Assistive Technology最新文献_第10页

Appropriate assistive technology for all: Celebrating progress and acknowledging the gaps. 为所有人提供适当的辅助技术：庆祝进步，承认差距。

IF 2.5 4区医学

Assistive Technology Pub Date : 2024-07-03 Epub Date: 2024-06-24 DOI: 10.1080/10400435.2024.2367394

Emma M Smith

引用次数: 0

Assistive devices non-use, abandonment, or non-adherence? Toward standard terminology for assistive devices outcomes. 辅助设备不使用、放弃还是不坚持使用？实现辅助设备结果的标准术语。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-06-05 DOI: 10.1080/10400435.2024.2362139

Alhadi M Jahan, Paulette Guitard, Jeffrey W Jutai

{"title":"Assistive devices non-use, abandonment, or non-adherence? Toward standard terminology for assistive devices outcomes.","authors":"Alhadi M Jahan, Paulette Guitard, Jeffrey W Jutai","doi":"10.1080/10400435.2024.2362139","DOIUrl":"https://doi.org/10.1080/10400435.2024.2362139","url":null,"abstract":"For individuals with disabilities, failure to use prescribed assistive technology devices (ATDs) according to professional recommendations can have detrimental health consequences. The literature has employed various terms to describe this phenomenon such as nonuse, abandonment, and non-adherence to characterize this behavior, lacking clear and standardized definitions. Consistent use of a standardized language is critical for advancing research in this area. This study aims to identify and describe the concepts related to the failure to use prescribed ATDs, along with the associated contexts, and proposes a framework for standardizing terminology in this domain. A narrative literature review encompassing studies from inception to June 2023 was conducted to elucidate these concepts. Out of 1029 initially identified articles, 27 were retained for in-depth analysis. The review unveiled a significant inconsistency in the use of terms like nonuse, abandonment, noncompliance, and non-adherence. Some articles even employed these terms interchangeably without clear definitions. Only 10 of the 27 reviewed articles provided definitions for the terminology they used. This highlights the crucial need for adopting valid conceptual models to select appropriate terms. Researchers are strongly encouraged to furnish operational definitions aligned with theoretical models and relevant to their research context to advance this field consistently.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262538","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}

引用次数: 0

Circumstances of falls among older adult walker users in long-term care and the associated walker design deficits. 长期护理中老年助行器使用者的跌倒情况以及相关的助行器设计缺陷。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-10-24 DOI: 10.1080/10400435.2023.2267623

Kimberly A Nickerson, Kailey Diaz, Brittney C Muir

{"title":"Circumstances of falls among older adult walker users in long-term care and the associated walker design deficits.","authors":"Kimberly A Nickerson, Kailey Diaz, Brittney C Muir","doi":"10.1080/10400435.2023.2267623","DOIUrl":"10.1080/10400435.2023.2267623","url":null,"abstract":"Falls are the leading cause of fatal and non-fatal injuries in older adults. Walkers are often used by and prescribed to this population to reduce fall risk, however, walker users and walker non-users alike experience similar fall incidence rates. The role of walkers in preventing falls is unclear as some studies suggest walkers may be a fall-inciting factor. The purpose of this study was to analyze walker deficits by evaluating the circumstances and causes of falls in older adult walker users residing in long-term care facilities. Videos capturing 34 real-life falls involving wheeled walkers (rollators and two-wheeled walkers) in two retirement facilities were analyzed for 3 themes: walker type, fall direction, and activity at the time of fall. A frequency analysis of these themes was performed to determine common fall mechanisms. The results of this study suggest two-wheeled walker and rollator users most often fall sideways while turning and backward during weight transfer, respectively. Poor maneuverability, lateral stability, and wheel velocity control of the walkers contributed to the falls. Device improvements addressing these areas of deficiency may be necessary to mitigate falls occurring in older adult walker users.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"248-253"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10995100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assistive Technology utilization among stroke survivors in Kano, Northwest Nigeria: A cross-sectional study. 尼日利亚西北部卡诺市中风幸存者对辅助技术的使用情况：一项横断面研究。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-09-12 DOI: 10.1080/10400435.2023.2244560

Jibrin Sammani Usman, Rabbilu Salisu, Auwal Abdullahi, Abubakar Tijjani Salihu, Ashiru Hamza Muhammad, Surajo Kamilu Sulaiman, Abdussalam Muhammad Yakasai

{"title":"Assistive Technology utilization among stroke survivors in Kano, Northwest Nigeria: A cross-sectional study.","authors":"Jibrin Sammani Usman, Rabbilu Salisu, Auwal Abdullahi, Abubakar Tijjani Salihu, Ashiru Hamza Muhammad, Surajo Kamilu Sulaiman, Abdussalam Muhammad Yakasai","doi":"10.1080/10400435.2023.2244560","DOIUrl":"10.1080/10400435.2023.2244560","url":null,"abstract":"Mobility impairments and participation restrictions are common occurrences post-stroke, which may necessitate the need to utilize Assistive Technology (AT). This study investigated the prevalence, pattern, and satisfaction with AT utilization in stroke survivors (SS). The study was conducted in two hospitals in Kano, Nigeria. The QUBEC user evaluation of satisfaction with AT (QUEST) questionnaire and the Rivermead Mobility Index were used to assess satisfaction with AT utilization and mobility, respectively. Pearson correlation and independent t-test were used to determine the relationship and gender difference among the outcomes, respectively. A total of 280 SS participated; however, only 115 (41.07%) were AT users. The commonly used AT was wheelchair 84 (73%), while the least used was walking frame 3 (2.6%). About two-thirds of the participants were quite or very satisfied with their ATs. The duration of AT utilization is positively related to stroke duration (r = 0.940) but negatively related to mobility level (r = -0.246). There is no significant gender difference in duration and satisfaction with AT utilization. AT like wheelchairs seems uncommonly utilized among SS in Kano, Nigeria, likely due to patients' lack of knowledge of use, economic factors, and culture among others.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"209-216"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589708","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}

引用次数: 0

Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: A preliminary investigation. 通过使用智能髋关节外骨骼，实现中风后患者有意义的社区行走：初步调查。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-08-02 DOI: 10.1080/10400435.2023.2239555

Kinsey Herrin, Emily Upton, Aaron Young

{"title":"Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: A preliminary investigation.","authors":"Kinsey Herrin, Emily Upton, Aaron Young","doi":"10.1080/10400435.2023.2239555","DOIUrl":"10.1080/10400435.2023.2239555","url":null,"abstract":"Stroke is the leading cause of long-term disability in the United States, leaving survivors with profound mobility challenges that impact independent community ambulation. Evidence shows assistance at the hip during walking may be beneficial for stroke survivors. In this cross-over design study, we examine the impact of a novel hip exoskeleton on both functional and patient reported outcomes measuring speed, fall risk, gait symmetry, energy expenditure and perceived walking ability during both indoors and outdoors in single and serial counting dual task paradigms. Nine ambulatory stroke survivors with hemiplegia were included. No differences were seen between the exoskeleton and baseline conditions for any outcomes. Only the patient reported outcome in which subjects were asked to rate their ability to walk outdoors approached statistical significance (p = 0.051) with greater improvement reported for the exoskeleton condition. When asked to rate several key factors about the exoskeleton, weight and assistance emerged as primary perceived negative factors of the exoskeleton underscoring the need for improvements to the technology in this area. Despite lack of differences across groups, some individuals responded positively to the exoskeleton for several functional outcomes measured, highlighting the need for additional exploration into the use of personalized hip exoskeletons for post-stroke rehabilitation.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"198-208"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9918897","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}

引用次数: 0

Real-time stress detection based on artificial intelligence for people with an intellectual disability. 基于人工智能的智能障碍患者实时压力检测。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-09-26 DOI: 10.1080/10400435.2023.2261045

Stefan de Vries, Fransje van Oost, Hanneke Smaling, Nanda de Knegt, Pierre Cluitmans, Reon Smits, Erwin Meinders

{"title":"Real-time stress detection based on artificial intelligence for people with an intellectual disability.","authors":"Stefan de Vries, Fransje van Oost, Hanneke Smaling, Nanda de Knegt, Pierre Cluitmans, Reon Smits, Erwin Meinders","doi":"10.1080/10400435.2023.2261045","DOIUrl":"10.1080/10400435.2023.2261045","url":null,"abstract":"People with severe intellectual disabilities (ID) could have difficulty expressing their stress which may complicate timely responses from caregivers. The present study proposes an automatic stress detection system that can work in real-time. The system uses wearable sensors that record physiological signals in combination with machine learning to detect physiological changes related to stress. Four experiments were conducted to assess if the system could detect stress in people with and without ID. Three experiments were conducted with people without ID (n = 14, n = 18, and n = 48), and one observational study was done with people with ID (n = 12). To analyze if the system could detect stress, the performance of random, general, and personalized models was evaluated. The mixed ANOVA found a significant effect for model type, F(2, 134) = 116.50, p < .001. Additionally, the post-hoc t-tests found that the personalized model for the group with ID performed better than the random model, t(11) = 9.05, p < .001. The findings suggest that the personalized model can detect stress in people with and without ID. A larger-scale study is required to validate the system for people with ID.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"232-240"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177460","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}

引用次数: 0

Assistive technology requires an intersectoral approach. 辅助技术需要跨部门的方法。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2024-05-15 DOI: 10.1080/10400435.2024.2344414

Emma M Smith

引用次数: 0

The IDEAL PROCESS for developing Assistive Technology policy. 制定辅助技术政策的理想过程。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-09-19 DOI: 10.1080/10400435.2023.2254359

Ikenna D Ebuenyi, Emma M Smith, Monica Z Jamali, Alister Munthali, Malcolm MacLachlan

{"title":"The IDEAL PROCESS for developing Assistive Technology policy.","authors":"Ikenna D Ebuenyi, Emma M Smith, Monica Z Jamali, Alister Munthali, Malcolm MacLachlan","doi":"10.1080/10400435.2023.2254359","DOIUrl":"10.1080/10400435.2023.2254359","url":null,"abstract":"Policy development and implementation are key to improving access to Assistive Technology (AT). In this paper, we describe a strength-based framework for doing this at national level. We used an action research approach, with the United Nations Conventions on the Rights of Persons with Disability (UNCRPD) as the primary frame of reference. Primary data were collected using the World Health Organisation's rapid Assistive Technology Assessment (rATA). We describe the process of applying our emergent framework and how our findings support it. We identified seven guiding principles for effective policy process: Participatory, Resource aware, Outcomes focused, Collaborative, Evidence-informed, supporting good practices, and System strengthening - which can be summarized by the acronym PROCESS. Five crucial building blocks for effective AT policy development emerged: Identification of the assistive technology ecosystem, Demography of disability and AT use, Evaluation of inclusion and participation in existing policy, Alignment with UNCRPD and Sustainable Development Goals (SDGs), and Locality of implementation - which can be summarized with the acronym IDEAL. The IDEAL PROCESS incorporates key content building blocks and core process principles, constituting a systematic framework for guiding the development of context sensitive AT policy and a strength-based pathway to improving access AT.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"224-231"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173491","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}

引用次数: 0

Pain and self-pressure relief in adolescents with cerebral palsy. 缓解脑瘫青少年的疼痛和自我压力。

IF 1.8 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2024-01-30 DOI: 10.1080/10400435.2024.2305972

S Ridilla, H Wang, L Sylvester, S Arnold

{"title":"Pain and self-pressure relief in adolescents with cerebral palsy.","authors":"S Ridilla, H Wang, L Sylvester, S Arnold","doi":"10.1080/10400435.2024.2305972","DOIUrl":"10.1080/10400435.2024.2305972","url":null,"abstract":"Adolescents with CP classified as Gross Motor Functional Classification System Level V attend school up to 8 h daily with limited ability to self-reposition. Despite pain reported within this population, perceived pain and self-pressure relief during prolonged classroom sitting is unknown. A case series design was used with a convenience sample of six students (13-18 years) with CP. Pain assessments were taken every 30 min for 5 h. Self-relief assessments using the SensiMATTM were recorded while students were in their wheelchairs. One student self-reported pain and three students proxy reported pain movements. All students had unrelieved pressure or did not self-relieve pressure for at least 1.5 consecutive hours. Four students increased their self-pressure relief movements after 3.5 h. This study provided preliminary data regarding perceived pain and self-pressure relief during prolonged sitting and demonstrated that the SensiMATTM can capture pressure relief movements in sitting of students with severe CP. Although there was no trend of reported pain, students may either be moving enough, as demonstrated by recorded pressure relief movements, to independently relieve pressure and pain, or current pain assessments may not be sensitive enough for those with the most severe disabilities.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"241-247"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643325","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}

引用次数: 0

Evaluating Camera Mouse as a computer access system for augmentative and alternative communication in cerebral palsy: A case study. 评估照相机鼠标作为脑瘫患者辅助和替代性交流的电脑接入系统：案例研究。

IF 2.5 4区医学

Assistive Technology Pub Date : 2024-05-03 Epub Date: 2023-09-12 DOI: 10.1080/10400435.2023.2242893

Lauren E MacLellan, Cara E Stepp, Susan K Fager, Michelle Mentis, Alyssa R Boucher, Defne Abur, Gabriel J Cler

{"title":"Evaluating Camera Mouse as a computer access system for augmentative and alternative communication in cerebral palsy: A case study.","authors":"Lauren E MacLellan, Cara E Stepp, Susan K Fager, Michelle Mentis, Alyssa R Boucher, Defne Abur, Gabriel J Cler","doi":"10.1080/10400435.2023.2242893","DOIUrl":"10.1080/10400435.2023.2242893","url":null,"abstract":"Camera Mouse is a freely available software program that visually tracks the movement of facial features to allow individuals with motor impairments to control a computer mouse. The goal of this case study was to provide an evaluation of Camera Mouse as a computer access method as part of a multiple modality communication system for an individual with cerebral palsy. The participant was asked to reproduce sentences and respond to ethical dilemmas for language sampling. Tasks were completed using natural speech and an AAC solution consisting of Camera Mouse paired with an orthographic selection interface and speech synthesis. The participant completed a questionnaire for satisfaction with the introduced assistive technology. Camera Mouse resulted in higher intelligibility than natural speech, while natural speech had a higher rate. She used more complex language with her natural speech. The participant rated Camera Mouse as at least 3/5 on all measures, including 5/5 on weight and safety. The results of this case study suggest Camera Mouse is a promising computer access system for communication supported by the participant's satisfaction rating, expressive language, and synthesized speech production capabilities.","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"217-223"},"PeriodicalIF":2.5,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10571702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0