Assistive TechnologyPub Date : 2025-02-14Epub Date: 2023-07-12DOI: 10.1080/10400435.2023.2229891
Natasha Layton, L Callaway, E Wilson, D Bell, M Prain, M Noonan, A Volkert, E Doyle
{"title":"My assistive technology outcomes framework: Rights-based outcome tools for consumers to 'measure what matters'.","authors":"Natasha Layton, L Callaway, E Wilson, D Bell, M Prain, M Noonan, A Volkert, E Doyle","doi":"10.1080/10400435.2023.2229891","DOIUrl":"10.1080/10400435.2023.2229891","url":null,"abstract":"<p><p>AT outcomes research is the systematic investigation of changes produced by AT in the lives of AT users and their environments. In contrast to focal outcome measures, My Assistive Technology Outcomes Framework (MyATOF) envisions an alternative starting point, co-designing a holistic and evidence-based set of outcome dimensions enabling AT users to quantify their own outcomes. International classification systems, research evidence, regulatory and service delivery frameworks underpin six optional tools: supports, outcomes, costs, rights, service delivery pathway and customer experience. Designed to empower the consumer-as-researcher and self-advocate, MyATOF has the potential to fill an identified gap in policy-relevant, consumer-focussed and consumer-directed outcome measurement in Australia and internationally. This paper presents the need for consumer-focussed measurement and articulates the conceptual foundations of MyATOF. The iterative development and results of MyATOF use-cases collected to date are presented. The paper concludes with next steps in using the Framework internationally, as well as its future development.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S27-S35"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829097","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2023-09-12DOI: 10.1080/10400435.2023.2240876
Jennifer Hutson, Paula Stommes, Teresa Wickboldt, Sandy Callen Tierney
{"title":"Suitability of quality of life outcome measures for children with severe cerebral palsy receiving postural care interventions: A scoping review.","authors":"Jennifer Hutson, Paula Stommes, Teresa Wickboldt, Sandy Callen Tierney","doi":"10.1080/10400435.2023.2240876","DOIUrl":"10.1080/10400435.2023.2240876","url":null,"abstract":"<p><p>Children with Cerebral Palsy (CP) have complex conditions affecting their health which makes it challenging for assistive technology professionals to achieve desired intervention outcomes. Health professions examining quality of life (QOL) changes must use measurement tools capable of capturing intervention-related changes for the specified population. Investigators aimed to complete a scoping review of QOL-related postural care (PC) publications, identify QOL-based assessments and critically analyze their suitability in measuring intervention outcomes for children with non-ambulatory CP. Investigators searched articles published between 1998-2022 relevant to children with CP that addressed QOL-related: meanings/domains, outcome measures and clinical intervention outcomes. Investigators followed standardized published guidelines throughout each step of the scoping review process from search through data analysis. Subsequently, investigators used a published guideline for analyzing the PC outcome measures identified during the review process, examining their suitability for the target population. Results of this review will help care teams understand QOL and choose outcome assessments capable of measuring QOL-related intervention changes. Thus, making it possible for them to better serve children with severe CP.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S44-S56"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10209600","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2023-09-13DOI: 10.1080/10400435.2023.2251041
Allison Bean, Kyle Harris, Hanna Kim, Carmen DiGiovine, Amy Miller Sonntag
{"title":"A scoping review of communication outcomes measures in augmentative and alternative communication.","authors":"Allison Bean, Kyle Harris, Hanna Kim, Carmen DiGiovine, Amy Miller Sonntag","doi":"10.1080/10400435.2023.2251041","DOIUrl":"10.1080/10400435.2023.2251041","url":null,"abstract":"<p><p>Although outcomes are a critical component of evidence-based practice, measuring augmentative and alternative communication (AAC) outcomes remains problematic. This is, in part, because there is no consensus on how to operationally define AAC communication outcomes. To gain greater insight into AAC communication outcomes, we used the communicative competence framework to determine which areas of AAC intervention have received the greatest attention and how these outcomes are being measured. The following data were charted from the 77 studies that met the inclusion criteria for the scoping review: study design, study participants, study communication target (e.g., language, word learning, etc.), and communication outcome measurements. Across the included studies, researchers used a variety of standardized and non-standardized measures to assess outcomes. Seventy-seven percent of the studies assessed social skills and 62% assessed linguistic skills. A limited number of studies measured operational (14%), strategic (4%), and psychosocial (18%) skills. Using the communicative competence framework enabled us to identify gaps in the research that has been conducted to date.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S65-S86"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230402","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":"Translation and validation of the Persian version of \"The Psychosocial Impact of Assistive Devices Scale\" in patients with neurological disorders.","authors":"Seyedeh Sareh Saeed, Mahnaz Hejazi-Shirmard, Alireza Akbarzadeh Baghban, Jefferey Jutai, Mehdi Rezaee","doi":"10.1080/10400435.2024.2363383","DOIUrl":"10.1080/10400435.2024.2363383","url":null,"abstract":"<p><p>Neurological disorders are a heterogeneous group of central or peripheral nervous disorders of which the main symptoms include impaired walking and balance. One of the main interventions for neurological disorders is the use of assistive devices, and it is necessary to consider the psychosocial effects of these devices on users. The psychometric properties of the Persian version of the Psychosocial Impact of Assistive Devices Scale (PIADS) were evaluated in patients with neurological disorders. After translating the scale into Persian based on IQULA, face and content validity were determined. The divergent validity of the scale was examined through its relationship with the Orthotics and Prosthetics Users' Survey (OPUS). Reliability of the tool was evaluated using an internal consistency and test-retest method over two weeks with 50 patients with neurological disorders and a history of using assistive devices for at least six months. The face and content validity of the PIADS was confirmed. The ICC for all subscales was higher than 0.78, which indicates a good correlation. However, the divergent validity of the scale with the OPUS scale was not confirmed. The Persian version of PIADS is a valid and reliable measure for patients with neurological disorders in Iran.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S125-S130"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447587","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2024-08-22DOI: 10.1080/10400435.2024.2389139
Emma Smith, Natasha Layton, Roger Smith
{"title":"Collaborative consensus on assistive technology impacts and outcomes: The GAATO Grand Challenges.","authors":"Emma Smith, Natasha Layton, Roger Smith","doi":"10.1080/10400435.2024.2389139","DOIUrl":"10.1080/10400435.2024.2389139","url":null,"abstract":"<p><p>Capturing the outcomes of assistive technology (AT) is essential to know what works and what is needed. People across the globe are working to close the gap of unmet need for AT, and to enable access to quality AT products and services. Inconsistent terminology, measures and a lack of coordinated systems prevent the sharing of knowledge, and the lack of articulated global priorities limit the usefulness of data for policymakers and resource allocation decisions. This paper provides methods of a global \"Grand Challenge\" project, run by the Global Alliance of Assistive Technology Organizations, and describes the resulting challenges. A multiphase, mixed method approach founded on participatory principles sought to capture multi-country and multi-stakeholder perspectives \"from the ground up.\" A collaborative consensus method was adapted to document and distil AT challenge data from global regions, to refine this data with global stakeholder organizations, and to publish a shortlist of AT Grand Challenges. The 2022 Grand Challenges in Outcomes and Impact are 1) measuring need, 2) documenting inputs, 3) measuring outcomes, 4) measure impacts, 5) sharing data, and 6) informing policy. The challenge now remains to work together to resolve them.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S131-S138"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037671","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2024-07-01DOI: 10.1080/10400435.2024.2362136
Ben Satterfield, Karen Milchus, Patricia Griffiths, Salimah LaForce, Bruce Walker, Lizanne DeStefano, Matthew Blake
{"title":"Mastery of assistive technology: What is it? How do we measure it?","authors":"Ben Satterfield, Karen Milchus, Patricia Griffiths, Salimah LaForce, Bruce Walker, Lizanne DeStefano, Matthew Blake","doi":"10.1080/10400435.2024.2362136","DOIUrl":"10.1080/10400435.2024.2362136","url":null,"abstract":"<p><p>This paper presents the results of a one-year study on mastery of assistive technology (AT). This study sought to develop a conceptual framework for talking about mastery of AT and to create an instrument for measuring individual mastery. A Delphi Study was conducted with individuals with disabilities considered to be \"power users\" of AT, practitioners, and researchers. Participants were asked to: identify factors that are predictors and indicators of AT mastery, determine how to measure these factors and determine criteria for each factor for the stages of AT mastery (e.g. novice, context-dependent, transitional, and power user). The resulting measure is called the Continuum of AT Mastery (CATM).</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S113-S124"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477940","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2025-02-28DOI: 10.1080/10400435.2025.2467000
Emma M Smith, Lorenzo Desideri, Mary Goldberg, W Ben Mortenson
{"title":"Measuring assistive technology outcomes.","authors":"Emma M Smith, Lorenzo Desideri, Mary Goldberg, W Ben Mortenson","doi":"10.1080/10400435.2025.2467000","DOIUrl":"https://doi.org/10.1080/10400435.2025.2467000","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"37 sup1","pages":"S1-S2"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527976","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}
Assistive TechnologyPub Date : 2025-02-14Epub Date: 2023-07-18DOI: 10.1080/10400435.2023.2230485
Cathy Choi, Paula Shing, Stella Wang, Ella Huszti
{"title":"Measuring vibration and shock in power wheelchairs for clinical application.","authors":"Cathy Choi, Paula Shing, Stella Wang, Ella Huszti","doi":"10.1080/10400435.2023.2230485","DOIUrl":"10.1080/10400435.2023.2230485","url":null,"abstract":"<p><p>Research evidence demonstrates the negative effects of Whole-Body Vibration (WBV) and correlation between exposure to WBV and detriment to health. ISO Standard 2631-1 (1997) is the accepted standard for human exposure to WBV in vehicle vibration, and provides vibration guidelines for health and comfort. These standards have not been applied to power wheelchairs (PWC), and no clinical tool exists that measures vibration levels during live power wheelchair driving. This study measures WBV and shock levels during PWC driving, considering the impact of terrains, base configurations, and seat cushions. A sensor tag accelerometer was used to measure vibration and shock in three different PWC configurations driven over seven different terrains. Data was collected for two runs per wheelchair, per terrain type, per cushion type. Differences were significant (<i>p</i> < .001) for overall mean and median peak vibration compared across the seven terrains, and for overall mean vibration for basic and enhanced cushions. Differences were also noted in mean and peak vibration in the three different base configurations (<i>p</i> = .0052). Results were compared with ISO 2631-1 guidelines. Mechanical shock on certain terrains created peak vibration levels with likely health risk. Results from this study can inform PWC prescription process.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"S36-S43"},"PeriodicalIF":2.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9884047","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}
Assistive TechnologyPub Date : 2025-01-02Epub Date: 2021-09-30DOI: 10.1080/10400435.2021.1979383
Michelle L Lange, Barbara Crane, Frederick J Diamond, Suzanne Eason, Jessica Presperin Pedersen, Greg Peek
{"title":"RESNA position on the application of dynamic seating.","authors":"Michelle L Lange, Barbara Crane, Frederick J Diamond, Suzanne Eason, Jessica Presperin Pedersen, Greg Peek","doi":"10.1080/10400435.2021.1979383","DOIUrl":"10.1080/10400435.2021.1979383","url":null,"abstract":"<p><p>Dynamic Seating is an intervention used as a part of a manual or power wheelchair to provide movement against resistance in response to client force. This technology can be used for various clinical applications including preventing client injury and equipment breakage; dissipating extensor forces; providing movement for sensory input, calming, and increased alertness; increasing muscle strength, trunk and head control; and other medical benefits. The purpose of this RESNA Position Paper is to provide a definition for this technology in relation to other seating and wheeled mobility technologies as well as present clinical indicators for this seating intervention including literature to substantiate these claims. Although more recent and stronger evidence is needed, existing research does support the application of dynamic seating in numerous clinical scenarios.</p>","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":" ","pages":"3-13"},"PeriodicalIF":2.5,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39414459","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}
Assistive TechnologyPub Date : 2025-01-02Epub Date: 2025-01-15DOI: 10.1080/10400435.2025.2449778
Emma M Smith
{"title":"Social, economic, and environmental sustainability in assistive technology.","authors":"Emma M Smith","doi":"10.1080/10400435.2025.2449778","DOIUrl":"https://doi.org/10.1080/10400435.2025.2449778","url":null,"abstract":"","PeriodicalId":51568,"journal":{"name":"Assistive Technology","volume":"37 1","pages":"1-2"},"PeriodicalIF":2.5,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015546","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}