Selection of assistive technology devices (ATDs), which are imperative for persons with disabilities to improve their quality of life, requires collaboration of users and multidisciplinary professionals. However, it is still unknown how to design and implement an adequate collaborative work flow and a professional team. Under Japanese governmental ATD provision system, based on the application by clients, ATDs are mainly selected through collaborative processes with the clients and health professionals in public organizations, rehabilitation counseling centers (RCCs). By employing qualitative study methods in this study, we investigated the ATD selection process in which health professionals in RCCs collaboratively assess clients with physical disabilities so as to support them in selecting the adequate ATDs. To identify the perspectives required for ATD selection completely, the assessment processes were recorded and analyzed with a pseudo setting in two RCCs. Content analysis of the conversations between the client and professionals revealed the characteristics of the information exchanged in the assessment processes. A total of 760 assessment items were identified, thus indicating a broad array of interest. Despite the richness of information collected for the assessment, half of the assessment items did not have corresponding items in the documents that were employed during the prescription process. Thematic analysis of the interviews that followed revealed the common values and collaborative processes in ATD selection, which were shared and elaborated among the staff in daily social interactions. To facilitate implementation of ATD provision in various areas with few resources, it may be effective to convert this tacit-to-tacit knowledge sharing into a more explicit sharing by promoting analyses of good practices.
Background: Clinical evaluation of novel assistive technologies is of utmost importance, as this would help in making such technologies practical and ensuring that they suit the user's requirements. Objective: The purpose of this study is to develop a new methodology for the addition of user and user's life centered clinical evaluation of assistive technologies (ULCEAT) to conventional evaluation methods. The proposed ULCEAT methodology consists of two steps: evaluation by rehabilitation professionals and evaluation by potential users. These evaluations were performed to identify target users and to ensure the effective use of new assistive technologies (ATs); the evaluations were based primarily on qualitative research involving the rehabilitation professionals and the potential users. Methods: The methodology was demonstrated by using it for the clinical evaluation of Roboticbed , which was developed by the Panasonic Corporation. Results: The effective use of Roboticbed was confirmed on the basis of the results, and three target user types were identified. The validity of this methodology was further confirmed by a user evaluation of Roboticbed in an experimental environment. Conclusions: The findings of this study will be used to help conduct conventional clinical evaluations for novel and prototype ATs.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.