Disability and Rehabilitation-Assistive Technology最新文献

{"title":"Evaluation of home modifications for individuals with mobility impairments using virtual reality and wearable sensors.","authors":"Yue Luo, Jithin Gopinadhan, Nicolas S Grimaldi, Xiaojie Lu, Sherry Ahrentzen, Ravi Srinivasan, Boyi Hu","doi":"10.1080/17483107.2025.2555536","DOIUrl":"https://doi.org/10.1080/17483107.2025.2555536","url":null,"abstract":"<p><strong>Background: </strong>Home repurposing can help enhance accessibility for people with mobility impairments. However, residents may hesitate to implement such changes without clear evidence showing the effectiveness.</p><p><strong>Purpose: </strong>The study integrates virtual reality (VR) systems and wearable technology to provide the effectiveness evidence of home repurposing, reducing residents' hesitancy. Here, VR allows residents to compare old and new home designs, while wearables offer direct evidence through motion and task analysis.</p><p><strong>Methods: </strong>Twenty-one participants conducted two consecutive activities of daily living (i.e., relocating the robe and going to the bathroom) in original and redesigned bedrooms simulated in the VR system. Participants' performance and posture measures were compared between two bedrooms.</p><p><strong>Results: </strong>Compared to the original bedroom layout, participants spent a shorter period of time and walked for a shorter distance in the redesigned bedroom layout; The redesigned bedroom layout also improved motion smoothness when conducting daily activities, compared to the original layout; Meanwhile, the posture participants adopted to finish the daily activities was different between the original and redesigned bedroom layouts.</p><p><strong>Conclusions: </strong>Bedroom repurposing is effective in terms of home accessibility for individuals with or without mobility issues by: (1) direct connecting the bed with the bathroom and replacing the panel door with a pocket door, (2) removing door access of the closet, and incorporating the close into the bedroom.</p><p><strong>Application: </strong>The design and evaluation of repurposing bedrooms can contribute to improving the independence of people with mobility issues. These populations often experience physical limitations that make daily activities more difficult.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076432","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":"Examining occupational therapists' perspective on assistive technology: a qualitative study.","authors":"Medine Nur Özata Değerli, Duygu Mine Alataş, Sümeyye Atlıkan, Ayşe Betül Türk Ortaç, Ali Tanış, Onur Altuntaş","doi":"10.1080/17483107.2025.2560091","DOIUrl":"https://doi.org/10.1080/17483107.2025.2560091","url":null,"abstract":"<p><strong>Objectives: </strong>Assistive technology plays a significant role in occupational therapy practice. Understanding occupational therapists' perspectives on the use of assistive technology is essential for enhancing clinical applications and promoting effective interventions. The aim of this study was to examine occupational therapists' perceptions of assistive technologies and their experiences of using these technologies in clinical practice.</p><p><strong>Methods: </strong>A qualitative study was conducted using thematic analysis, following an inductive approach. Thirteen semi-structured interviews were conducted with occupational therapists, both in-person and online, based on a pre-developed interview guide. Thematic analysis revealed four main themes: clinical practice, professional competence, organizational constraints, and recommendations for improvement. The most frequently used and recommended assistive technology devices were those that supported activities of daily living. Participants emphasized accessibility as a key consideration when selecting and prescribing assistive technology. Moreover, several participants highlighted the absence of standardized guidelines to support the use of assistive technology in occupational therapy.</p><p><strong>Impact: </strong>These results suggest that improving professional education, developing evidence-based protocols and addressing systemic barriers can strengthen the integration of assistive technology into occupational therapy practice.</p><p><strong>Implications for rehabilitation: </strong>Occupational therapists should receive more training on assistive technologies so that these technologies can be used effectively in clinical practice.The lack of standardized guidelines for the use of assistive technologies leads to inconsistencies in therapists' choice of devices. Therefore, it is important to develop these guidelines.Accessibility issues and organizational barriers limit the effective use of assistive technologies. Overcoming these barriers can increase the efficiency of therapy processes.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-10"},"PeriodicalIF":2.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076445","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":"Making technology work after acquired brain injury: reasons for use, importance, and psychosocial impact of technology after acquired brain injury.","authors":"Tamara Ownsworth, Casey Williams, Janelle Griffin, Rebecca Seeney, Ryan Bell, Emily Gibson, Camila Shirota, Jessie Mitchell","doi":"10.1080/17483107.2025.2559191","DOIUrl":"https://doi.org/10.1080/17483107.2025.2559191","url":null,"abstract":"<p><p><b>Purpose:</b> To understand how mainstream technology may support rehabilitation needs after acquired brain injury (ABI), this research aimed to investigate reasons, importance, and psychosocial impact of technology use after ABI and explore perceived benefits, challenges, and facilitators. <b>Method:</b> 66 individuals with ABI (59% male) attending outpatient brain injury rehabilitation and 60 controls without neurological injury (47% male) completed a survey regarding technology use. Following their rehabilitation, semi-structured interviews were conducted with a purposive sample (<i>n</i> = 20) of individuals with ABI and were analysed using content analysis. <b>Results:</b> Total reasons for frequent technology use did not significantly differ between pre- and post-injury, although participants with ABI rated technology as significantly more important and used technology more frequently for medical and rehabilitation appointments post-injury. Total reasons for frequent technology use, perceived importance and psychosocial impacts did not significantly differ between the ABI and control samples. However, a significantly lower proportion of participants with ABI used technology frequently for productivity, personal affairs, general health and wellness and navigation (44-74%) than controls (68-100%, <i>p</i> <. 01). The qualitative analysis identified an overarching theme of <i>making technology work for me after ABI</i>, depicting individuals' experiences of <i>how it works</i> and <i>when it works</i> optimally to meet their everyday needs. <b>Conclusion:</b> Technology use may change after ABI, as individuals strive to achieve optimal balance between personal investment in technology and benefits for supporting everyday functioning. Key implications relate to the need for rehabilitation clinicians to tailor support for technology use to individuals' lifestyle and preferences.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066073","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":"Can we configure COOK, a cognitive Orthosis for meal preparation, with efficiency and effectiveness?","authors":"Mélanie Amaral Dos Santos, Maude Rondeau, Mireille Gagnon-Roy, Célia Lignon, Hubert Kenfack Ngankam, Nathalie Bier, Sylvain Giroux, Carolina Bottari","doi":"10.1080/17483107.2025.2557443","DOIUrl":"https://doi.org/10.1080/17483107.2025.2557443","url":null,"abstract":"<p><strong>Purpose: </strong>Assistive Technologies for Cognition (ATCs), such as the Cognitive Orthosis for coOKing (COOK), offer support to individuals with traumatic brain injury by enhancing safety and independence. While the usability of COOK's client interface has been tested, the expert interface-used by occupational therapists to customize the interface to clients' needs-requires further study. We therefore aimed to: (1) Prioritize the modifications to be made to COOK's configuration interface; and (2) Describe the effectiveness and efficiency of the interface within a laboratory context.</p><p><strong>Materials and methods: </strong>A Human-Centered Design (HCD) approach was used. Fourteen occupational therapists and master's students in occupational therapy participated. A convergent mixed-methods design was used. Data was collected through laboratory testing of the interface. Qualitative data was analyzed using deductive thematic analysis [1], and quantitative data with descriptive statistics.</p><p><strong>Results: </strong>Our study highlighted the importance of balancing effectiveness and efficiency during technology design. Participants emphasized that the configuration process should ensure both a quality that allows customization to meet client needs and an ease of use to minimize the time required for the configuration of COOK. Overall, a good usability of COOK's configuration interface was demonstrated both qualitatively and quantitatively.</p><p><strong>Conclusion: </strong>Future studies will be needed to implement the technology in clinical practice and gather further insights on this interface for the design of further iterative improvements to meet the needs of occupational therapists and their clients.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070980","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":"Ensuring correct fit and sustainability of assistive technology recommendations in schools.","authors":"Gai Lovell, Shelly J Lane, Anna Jane Rose, Marla C Roll, Stuart Szwec","doi":"10.1080/17483107.2025.2558218","DOIUrl":"https://doi.org/10.1080/17483107.2025.2558218","url":null,"abstract":"<p><strong>Objective: </strong>Our aim was to identify the frameworks used when considering AT and to identify the key elements that support its recommendation, implementation, and sustainability in schools.</p><p><strong>Methods: </strong>A mixed-methods approach was taken, using surveys and semi-structured interviews with clinicians and education staff. Survey data were analysed descriptively, while framework analysis was applied to the interview data. Quantitative and qualitative data were integrated through a mapping exercise. Participants included 22 clinicians and 16 educators, with follow-up interviews conducted with 8 clinicians and 3 education staff.</p><p><strong>Results: </strong>Findings revealed that clinicians and educators believed that site-specific guiding frameworks could aid in successful AT implementation. However, there was variation in awareness of available frameworks and limited use of their structures. Consistent themes emerged from interviews: maintaining a focus on the child, considering multiple aspects of the school context, and encouraging collaboration between educators and clinicians. Key ingredients for AT success in schools were threaded throughout each theme.</p><p><strong>Conclusion: </strong>Abandonment of AT in schools is costly and undermines children's academic success. Best practices for AT recommendation, implementation, and sustainability necessitate a simplified guiding framework that incorporates key ingredients related to child focus, school context, and collaboration. The framework structure should be flexible such that it can be tailored to the organisational systems and processes within individual schools.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-23"},"PeriodicalIF":2.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070920","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":"Evaluating AI tutor feedback in medical education: a case study of computer basics and applications course for undergraduates.","authors":"Penglong Wang, Boyan Mi, Jiangdong Lu, Fen Zheng","doi":"10.1080/17483107.2025.2560673","DOIUrl":"https://doi.org/10.1080/17483107.2025.2560673","url":null,"abstract":"<p><p>Owing to a restricted network and limited time on the computer course, medical undergraduates in the curricula offered by our university demanded timely and high-quality feedback. With the rapid advancement of artificial intelligence, intelligent tutoring systems can provide a solution. This article explored the main factors of AI feedback on teaching outcomes by employing a fine-tuned local language model. First-year medical students (<i>n</i> = 200) communicated with an AI tutor before and after the computer course this semester. After communicating with an AI tutor fine-tuned by specialized course learning content and five-year feedback dialogue, these students marked the AI tutor by filling in a structured questionnaire. Once the data were recorded, the PLS-SEM model explored the relations among these features. The results presented an apparent gap between AI and human tutor (<i>W</i> = 17.894, <i>p</i> < 0.005). The model in PLS-SEM illustrated learning outcome was not highly consistent with AI tutor performance and student features (HTMT 0.314, 0.228, respectively), while AI tutor was rated higher in accuracy at 3.40 (<i>p</i> < 0.001). In conclusion, the AI tutor demonstrated potential to answer questions once the knowledge can be trained well. In the short learning term, an AI tutor can present much clearer feedback in a special course, and can be used as a quick intelligent notebook.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066139","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 outcome measurement instruments for children: a scoping review.","authors":"Haidar Tafner Curi, Eliana Chaves Ferretti, Patrícia Coelho de Soárez","doi":"10.1080/17483107.2025.2558215","DOIUrl":"https://doi.org/10.1080/17483107.2025.2558215","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aimed to explore and map wheelchair outcome measurement instruments for children in the literature.</p><p><strong>Materials and methods: </strong>A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology. The review focused on children (≤18 years) manual or motorised wheelchair users, and included primary sources of literature on wheelchair outcome measurement instruments. A search was conducted in nine electronic databases, including grey literature. Data on general characteristics, psychometric properties (validity, reliability, responsiveness) were extracted and analysed descriptively.</p><p><strong>Results: </strong>A total of 27 studies and 33 instruments were included, mostly focused on manual wheelchair users (n=23). Performance-based outcomes instruments were the most common (n=15). Construct validity (n=19) and test-retest (n=19) were the most assessed psychometric property. Responsiveness (n=3) and intra-rater (n=3) were the least reported. The most frequently conducted statistical analyses were: minimal detectable difference (MDD) (n=12), standard error of measurement (SEM) (n = 12), intraclass correlation coefficient (ICC) (n=16) and Pearson correlation (n=9). The most common construct was propulsion perfomance in a manual wheelchair (n=6).</p><p><strong>Conclusion: </strong>Wheelchair outcome measurement instruments for children mainly assess manual wheelchairs, emphasising propulsion perfomance as the primary outcome. Responsiveness and intra-rater are underreported, highlighting a gap for future research. Standardised methodologies and detailed reporting, including sample size specifications, are essential for advancing research and clinical practice.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041841","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":"Beyond access: rethinking assistive technology for ındividuals with visual ımpairments in Türkiye.","authors":"Önder İşlek","doi":"10.1080/17483107.2025.2560092","DOIUrl":"https://doi.org/10.1080/17483107.2025.2560092","url":null,"abstract":"<p><strong>Purpose: </strong>This qualitative study explores systemic barriers to assistive technology (AT) access among individuals with visual impairments (VI) in Türkiye. It aims to identify commonly used AT tools, acquisition methods, training pathways, unmet technological needs, access barriers, and participant recommendations for inclusive policymaking.</p><p><strong>Materials and methods: </strong>Eighty-three individuals with VI across Türkiye responded to open-ended survey questions. Participants varied in age, education, and employment. A qualitative descriptive approach guided the thematic analysis, organized around six focal areas: AT usage, acquisition, learning methods, inaccessible technologies, barriers, and policy suggestions.</p><p><strong>Results: </strong>Participants reported widespread use of mainstream digital tools (e.g., smartphones, computers), primarily acquired independently and often without public financial support. Training was informal, relying on self-teaching or peer assistance. Desired technologies-such as Braille displays and accessible navigation aids-were often inaccessible due to cost, availability, or lack of localization. Key barriers included high prices, insufficient training resources, weak enforcement of disability rights, and persistent social stigma. Respondents recommended increased public funding, integration of AT training in education, improved legal enforcement, and expanded public awareness.</p><p><strong>Conclusion: </strong>Despite demonstrating adaptability, individuals with VI in Türkiye face significant structural barriers to equitable AT access. Informal learning limited public support, and a lack of locally adapted tools contribute to digital exclusion. A rights-based approach-emphasizing inclusive funding, institutionalized training, localized AT development, and policy accountability-is essential to creating an inclusive technological and social environment.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041862","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":"Mobile health applications for the rehabilitation of people with spinal cord injury: a scoping review.","authors":"Afonso Mota, Marta Campos Ferreira, Carla Sílvia Fernandes","doi":"10.1080/17483107.2025.2559190","DOIUrl":"https://doi.org/10.1080/17483107.2025.2559190","url":null,"abstract":"<p><strong>Background: </strong>Individuals with spinal cord injury (SCI) face complex and ongoing rehabilitation needs. In this context, mobile health applications have emerged as promising tools to support self-management and rehabilitation.</p><p><strong>Objective: </strong>To map and characterize mobile applications specifically developed to support rehabilitation of individuals with SCI.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines. A systematic search was performed across five electronic databases (PubMed, Scopus, Web of Science, and CINAHL). Studies published between 2015 and 2024 describing the use of mobile applications in the rehabilitation of adults with SCI were included.</p><p><strong>Results: </strong>A total of 24 studies were included. We synthesized the identified applications descriptively into four domains: self-management and health education; gamification and motivation for physical rehabilitation; monitoring and prevention of secondary complications; and assistive technology and advanced rehabilitation. A consistent adoption of user-centered design principles was observed. Despite high levels of reported usability, challenges remain regarding long-term engagement, technological complexity, and sustained adherence.</p><p><strong>Conclusion: </strong>Mobile applications represent a promising complementary resource to support rehabilitation and health management in individuals with SCI. However, more robust longitudinal studies with larger sample sizes are required to assess the clinical impact and long-term feasibility of these interventions.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034108","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":"Choral harmony: the role of collective singing in ritual, cultural identity and cognitive-affective synchronisation in the age of AI.","authors":"Xiaoyang Xiao","doi":"10.1080/17483107.2025.2556025","DOIUrl":"https://doi.org/10.1080/17483107.2025.2556025","url":null,"abstract":"<p><p><b>Purpose:</b> This study examines how choral singing functions as a mechanism for sustaining ritual practice and reinforcing cultural identity. By integrating perspectives from musicology, social psychology, and cognitive science, it explores how collective vocal performance supports emotional attunement, group cohesion, and symbolic memory in culturally diverse contexts.</p><p><p><b>Materials and Methods:</b> A mixed-methods approach was applied, combining ethnographic observation, survey-based data, and cognitive measures with AI-informed frameworks such as voice emotion recognition and neural synchrony modeling. Case studies included Anglican cathedral choirs, Tibetan Buddhist chant groups, and Indigenous community choirs in Northern Canada.</p><p><p><b>Results:</b> Findings demonstrate that choral structures-such as harmonic entrainment and rhythmic alignment-foster affective convergence, enhance psychological resilience, and strengthen group synchrony. Participation in choir singing was also shown to increase self-other overlap and reinforce cultural continuity across traditions.</p><p><p><b>Conclusions:</b> The study affirms choral singing as both a symbolic and embodied practice of shared identity in the algorithmic era. It highlights the potential for AI-informed feedback systems to contribute to participatory music education and communal healing, providing a theoretical foundation and data reference for future interdisciplinary applications.</p>","PeriodicalId":47806,"journal":{"name":"Disability and Rehabilitation-Assistive Technology","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034525","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}