Meng-Ju Tsai, Pei-Chun Chen, Shwu-Jiuan Wang, Ren-Hau Li
{"title":"Picture communication symbols and voice symbols: iconicity and preference among healthy older adults in Taiwan.","authors":"Meng-Ju Tsai, Pei-Chun Chen, Shwu-Jiuan Wang, Ren-Hau Li","doi":"10.1080/17483107.2024.2420188","DOIUrl":"10.1080/17483107.2024.2420188","url":null,"abstract":"<p><p><b>Purpose</b>.</p><p><p>Unaided (e.g., speech and gestures) and aided (e.g., symbol corpuses) communication modes facilitate older adults' expression and comprehension. Adults aged 65 years and above constituted 18.27% of Taiwan's total population in 2023; hence, prioritizing high-quality healthcare for older adults becomes critical. Commercial symbol corpuses, such as Picture Communication Symbols (PCS) and Voice Symbols (VS), play a vital role in aiding older adults with expression and comprehension in Taiwan. Previous studies on iconicity and preference of symbol corpuses have primarily been conducted in Western and South Asian cultural communities. However, these findings may not apply to all Asian communities. Hence, studies investigating these aspects in specific communities are needed. Through quantitative nonexperimental observations, we explored the iconicity of and preference for PCS and VS among 30 healthy older adults in Taiwan.</p><p><p><b>Materials and Methods</b>.</p><p><p>A total of 12 practice words and test words each, familiar to the participants and socially and culturally validated, were selected for the developed VS-PCS iconicity and preference measurement. Verbal choices were made to select one line drawing in both measurements.</p><p><p><b>Results & Conclusions</b>.</p><p><p>The findings revealed that VS is significantly more transparent and preferred than PCS. Accounting for the iconicity of and preferences for symbol corpuses is pivotal for symbol selection.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"948-956"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510446","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}
Bjanca Nicole Castro, Geneva Lyn Daquipil, Rina Arian Macainag, Maxine Alexandra Tan, Miriam Bongo
{"title":"Prioritizing educational technologies for children with intellectual disabilities under fuzzy MCDM perspective.","authors":"Bjanca Nicole Castro, Geneva Lyn Daquipil, Rina Arian Macainag, Maxine Alexandra Tan, Miriam Bongo","doi":"10.1080/17483107.2024.2424880","DOIUrl":"10.1080/17483107.2024.2424880","url":null,"abstract":"<p><p><b>Objectives:</b> Children with intellectual disabilities struggled to perform basic tasks in the educational platform due to their deferred learning pace and individual challenges. To assist such needs, the child's individual education program (IEP) team, spearheaded by the school administrators, continues to offer supplementary educational technologies. However, selecting an appropriate technology does not follow an objective system, making the decision process tedious and unreliable. Therefore, this paper provides a new perspective on analyzing the educational technologies for children with intellectual disabilities with respect to design factors that also constitute the technical specifications and ergonomic principles of technology design.</p><p><p><b>Method:</b> To analyze the educational technologies, fuzzy best-worst method (BWM) and fuzzy technique for order of preference by similarity to ideal solution (TOPSIS) method are employed in a case study in the Philippines.</p><p><p><b>Impact:</b> Results reveal that user perception is the most important design factor to be considered when selecting educational technology for children with disabilities. Furthermore, the adaptive educational platform has been found to best fit the needs of children with autism.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"980-991"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693514","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}
Emma M Smith, Abilee J Danielson, Rhaya L Howich, Aditya Dhariwal, William C Miller
{"title":"Reliability of cushion construction for a low-cost pressure-reducing wheelchair cushion for less-resourced settings.","authors":"Emma M Smith, Abilee J Danielson, Rhaya L Howich, Aditya Dhariwal, William C Miller","doi":"10.1080/17483107.2024.2436637","DOIUrl":"10.1080/17483107.2024.2436637","url":null,"abstract":"<p><p><b>Purpose:</b> In less-resourced settings, 80% of people with spinal cord injuries die from pressure ulcer complications within two years. Appropriately constructed wheelchair cushions are effective in reducing incidence and severity of pressure ulcers. The Tuball is an inexpensive wheelchair cushion designed for users in less-resourced settings, which can be reproduced by local clinicians using locally sourced materials. This paper aimed to assess whether different individuals with limited knowledge of cushion construction could reliably construct the Tuball cushion.</p><p><p><b>Materials and Methods:</b> A convenience sample of eleven occupational therapy students were randomly assigned to one of two groups. Six participants constructed a Tuball and completed a subjective workload assessment. Five different participants sat on each cushion while pressure distributions were mapped. Intraclass correlation coefficients (ICC) with 95% confidence intervals were calculated for reliability of construction of each cushion using data from a range of pressure indices: dispersion index (primary outcome), peak pressure index, contact area, and seat pressure index (secondary outcomes) across all six cushions.</p><p><p><b>Results and Conclusions:</b> The ICC across all cushions was 0.745 (95% CI 0.103-0.970) for dispersion index. ICCs across cushions for secondary outcomes ranged from 0.879 to 0.951. Good-moderate reliability was found for the reliability in cushion construction as measured by the dispersion index. Excellent reliability in cushion construction was found as measured by peak pressure index, contact area, and seat pressure index. Data indicates individuals can reliably construct the Tuball given equivalent materials and instructions.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1123-1127"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786880","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":"Everyday technology and assistive technology supporting everyday life activities in adults living with COPD - a narrative literature review.","authors":"Rina Juel Kaptain, Tina Helle, Stina Meyer Larsen","doi":"10.1080/17483107.2024.2431627","DOIUrl":"10.1080/17483107.2024.2431627","url":null,"abstract":"<p><p><b>Introduction:</b> People living with chronic obstructive pulmonary disease (COPD) encounter challenges in everyday life activities due to symptoms like breathlessness and fatigue. Compensatory strategies, such as using everyday technology (mechanical, electronic and digital equipment and functions encountered daily) and assistive technology (products, instruments, or equipment adapted or designed to improve functioning of people with disabilities), are crucial for supporting everyday life activities; thus, it is essential to explore therapeutic potentials of these technologies. The present review aims to synthesise research literature concerning the use of everyday technology and assistive technology to support everyday activities among persons living with COPD.</p><p><p><b>Methods:</b> A narrative review was conducted with a systematic search in five bibliographic databases. Three sets of search terms were used: (i) everyday technology, assistive technology, and related terms, (ii) everyday life activities and related terms, and (iii) chronic obstructive pulmonary disease and related terms.</p><p><p><b>Results:</b> Screening resulted in 26 included articles.Following the American Occupational Therapy Association framework, the identified articles show six categories of everyday life activities supported by everyday technologies and assistive technologies: health management, social participation, activities of daily living, instrumental activities of daily living, leisure, and rest and sleep.</p><p><p><b>Conclusion:</b> Most articles focus on everyday technology for health management; however, everyday technology may hold unexpected potential to support a broader array of everyday life activities. Little is known about assistive technology to support everyday life activities for people with COPD, though it is described as crucial for independence and energy conservation.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"742-756"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786875","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}
Yusuf İslam Değerli, Berkan Torpil, Emel Pekçetin, Serkan Pekçetin
{"title":"The effectiveness of 3d printing technology course on attitudes of occupational therapy students-a controlled study.","authors":"Yusuf İslam Değerli, Berkan Torpil, Emel Pekçetin, Serkan Pekçetin","doi":"10.1080/17483107.2024.2416069","DOIUrl":"10.1080/17483107.2024.2416069","url":null,"abstract":"<p><p>There is interest in three-dimensional (3D) printing technology, but views on the integration of these technologies into business and education vary. It is crucial to determine how the introduction of new technologies will impact the attitudes of occupational therapy undergraduate students. Hence, the purpose of this study is to examine the effect of using this technology in the assistive technology (AT) lesson on the attitudes and acceptance of technology among students. This study was designed as a non-randomized controlled pretest and posttest control group study. The intervention group consisted of second-year undergraduate students (<i>n</i> = 50) enrolled in a compulsory \"AT course,\" while the control group consisted of third-year undergraduate students (<i>n</i> = 41) who had completed the AT course in the previous academic year. The intervention involved participants attending a 3D printing course in combination with an 8-week AT course. A Modified Technology Acceptance Model (M-TAM) questionnaire was used to assess students' acceptance of 3D printing technology. The related study observed that experiencing and practicing new technologies, such as 3D printing and modeling course in the intervention group AT lesson effectively increased the acceptability of these new technologies that students encountered. The pre-post test analysis of the intervention group was statistically significant in all categories of the M-TAM questionnaire (<i>p</i> < 0.05). Compared to the control group, the effect size was small and moderate in all categories (<i>p</i> < 0.05). This course has increased student acceptance of this technology. Future studies should examine the long-term effects of such courses on student attitudes.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"930-938"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477780","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}
Carlos de Paz, Juan Antonio Huertas, Jorge Ibáñez-Gijón, Juan Andrés Martín-Gonzalo, Ana Belén Varas, David Travieso
{"title":"Enhancing navigation and obstacle avoidance with a vibrotactile device as secondary electronic travel aid.","authors":"Carlos de Paz, Juan Antonio Huertas, Jorge Ibáñez-Gijón, Juan Andrés Martín-Gonzalo, Ana Belén Varas, David Travieso","doi":"10.1080/17483107.2024.2417264","DOIUrl":"10.1080/17483107.2024.2417264","url":null,"abstract":"<p><p>People with visual impairments commonly rely on the use of a white cane to navigate and avoid obstacles. Although this analog tool is highly reliable and easy to use, its drawback is the impossibility to anticipate obstacles beyond reach and routes, as well as obstacles above waist level. Electronic travel aids (ETAs) and sensory substitution devices (SSDs) are new technological solutions designed to enhance the tactile and/or auditory capabilities to access the information needed to overcome those drawbacks. In the present study, 25 individuals with visual impairments used the T-Sight, a vibrotactile SSD, and/or the white cane in a navigation task involving obstacle avoidance. While the performance achieved with the device, measured by the number of collisions and walking speed, did not surpass the white cane, the SSD did have a positive impact on ambulation. Participants reduced the number of white cane touches towards environmental obstacles and performed obstacle avoidance maneuvers earlier. These results demonstrate the potential of vibrotactile devices to address the limitations of the white cane.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1140-1150"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477776","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}
Thom Snoek, Annelaura Haarler, Ludwine van Orsouw, Thomas W J Janssen, Sonja de Groot, Ingrid Kouwijzer
{"title":"Sitting pressure during wheelchair propulsion and handcycling: effects of backrest angle, movement intensity and cushion type.","authors":"Thom Snoek, Annelaura Haarler, Ludwine van Orsouw, Thomas W J Janssen, Sonja de Groot, Ingrid Kouwijzer","doi":"10.1080/17483107.2024.2434912","DOIUrl":"10.1080/17483107.2024.2434912","url":null,"abstract":"<p><p><b>Purpose:</b> The main aim of this study was to compare sitting pressure (peak pressure index (PPI) and peak pressure gradient (PPG)) between a daily wheelchair and fixed-frame handcycle, thereby assessing the effect of handcycle backrest angle, movement intensity and cushion type.</p><p><p><b>Materials and methods:</b> Twenty able-bodied participants performed static and dynamic (two intensities) tests in a wheelchair and handcycle. A honeycomb wheelchair cushion and standard foam handcycle cushion were used. Handcycle backrest angles were 45° and 60°. The PPI and PPG at the sacro-coccygeal (SC) and ischial tuberosity (IT) regions were determined with a pressure mat.</p><p><p><b>Results:</b> PPI at the IT-region was higher in the 60° handcycle condition than in the wheelchair (<i>p</i> = 0.04), while PPG at the IT-region did not differ significantly between the wheelchair and handcycle conditions (<i>p</i> > 0.05). PPI and PPG were higher at the 45° handcycle SC-region compared to the wheelchair IT-region (<i>p</i> < 0.03). PPI and PPG at the IT-region were higher with the 60° than with the 45° backrest angle (<i>p</i> < 0.01), while at the SC-region PPI was higher with the 45° backrest angle (<i>p</i> = 0.047). No clear influence of movement intensity was found. PPI and PPG at the IT-region and PPI of the SC-region in the handcycle were significantly lower with the wheelchair cushion than with the handcycle cushion (<i>p</i> < 0.01).</p><p><p><b>Conclusion:</b> Overall, sitting pressure was higher in the handcycle compared to the daily wheelchair. For handcyclists using an upright position, it is recommended to use a cushion designed to redistribute pressure, thereby reducing internal tissue pressure and shear.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1094-1103"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755730","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":"Application of human-centered design principles to wearable exoskeletons: a systematic review.","authors":"Emmanuel Assare-Mokwah, S Arunkumar","doi":"10.1080/17483107.2024.2415433","DOIUrl":"10.1080/17483107.2024.2415433","url":null,"abstract":"<p><p><b>Purpose of the article:</b> As technologies continue to advance, designing wearable exoskeletons that are comfortable, safe, reliable, and engaging for users is an arduous task. The integration of HCD principles in exoskeleton development significantly contributes to ensuring that the product meets the needs and preferences of users. This study systematically reviews the application of human-centred design (HCD) principles in the development of wearable exoskeletons.</p><p><p><b>Methodology:</b> It synthesizes existing literature, identifies key HCD concepts and assesses their impact on exoskeleton usability, comfort, and safety. The findings of the study revealed a moderate application of HCD in many of the studies; however, the concepts were found to play a crucial role in enhancing the usability, safety, and comfort of wearable exoskeleton technology implementation. Challenges revealed in the study include limited stakeholder involvement, a lack of standardized evaluation metrics, non-consideration of ethical, legal, and social issues, and a lack of studies on the potential adverse effects of exoskeleton use. Besides identifying the challenges faced in integrating HCD principles into exoskeleton development, the study also proposed pragmatic approaches to overcome them.</p><p><p><b>Results:</b> The study underscores the significance of incorporating human-centred design principles in the design and development of wearable exoskeletons. This has implications for industry, rehabilitation, health, and agriculture to churn out positive outcomes. The research contributes to the expanding literature on wearable exoskeletons and HCD, offering valuable insights into the advancement of this technology in various domains and suggesting areas for future studies to address identified gaps.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"767-788"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510445","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":"Follow-up in low vision rehabilitation for users of assistive technology: a scoping review.","authors":"Hamidreza Aminparvin, Leif Henrichs, Claudine Auger, Shirley Dumassais, Judith Renaud, Walter Wittich","doi":"10.1080/17483107.2024.2433035","DOIUrl":"10.1080/17483107.2024.2433035","url":null,"abstract":"<p><p>Assistive technology (AT) is crucial for aiding activities of daily living in individuals with visual impairment; yet, without systematic follow-up device abandonment rates remain high. This scoping review synthesizes existing literature on follow-up processes in individuals with visual impairment undergoing vision rehabilitation with AT. Employing the Arksey and O'Malley framework, this review comprehensively searched seven databases, identifying 1,061 articles, of which 43 were selected for analysis, using the concepts of <i>visual impairment, rehabilitation,</i> and <i>assistive technology.</i> The publications span from 1989 to 2022. Most studies (<i>n</i> = 36, 83%) utilized a mixed-methods design, and 51% (<i>n</i> = 22) originated from the United States. Devices for near vision were the most commonly prescribed type of AT. Follow-up methods included questionnaires and interviews, with most follow-ups conducted at the client's home. Follow-up timing varied across studies, whereby 37% (<i>n</i> = 16) occurred after one or more years and 33% (<i>n</i> = 14) between one week and four months. Three categories of outcome measures emerged: generic outcomes, task-specific outcomes, and a combination of both. The review identified several gaps in the literature, including a scarcity of research concerning follow-up of AT particularly for both the type and timing of follow-up.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"721-732"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751201","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}
Tenelle Hodson, Melissa Kendall, Soo Oh, Ella Stangherlin, Camila Shirota, Elizabeth Kendall
{"title":"Health professionals' experiences and implications of a technology-focused service within a rehabilitation setting.","authors":"Tenelle Hodson, Melissa Kendall, Soo Oh, Ella Stangherlin, Camila Shirota, Elizabeth Kendall","doi":"10.1080/17483107.2024.2414213","DOIUrl":"10.1080/17483107.2024.2414213","url":null,"abstract":"<p><strong>Purpose: </strong>Both demand and need for assistive technology (AT) are growing worldwide. However, ensuring an optimal fit between the person and AT is complex. With health professionals often being the \"gatekeeper\" to AT, it is imperative to understand their experiences of AT. This study was positioned within a sociotechnical space known as \"HabITec\", which aims to bring together potential AT users with health professionals and technology developers to enhance the technology-person fit. The current paper reports on health professionals' experiences of the HabITec Lab (THL), the physical manifestation of HabITec that was piloted in a tertiary hospital for 12-months.</p><p><strong>Materials and methods: </strong>The study used a qualitative descriptive approach to explore the experiences of nine health professionals who referred patients to the lab.</p><p><strong>Results: </strong>Four major themes were identified together with suggestions for the future of THL and HabITec. The themes focused on 1) Balancing service and independence; 2) Capitalising on possibilities and connections; 3) Negotiating multiple mismatches; and 4) Fitting it all together in a coherent service.</p><p><strong>Conclusions: </strong>It was clear that health professionals who referred patients to THL identified a range of benefits associated with it, but barriers to its effectiveness were identified and concerns were raised over health professionals becoming too reliant on the lab. For THL to be sustainably implemented, it appears that a policy-level shift is needed to enable its appropriate resourcing.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"910-916"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477777","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}