, showing significant potential for enhancing upper extremity strength. While metabolic and quality-of-life changes were limited - potentially due to the specificity and short duration of the intervention - the high adherence and safety profiles suggest this platform is a reliable tool for long-term rehabilitation. Further investigation through large-scale randomised controlled trials is warranted to optimise multi-modal protocols.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Paediatric Handbook: co-creation and user perceived satisfaction of a paediatric-specific knowledge translation resource for manual wheelchair skills training.","authors":"Béatrice Ouellet, Tatiana Dib, Paula W Rushton, Constance Labrecque, Josiane Lettre, Krista L Best","doi":"10.1080/17483107.2026.2659215","DOIUrl":"https://doi.org/10.1080/17483107.2026.2659215","url":null,"abstract":"<p><strong>Purpose: </strong>The evidence-based Wheelchair Skills Training Program (WSTP) positively influences paediatric manual wheelchair users' (PMWUs) mobility. Occupational therapists (OTs) raised a need for condensed knowledge translation resources supporting its uptake in paediatrics. This study aimed to: 1) co-create a condensed educational resource to support PMWU wheelchair skills training (Paediatric Handbook) with an international subcommittee of researchers and clinicians with expertise in paediatric mobility (WSP-Paediatric Subcommittee [WSP-PS]); and 2) explore WSP-PS's and OTs' overall satisfaction with the Paediatric Handbook, and perceptions regarding usability, content and relevance, and anticipated feasibility in paediatrics.</p><p><strong>Methods: </strong>The Paediatric Handbook was co-created in two steps (1): paediatric-specific synthesis of the WSTP content and novel considerations for PMWUs (2); co-creation of the format and presentation. Online focus groups and interviews explored the WSP-PS's and OTs' overall satisfaction with, and perceptions of, the Paediatric Handbook (usability, content and relevance, and anticipated feasibility). The framework method guided deductive thematic analyses.</p><p><strong>Results: </strong>Eleven WSP-PS members co-created the Paediatric Handbook, comprising five sections (Safety, Motor Learning Principles, Skills Educational Sheets, Games, and Toolbox) in a format intended to be appealing and easy to navigate. Seventeen participants (eight WSP-PS members and nine OTs) found the Paediatric Handbook user-friendly (overall satisfaction), highlighting its visuals, clarity, and structure (usability). Participants perceived that it could support clinicians' learning, particularly when integrated into hands-on training (content and relevance), and anticipated few barriers to its use in paediatric settings (anticipated feasibility).</p><p><strong>Conclusion: </strong>Overall satisfaction and perceptions suggest the Paediatric Handbook's potential to support WSTP uptake in paediatrics.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing physical activity through voice: a usability study of the PCHA app with blind and low-vision individuals.","authors":"Soyoung Choi, JooYoung Seo, Ashwath Krishnan, Sanchita Kamath, Manuel Enrique Hernandez, Spyros Kitsiou","doi":"10.1080/17483107.2026.2663134","DOIUrl":"https://doi.org/10.1080/17483107.2026.2663134","url":null,"abstract":"<p><strong>Background: </strong>While mobile health (mHealth) technologies can support individuals' physical activity management, they often present accessibility barriers for blind and low-vision (BLV) users. To address this gap, we developed the Personalised and Conversational Health Agent (PCHA) app for BLV users.</p><p><strong>Methods: </strong>We conducted a 7-day usability study with six BLV adults. Data were collected on physical activity indicators (daily step counts and walking distance), System Usability Scale (SUS) scores, and qualitative feedback from semi-structured exit interviews.</p><p><strong>Results: </strong>The PCHA app achieved a mean SUS score of 77.1, with ratings ranging from \"Okay\" to \"Excellent.\" Participants valued the app's streamlined interface and reminder system but expressed mixed preferences for voice versus text-based data input. The AI-based chat feature demonstrated limited engagement, with participants reporting generic responses that reduced its perceived utility. The physical activity data revealed highly variable patterns, influenced by personal and contextual factors, and technical issues such as incomplete data synchronisation.</p><p><strong>Conclusion: </strong>Voice interfaces offer important accessibility benefits but should complement screen reader-based interactions. Further improvements should include multi-modal interaction options, improved technical reliability, and adaptive personalisation features that account for individual circumstances and preferences. These findings provide design insights for advancing inclusive mHealth interventions to better support physical activity management among BLV individuals.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus on factors critical to Augmentative and Alternative communication (AAC) use in Canada from multiple stakeholder perspectives: a Delphi study.","authors":"Stephanie Lackey, Shane Pinder, T Claire Davies, Tracy Shepherd, Petra Karlsson, Beata Batorowicz","doi":"10.1080/17483107.2026.2659218","DOIUrl":"https://doi.org/10.1080/17483107.2026.2659218","url":null,"abstract":"<p><strong>Purpose: </strong>Research evidence supports the benefits of AAC in enhancing social participation for people with communication disabilities, including in education and employment, however underutilisation and discontinued use of AAC systems remain unresolved issues. With this study, the research team aimed to gather consensus on factors important to AAC use and identify priorities based on the perspectives of key stakeholders in Canada. The perspectives considered included those of people who use AAC, family, caregivers, service providers, manufacturers, and technicians.</p><p><strong>Materials and methods: </strong>A two-round modified Delphi study design was used. The research team developed 123 survey items, based on previous focus group studies, to be rated on a 9-point numeric rating scale with an online two-round Delphi survey.</p><p><strong>Results: </strong>The result was consensus on 52 statements rated as important by at least 75% of participants. The statements related to several environmental and technological factors including characteristics of AAC systems, social interaction with AAC, AAC services, school, physical environment, and societal attitudes.</p><p><strong>Conclusion: </strong>The range of priorities identified as important for AAC pertain to the person who uses AAC, AAC system design, acquiring AAC systems, formal and informal support, and social context, highlighting where support is needed. Consensus on areas of importance based on the perspectives of different expert groups will help to inform future directions and priorities for research and practice, including recommendations for AAC service delivery guidelines in Canada.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering mobility: an exploratory study of perceptions of Power Assist devices among older manual wheelchair users.","authors":"Kristy Choy, Zoey Xue, Elina Jiang, W Ben Mortenson, Johanne Mattie, Jaimie Borisoff","doi":"10.1080/17483107.2026.2659220","DOIUrl":"https://doi.org/10.1080/17483107.2026.2659220","url":null,"abstract":"<p><strong>Introduction: </strong>Power assist devices (PADs) are attachments for manual wheelchairs (MWCs) that can reduce physical strain and enhance community participation. However, the literature regarding their adoption by older adults is limited, and little is known about their decision-making. Understanding these perceptions is crucial for guiding clinical practice, user-centered design, and policy reform.</p><p><strong>Objectives: </strong>This study aimed to explore the perceptions of older adult MWC users towards PADs, identifying the user-defined criteria for evaluating these devices and the perceived barriers and enablers to their acquisition.</p><p><strong>Methods: </strong>Following a qualitative descriptive approach, we conducted semi-structured interviews with nine older adult (age 50+) MWC users (both PAD users and non-users). Data were analysed using reflexive thematic analysis to identify and develop core themes.</p><p><strong>Results: </strong>We identified four main themes. (1) Ready to roll: activity-driven preferences shape device selection; (2) A balancing act: trying to maximise safety, performance and health; (3) Navigating the triad of trust: Information sourcing and experiential validation; and (4) Falling through the cracks: structural barriers creating gaps between preferred and acquired devices.</p><p><strong>Conclusion: </strong>The participants in this study - primarily active older adults with established peer connections - demonstrated sophisticated assessment criteria, perceiving PADs as \"activity enablers\" for health preservation and sustained participation. A significant disconnect exists between these user-defined perceptions and the fragmented information and policy systems they must navigate. Findings highlight a need for user-centered design, comprehensive clinical skills training, and equitable funding policies that support secondary prevention to maintain older adults' mobility.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Semi-immersive virtual reality protocol assessing gait and balance in remote concussion.","authors":"Brent A Harper, Michael Shiraishi, Rahul Soangra","doi":"10.1080/17483107.2026.2664015","DOIUrl":"https://doi.org/10.1080/17483107.2026.2664015","url":null,"abstract":"<p><strong>Purpose: </strong>This proof-of-concept study evaluated the effectiveness of a novel semi-immersive virtual reality dual-task protocol in identifying lingering postural control deficits in individuals with a remote history of concussion. Study aimed to examine how dual-tasking - specifically, centred and peripheral vision Stroop tasks - affects postural sway during standing and walking in previously concussed individuals and healthy controls.</p><p><strong>Methods: </strong>The virtual reality system integrated motion capture and force plate technology to create an ecologically realistic environment, enabling more realistic task performance. A divided attention task incorporating centred and peripheral visual stimuli was administered during standing and walking conditions. Task performance was compared between healthy controls and individuals with a documented history of concussion. Statistical analyses included independent-samples t-tests, MANOVA, and Cohen's d for significant effects.</p><p><strong>Results: </strong>Significant gait and postural stability impairments were identified in concussed participants. Concussed individuals exhibited larger sway areas and slower sway dynamics during standing tasks and shorter strides during walking tasks. Concussed individuals exhibited a significantly larger sway area during both the centred Stroop balance task (<i>t</i>(14) = 2.60, <i>p</i> = .021, <i>d</i> = 1.15) and the peripheral Stroop balance task (<i>t</i>(13) = 2.27, <i>p</i> = .041, <i>d</i> = 1.06).</p><p><strong>Conclusions: </strong>These findings suggest that semi-immersive virtual reality dual-task assessments, particularly those involving peripheral visual demands, may detect subtle post-concussion deficits often missed by standard evaluations. This highlights the potential of virtual reality based assistive technology tools to inform more personalised interventions. Such approaches may ultimately improve long-term outcomes and quality of life through more ecologically realistic, real-world assessments.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of artificial intelligence in healthcare and rehabilitation: a qualitative study on insights from medical officers and physical therapists in Pakistan.","authors":"Etisam Wahid, Shahzad Ahmad, Muhammad Sanan Khan, Nimrah Humayoon, Muneeb Anwar","doi":"10.1080/17483107.2026.2666389","DOIUrl":"https://doi.org/10.1080/17483107.2026.2666389","url":null,"abstract":"<p><p>Background: In healthcare and rehabilitation, artificial intelligence (AI) is being widely used in assistive devices, administration, and diagnostic support. There is, however, little data on how healthcare workers in low-resource environments understand and view the use of AI, especially in different professional groups engaging in clinical decision-making and rehabilitation.</p><p><p>Objective: The objective of this study was to explore the knowledge, awareness, and perceptions of medical officers (MOs) and physical therapists (PTs) on the application of artificial intelligence (AI) in healthcare and rehabilitation.</p><p><p>Methods: An exploratory qualitative study was conducted utilising semi-structured interviews with 40 clinicians (20 MOs and 20 PTs) selected through purposive sampling from major public and private hospitals in Peshawar. Interviews were performed both in person and online; audio-recorded and transcribed verbatim; and analysed using inductive theme analysis using Braun and Clarke's methodology.</p><p><p>Results: Five interrelated themes were identified: fundamental knowledge of AI, awareness of therapeutic applications, perceived positive outcomes, ethical and pragmatic concerns, and limitations to integration. PTs were more familiar with the application of AI in assistive robotic technology, while MOs prioritised AI usage for the purpose of diagnosis and administration work. Both groups viewed AI as a useful technology to improve clinical decision-making and workplace efficiency, while both groups raised concerns regarding data privacy, autonomy, lack of formal training, and realistic application in the local context.</p><p><p>Conclusion: MOs and PTs in KP were cautiously optimistic about the application of AI in healthcare and rehabilitation, with significant concerns formed by ethical, educational, and technical limitations.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review on machine learning applications in Paralympic sports: current practice and future research.","authors":"Junyan Liu, Minh N Do, Jiaqi Guo, Chia-Wei Lin, W Catherine Cheung, Adam W Bleakney, Yih-Kuen Jan","doi":"10.1080/17483107.2026.2664014","DOIUrl":"https://doi.org/10.1080/17483107.2026.2664014","url":null,"abstract":"<p><strong>Purpose: </strong>This review explores the applications and challenges of machine learning (ML) in Paralympic and adaptive sports, focusing on performance profiling, injury prediction, movement analysis, and assistive technology development.</p><p><strong>Materials and methods: </strong>A comprehensive search of six electronic databases (PubMed, Web of Science, IEEE Xplore, Scopus, SPORTDiscus, and Google Scholar) was conducted, identifying 17 studies that applied ML in Paralympic and adaptive sports. Each study was evaluated for quality using the Prediction model Risk of Bias Assessment Tool (PROBAST).</p><p><strong>Results: </strong>ML applications were found across four key areas: performance profiling, classification, movement analysis, and assistive technology. While advancements have been made in areas like para-swimming and wheelchair sports tracking, challenges remain due to small sample sizes, data heterogeneity, and the need for domain-specific adaptations to address the unique biomechanics and equipment used by athletes with disabilities.</p><p><strong>Conclusions: </strong>The application of ML in Paralympic sports has the potential to significantly enhance performance analysis and injury prevention. However, current models require further refinement to account for the diversity of impairments, equipment variations, and movement strategies in adaptive sports. Future research should focus on developing robust, interpretable ML models that are adaptable to the unique needs of Paralympic athletes. Improved validation practices and interdisciplinary collaboration are essential to ensure the translation of ML innovations into practical, real-world applications that support athletes' performance and well-being.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-23"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the assistive technology needs and rights of four Kenyan adults with deafblindness by using the My Assistive Technology Outcomes Framework.","authors":"Leda Kamenopoulou, Meredith Prain, Diane Bell, Mary Maragia, Erica Ranzato, Natasha Layton","doi":"10.1080/17483107.2026.2664019","DOIUrl":"https://doi.org/10.1080/17483107.2026.2664019","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the assistive technology (AT) needs and rights of four deafblind adults living in Kenya, using the My Assistive Technology Outcomes Framework (MyATOF). The research addresses a notable gap in the literature regarding AT use among deafblind people, focusing on the experiences of individuals in less well-resourced contexts.</p><p><strong>Methods: </strong>Participant experiences in relation to their supports, participation outcomes, and human rights were captured through a series of online interviews. The study also explored how MyATOF functioned as a tool for reflection to support self-advocacy.</p><p><strong>Results: </strong>The findings reveal that a broad range of assistive products are in use, alongside a significant reliance on human support, and highlight difficulties in accessing and navigating AT systems within the Kenyan context. Participants identified a need for service, policy, and right-enactment improvements. MyATOF shows promise in helping participants articulate their needs and advocate better for themselves. Challenges such as internet connectivity and the availability of interpreters were noted.</p><p><strong>Conclusion: </strong>The study underscores the importance of tailored policies, interventions and enhanced AT ecosystems to support individuals with deafblindness in less-resourced settings.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}