{"title":"Implementation of a tablet-based care prevention programme-information and communication technology-integrated occupational therapy for older adults with cognitive decline.","authors":"Atsushi Kawabata, Naoya Tsukii, Yu Ishibashi","doi":"10.1080/17483107.2025.2512000","DOIUrl":"https://doi.org/10.1080/17483107.2025.2512000","url":null,"abstract":"<p><strong>Objective: </strong>This case report examines the implementation of a tablet-based care prevention program for an older adult with cognitive decline, aiming to enhance Instrumental Activities of Daily Living (IADL) and social participation through Information and Communication Technology (ICT)-integrated occupational therapy.</p><p><strong>Case presentation: </strong>The participant was an 80-year-old male diagnosed with mild cognitive impairment (MCI), with a history of glaucoma and hypertension. Despite prior exposure to tablets, he lacked confidence in their use. He enrolled in a community-based ICT support program to improve daily activity engagement. Intervention: A four-month intervention, consisting of two sessions per month, was conducted. Initial assessments included the Mini-Mental State Examination (MMSE), the Mobile Device Proficiency Questionnaire-Japanese (MDPQ-J), and the Canadian Occupational Performance Measure (COPM) and the World Health Organization Quality of Life-BREF (WHOQOL-BREF). The intervention involved guided tablet use, environmental modifications (tablet stand and stylus adaptation), and training in digital mapping and drawing applications.</p><p><strong>Outcomes: </strong>After the intervention, the MDPQ-J score improved from 9.58/40 to 13.96/40, and COPM satisfaction scores increased for both digital mapping (4/10 to 6/10) and drawing (5/10 to 7/10). The WHOQOL-BREF score increased from 66 to 70. The participant demonstrated improved ICT confidence and expanded daily activity engagement.</p><p><strong>Conclusion: </strong>This case highlights the potential of ICT-integrated occupational therapy in enhancing IADL among community-dwelling older adults with cognitive decline. Future research should focus on both testing and developing structured ICT-based interventions to further support social participation and daily independence.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200547","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":"Objective assessments for walking aid prescription in balance impairment and falls risk: a scoping review of current evidence.","authors":"Baeho Joo, Jodie L Marquez, Peter G Osmotherly","doi":"10.1080/17483107.2025.2508936","DOIUrl":"https://doi.org/10.1080/17483107.2025.2508936","url":null,"abstract":"<p><strong>Background: </strong>Walking aids are widely used by people with mobility limitation. A guideline to inform walking aid prescription is lacking and many walking aids are acquired without any professional advice. The literature was reviewed to identify gaps in evidence to guide future research examining walking aid prescription objective assessments.</p><p><strong>Objective: </strong>To summarise and identify gaps in the current literature regarding the walking aid prescription objective assessments for those with balance impairment and/or falls risk. Method: Medline, AMED, Embase, CINAHL, Pedro and Cochrane were searched combining keywords for walking aids AND falls/balance.</p><p><strong>Results: </strong>Fourteen studies were included in the scoping review from 11,492 citations. Cross-sectional study designs were used in thirteen studies. Four articles recruited participants of all ages, the remaining ten studies recruited participants ≥60 years. Seven studies examined people with particular medical conditions, namely Parkinson's disease, stroke, dementia, mobility impairment and Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, polyneuropathy and spinal cord injury. In eight studies, the objective assessments were tested against professional walking aid prescription. Thirteen objective assessments reported the ability to distinguish the need for walking aid use.</p><p><strong>Conclusions: </strong>This scoping review identified limited evidence on objective assessments used for prescribing walking aids for people with balance impairment and/or falls risk. The findings provide guidance for future research, specifically aiming to discern people needing different walking aids. Research designs that use longer time frames, include methods and outcome measures where patients' perspective can be evaluated and utilise professional prescription rather than usual aids would strengthen future investigations.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175291","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":"Towards inclusive explainable artificial intelligence: a thematic analysis and scoping review on tools for persons with disabilities.","authors":"Zahra Atf, Peter R Lewis","doi":"10.1080/17483107.2025.2507684","DOIUrl":"https://doi.org/10.1080/17483107.2025.2507684","url":null,"abstract":"<p><strong>Objective: </strong>Explainable Artificial Intelligence (XAI) offers transparent, trustworthy decision support, yet its implementation in disability contexts remains limited. This scoping review aims to map and evaluate XAI tools developed for individuals with disabilities and identify thematic patterns to inform the design of inclusive rehabilitation technologies.</p><p><strong>Methods: </strong>A systematic search of literature from January 2018 to June 2024 was conducted across SCOPUS, ACM Digital Library, IEEE Xplore, ProQuest and Google Scholar, guided by Arksey & O'Malley's framework and PRISMA-ScR guidelines. From 1184 records, 26 peer-reviewed studies involving end-user evaluation were selected. Braun & Clarke's six-phase thematic analysis was used to classify tools by explanation modality and design principle.</p><p><strong>Impact: </strong>Findings reveal a strong concentration on neurological conditions - such as Alzheimer's disease, autism spectrum disorder and Parkinson's disease - with limited focus on orthopaedic, sensory and spinal impairments. SHAP was the most common explanation model, followed by LIME, LRP-B and Grad-CAM. Accessibility goals centred around clinical transparency, user comprehension, sensory/cognitive adaptation and trust in low-resource settings. Thematic analysis identified three overarching dimensions: modelling techniques, decision-making and trust and diverse application contexts. Expanding XAI to underrepresented impairments and embedding multimodal, user-centred explanations into rehabilitation workflows - through participatory design, ethical oversight and standardised evaluation - can enhance autonomy, improve personalisation and support more effective, equitable care.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-22"},"PeriodicalIF":1.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152409","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}
Jordam Wilson Lourenço, Paulo Alexandre Correia de Jesus, Jones Luís Schaefer, Osiris Canciglieri Junior
{"title":"Challenges and strategies for the development and diffusion of assistive technologies.","authors":"Jordam Wilson Lourenço, Paulo Alexandre Correia de Jesus, Jones Luís Schaefer, Osiris Canciglieri Junior","doi":"10.1080/17483107.2025.2508390","DOIUrl":"https://doi.org/10.1080/17483107.2025.2508390","url":null,"abstract":"<p><strong>Aim: </strong>Assistive Technology (AT) facilitates daily life activities for individuals with disabilities and the elderly, helping them adapt to physical tasks and social interactions with family, friends, and colleagues. Despite its potential to promote autonomy and independence, numerous barriers often hinder AT's integration and accessibility. This research aims to systematically identify and analyse the barriers and challenges that hinder the widespread adoption and accessibility of AT and propose practical solutions to overcome them.</p><p><strong>Methods: </strong>A Systematic Literature Review (RSL) was employed as the primary methodological approach, followed by the application of VOSviewer and Statistica Software to ensure a rigorous analysis of the data and the formation of clusters of barriers, which were subsequently grouped to allow a standardised, didactic exploration and segmented of the similarities between the identified obstacles.</p><p><strong>Results: </strong>The analysis identified thirteen clusters, the most prevalent in the literature being the \"Financial and Knowledge Access Barriers\".</p><p><strong>Conclusion: </strong>This study provides a comprehensive examination of the challenges obstructing the accessibility and implementation of AT, offering targeted strategies to mitigate these barriers and improve the integration of AT for its end users.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128853","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}
Lorenzo Desideri, Riccardo Magni, Massimo Guerreschi, Claudio Bitelli, Evert-Jan Hoogerwerf, Concetta Vaccaro, Domenica Taruscio, Marta De Santis, Rosa Immacolata Romeo, Elena Ilaria Capuano, Giuseppe D'Avenio, Sandra Morelli, Carla Daniele, Paola Meli, Mirko Rossi, Antonia Pirrera, Mauro Grigioni, Daniele Giansanti
{"title":"Need and access to assistive technology in Italy: results from the rATA survey.","authors":"Lorenzo Desideri, Riccardo Magni, Massimo Guerreschi, Claudio Bitelli, Evert-Jan Hoogerwerf, Concetta Vaccaro, Domenica Taruscio, Marta De Santis, Rosa Immacolata Romeo, Elena Ilaria Capuano, Giuseppe D'Avenio, Sandra Morelli, Carla Daniele, Paola Meli, Mirko Rossi, Antonia Pirrera, Mauro Grigioni, Daniele Giansanti","doi":"10.1080/17483107.2025.2503905","DOIUrl":"https://doi.org/10.1080/17483107.2025.2503905","url":null,"abstract":"<p><p><b>Purpose:</b> This study assessed the prevalence of assistive products need, use, and access in Italy using the rapid Assistive Technology Assessment (rATA) tool.</p><p><p><b>Materials and Methods:</b> Conducted from June to September 2021, the survey involved a random sample of 10167 Italian citizens. Stratified sampling was used to ensure that the sample involved was representative of the Italian population. A combination of Computer Assisted Telephone Interviewing (CATI) and Computer Assisted Web Interviewing (CAWI) was used.</p><p><p><b>Results:</b> The estimated prevalence of need in the population resulted of 52,6% with 45,8% reporting their needs as met and 6,7% experiencing unmet needs. Use and need were higher among older adults (60+ years). Logistic regression indicated that respondents aged 60+ (OR: 3,3; 95% CI: 2,8-3,8) and respondents reporting more severe functional difficulties (OR: 23,9; 95% CI: 19,4-29,6) are more likely to be users of assistive products. Younger respondents (0-17 years old) reported using on average more assistive products (<i>M</i> = 2,7; SD = 2,9) than adults (<i>M</i> = 1,6; SD = 1,7) and older users (<i>M</i> = 1,6; SD = 1,5) (all <i>p</i>s <.001). Notably, mobile digital devices (smartphones/tablets) are the second most used assistive products, preceded by spectacles and followed by pill organizers.</p><p><p><b>Conclusions:</b> This study provides essential baseline data to inform policies and improve AT access nationwide. The results highlight the importance of recognizing mainstream digital devices, such as commercially available smartphones, as legitimate assistive products. Secondary analyses will contribute to strengthen the understanding of factors associated to successful AT provision.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136492","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":"\"Wheelchair skills training for caregivers of manual wheelchair users: a randomized controlled trial comparing self-study and remote training\".","authors":"Muhammed Yildiz, Mehmet Çebi","doi":"10.1080/17483107.2025.2474094","DOIUrl":"https://doi.org/10.1080/17483107.2025.2474094","url":null,"abstract":"","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121238","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":"Caregiver training: reply to letter.","authors":"R Lee Kirby","doi":"10.1080/17483107.2025.2506306","DOIUrl":"https://doi.org/10.1080/17483107.2025.2506306","url":null,"abstract":"","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121240","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":"The impact of digital empowerment training on the awareness of assistive technologies and digital competence skills among students with visual impairment.","authors":"Meberate Belachew, Askalemariam Adamu, Asmamaw Ashete, Shegaw Mengistie","doi":"10.1080/17483107.2025.2508395","DOIUrl":"https://doi.org/10.1080/17483107.2025.2508395","url":null,"abstract":"<p><p>In Ethiopia, as in many other Sub-Saharan African countries, students with visual impairments entering higher education institutions often have limited knowledge of assistive technologies(ATs) customised to their needs and lack the necessary skills to effectively use these tools. This study examines the impact of Digital Empowerment Training (DET) program on the awareness ATs and digital competence skills (DCSs) among students with visual impairment at a higher education institution in Ethiopia. To verify two hypotheses related to AT awareness and DCSs of students, the study utilised mixed-methods sequential explanatory design with single group pre-test post-test pre-experimental design for the quantitative study and phenomenological design for the qualitative study. Pre-test and post-test quantitative data were collected from 36 students through interviewer-administered questionnaire and were analysed through matched pair sample t-test; and qualitative data were collected from four students through semi-structured interview guide and were analysed thematically. The results from both quantitative and qualitative analyses confirmed significant improvements in AT awareness after the intervention program, with students expanding their knowledge from recognising few AT types initially to identifying a broad range of ATs. Additionally, significant gains in digital competence skills were observed across various dimensions, supported by both quantitative analyses and qualitative reflections. The findings provide important implications for educational practices and policy highlights and for further research investigations.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121244","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":"ChatGPT enhances reading comprehension for children with dyslexia in Arabic language.","authors":"Mahmoud Gharaibeh, Abdullah Basulayyim","doi":"10.1080/17483107.2025.2508389","DOIUrl":"https://doi.org/10.1080/17483107.2025.2508389","url":null,"abstract":"<p><strong>Purpose: </strong>The study investigated the impact of ChatGPT, an AI language model, on enhancing reading comprehension skills among Arabic-speaking children with dyslexia.</p><p><strong>Materials and methods: </strong>The study population consisted of 60 Arabic-speaking children with dyslexia, aged 8 to 11 years, selected from public and private schools in the United Arab Emirates (UAE). A quasi-experimental design was adopted, with participants divided into control and experimental groups. The experimental group received ChatGPT-based reading instruction during regular school hours. Data was collected using the Sentence Reading Comprehension Test and the Reading Maze Test. The pre- and post-tests were administered to both groups, with equivalent reading difficulty but different texts.</p><p><strong>Results: </strong>The findings of the study revealed a significant improvement in reading comprehension scores among the experimental group compared to the control group. Specifically, the post-test scores showed increased sentence comprehension accuracy and better contextual understanding of reading materials.</p><p><strong>Conclusions: </strong>Based on these findings, it is recommended that AI tools like ChatGPT be integrated into remedial reading programs for children with dyslexia. Educators should consider leveraging AI-assisted reading exercises to provide personalized learning experiences that can support and accelerate reading development in struggling learners.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112313","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":"The perception of haptic graphs by individuals with visual impairments through an electrostatic touchscreen.","authors":"Christina Fountouki, Konstantinos Papadopoulos","doi":"10.1080/17483107.2025.2508388","DOIUrl":"https://doi.org/10.1080/17483107.2025.2508388","url":null,"abstract":"<p><strong>Background: </strong>The potential of haptic touchscreens in accessing digital graphical information is argued in recent research. With a growing demand for graph accessibility, particularly for individuals with visual impairments, haptic touchscreens emerge as a viable solution.</p><p><strong>Methods: </strong>In this study, 19 adults with visual impairments participated in an experiment aimed at evaluating their perception of five graphs \"touched\" <i>via</i> an electrostatic Tanvas touchscreen. The objectives of the research are to examine: (1) whether the responses provided by the participants for the graph values are accurate; i.e., how much these responses deviate from the actual graph values; (2) whether the individual characteristics of the participants, such as severity of the visual impairment and age of onset of the visual impairment, affect their performance; and (3) what are the parameters (i.e., the characteristics of the tasks) that negatively or positively affect the performance of participants; The study comprised a familiarization test and five test-graphs, namely two bar graphs, one pie chart, one scatter plot, and one line graph.</p><p><strong>Results: </strong>Results indicate promising outcomes, with participants demonstrating satisfactory graph perception through the device. Demographic and personal factors exerted no statistically significant influence on performance. Participants encountered challenges in tasks involving a horizontal axis with densely arranged segments, especially when tasked with counting a large number of segments.</p><p><strong>Conclusions: </strong>Overall, there seems to be potential for providing access to digital graphical information for individuals with visual impairments through the Tanvas haptic device. However, further investigation with audio integration would be beneficial.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112324","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}