Understanding the experiences and needs of assistive technology users in Queensland.

Purpose: Assistive technology (AT) can significantly enhance the daily lives of people with disabilities if matched appropriately to the individual and their context. Gaps remain in the AT sector in terms of provision and uptake. Consequently, this study examined current experiences and needs regarding AT provision throughout Queensland from AT users' perspectives.

Materials and Methods: Convenience and snowball sampling recruited participants for this exploratory sequential mixed methods study. Descriptive statistics summarized online survey responses (n = 41) and thematic analysis was completed to analyze qualitative interview data (n = 20).

Results: Survey results revealed that whilst all participants used AT, 68% had unmet AT needs. Satisfaction with AT reduced as AT users proceeded through the AT pathway. Three themes were identified from the interviews: (1) Expertise and collaboration are required: "One size doesn't fit all, and one solution doesn't fit all problems," (2) Process rejections and delays: "You're really left high and dry," and (3) Many factors impact the AT experience.

Conclusions: Findings indicate that although AT users had clear ideas of their AT needs and goals, they were often unable to access desired AT due to systemic barriers. Any attempts to overcome barriers for AT provision will need to be multi-level and there is a clear need to enhance current AT trial approaches.