A framework for modelling the selection of assistive technology devices (ATDs)

Scherer, Marcia J.; Jutai, Jeffrey W.; Fuhrer, Marcus J.; Demers, Louise; DeRuyter, Frank

doi:10.1080/17483100600845414

Cited by 168 publications

(127 citation statements)

References 27 publications

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“…Providing an alternative to the neural model is impossible since Tutton (2009) states that the interface must be refined before the system can be considered commercially viable, which reflects that the neural model is not only nec-essary for optimal functioning but is a foundational requirement of the SmartHand. The financial cost in acquiring and maintaining the SmartHand would become one of the major factors inhibiting the growth and spread of this new technology (Scherer et al, 2007). The possibility of regaining feeling in one's limbs is significant, but whether or not it is worth the price tag over a less expensive and invasive substitute remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, due to the nature of a prosthetic as a substitute for a body part, the SmartHand would also be able to transition into support for social activity. The presence of a functioning hand allows for both vocational and recreational provisions because regaining mobility undoubtedly allows for enhanced participation in society (Scherer et al, 2007). Using the competence-press model proposed by Lawton, this device would produce a positive effect on adaptive behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…As such, the loss of these limbs from accidents or disease processes is a devastating loss to both a person's psyche and quality of life. In accordance with the International Classification of Health, an amputation represents a loss of body structures, wherein the consequent implication on an individual's level of activity and participation in society are enormous (Scherer, Jutai, Fuhrer, Demers, & Deruyter, 2007). To this end, amputee assistance is imperative as over two million people with lost limbs currently live in North America (ZieglerGraham, MacKenzie, Ephraim, Travison, & Brookmeyer, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Artificial limbs have long been the primary means of response for amputees. These substitutions are classified as assistive devices because they increase the ability of these individuals to perform daily tasks with greater proficiency (Scherer et al, 2007). The first prosthetics began as hook attachments and cable limbs but have since progressed to prostheses that allow for multifunctional control (Parker, Engelhart, & Hudgins, 2006).…”

Section: Introductionmentioning

confidence: 99%

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SmartHand: A Sense of Assistive Devices

Lee¹

2011

RISS-IJHS

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Les amputés doivent souvent affronter une stigmatisation sociale parce qu'il est évident aux yeux de tous qu'ils ont perdu un membre ou qu'ils utilisent une prothèse. Cependant, l'utilisation de prothèses a fait beaucoup de progrès au cours des dernières années, surtout en ce qui concerne les prothèses sensorielles. Plusieurs réseaux d'information ont récemment fait des reportages à propos d'un appareil de ce type, un nouveau prototype appelé la SmartHand. Dans la discussion, l'auteure analyse la SmartHand et la compare avec les plateformes existantes, et notamment avec les prothèses myo-électriques et avec la ré innervation musculaire ciblée. L'auteure conclut que la SmartHand offrait un niveau plus élevé de compétences à ses utilisateurs et améliorait leur qualité de vie. Toutefois ses conclusions soulignent aussi les obstacles scientifiques qui se posent, surtout au niveau du rejet tissulaire. L'analyse coût-avantage d'un tel appareil risque aussi de produire des données contradictoires, ce qui pourra nuire à sa mise en oeuvre à une plus large échelle. Malgré ces problèmes, la SmartHand est un des appareils fonctionnels disponibles aujourd'hui les plus avancés sur le plan scientifique, et son utilité pour les amputés est indéniable. Mots-clés :Technologie d'appareils fonctionnels, invalidité, amputés, prothèses myoélec-triques Abstract:Amputees have often faced social stigma attributable to their visible limb loss or use of artificial substitutions. In recent years, the use of prosthetics has become much more advanced, particularly in the field of sensory prostheses. One such assistive device, a new prototype technology known as the SmartHand, has recently been featured on several news networks. It is through this discussion that the SmartHand will be reviewed and compared with existing platforms that include myoelectric prostheses and targeted muscle reinnervation. Use of the SmartHand has been noted as having increased levels of competence in and improved the quality of life of its users. These conclusions also bring to light the scientific barriers that are faced, primarily with respect to tissue rejection. The cost benefit analysis of such a device may also produce conflicting data, thereby making it difficult to implement this device on a larger scale. Despite these problems, the SmartHand represents one of the most scientifically advanced assistive devices available in today's market, whose usefulness for amputees is undeniable.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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SmartHand: A Sense of Assistive Devices

Lee¹

2011

RISS-IJHS

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“…WS assessments are usually undertaken by occupational-or physio-therapists and involve interviewing clients about their needs and activity preferences and requirement, accurate measurement of clients' body position and existing seating, evaluation of the home environment and using product knowledge to optimise seating and wheelchair configurations [4][5][6]. Distinct from 'simple' WS assessment, complex assessments often involve wheelchair users with progressive neuromuscular conditions, and typically require modular, tailored wheelchair components such as head controls to operate power wheelchairs, custom fabricated seating, and sit to stand functionality.…”

Section: Introductionmentioning

confidence: 99%

Telehealth delivery of remote assessment of wheelchair and seating needs for adults and children: A scoping review (Preprint)

Graham¹,

Boland²,

Grainger³

et al. 2018

Preprint

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Background: Assessment of the wheelchair and seating needs of people with complex disabilities requires health professionals to have advanced training and experience, creating difficulties in accessing such specialist services for wheelchair users living outside of metropolitan areas. Use of telehealth technologies to enable remote assessment has been suggested as one way to improve accessibility to specialist assessment and reduce the cost of services, however no synthesis of this research is currently available to guide practice or research development.Objective: This scoping review synthesizes research to date on the effects and processes of telehealth enabled wheelchair and seating assessment and the perceptions of wheelchair users and healthcare providers of this mode of service delivery. Methods:A systematic search and scoping review of peer-reviewed publications and theses was undertaken. Five databases were searched including CINAHL, Embase, Medline, Psychinfo and Scopus followed by hand searching of reference lists and forward citations.Data extraction and synthesis was organised around each research objective. Results:From an initial identification of 1801 publications, 9 studies published in 13 documents met the inclusion criteria. Study quality and study design varied considerably. The effect of telehealth compared to in-person assessment was insignificant in all studies that compared effectiveness (n=2) in relation to wheelchair-user and assessor rated variables.Telehealth assessment improved accessibility for some wheelchair users (n=1). However the process of telehealth that was applied to wheelchair assessment was inadequately described in all studies. Qualitative studies (n= 2) revealed that wheelchair-users appraised telehealth wheelchair assessment more positively than assessors. Non-specialist, assisting assessors appraised telehealth assessment more positively than specialist assessors. It appeared that each stakeholder group appraised telehealth based on different criteria including accessibility, professional supportiveness and technical accuracy. No studies examined funder views.Conclusions: Preliminary research suggests telehealth wheelchair assessment may be as effective as in-person assessment. Furthermore, this approach is viewed favorably by wheelchair users and non-specialist assessors, while expert assessors have some hesitations.The literature to date has not provided adequate descriptions of the process undertaken during 3 remote wheelchair assessment. The process of remote wheelchair assessment requires clarification to further understandings of how telehealth can be used for greatest effect in this area.

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Effects of Reminder Devices on Medication Adherence—An Assistive Technology Perspective

2017

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pathways to address these additional needs. Formal assessment of visual acuity is part of our TDRS program, and because our fundus photographs are evaluated by eye care providers we do detect and refer patients for nondiabetic eye disease 11.6% of the time. Other camera-based DR screening programs have detected high rates of other ocular conditions. 3 However, we acknowledge that TDRS has not been validated for screening for nondiabetic eye disease and do not rely on it to serve this function.Although persons with diabetes may indeed be at higher risk for other eye diseases, that risk remains relatively undefined. There is also evidence that persons with lower socioeconomic status and other chronic disease have elevated levels of risk. 4 Yet we feel justified in first addressing the area of greatest need: diabetic retinopathy, the leading cause of blindness in our patient population.Screening for diabetic retinopathy using fundus photography has been used for many years in other health care systems that have described its longitudinal outcomes 5,6 ; this study 1 covers only the first 2 years of our program and does not purport to make conclusions about long-term outcomes. The goal of teleophthalmological interventions such as ours is to improve access to care for those who need it most. 7 These interventions allow for maximization of the resource of eye care providers where those resources are limited and demand is high. Teleophthalmology does not replace the need for eye care providers, but it can be used to triage patients more effectively and allow eye care providers to operate at the top of their skill set. In safety net systems, the increased efficiency of interventions such as our TDRS program have the added benefit of allowing us to better understand the specifics of disease prevalence and service need, thereby enabling us to make informed decisions on an operations level regarding resource allocation on a larger scale.

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A framework for modelling the selection of assistive technology devices (ATDs)

Abstract: The proposed 'Framework for modelling the selection of ATDs' can contribute to clinical practice and outcomes research by highlighting factors important to consider prior to ATD selection.

Cited by 168 publications

References 27 publications

SmartHand: A Sense of Assistive Devices

SmartHand: A Sense of Assistive Devices

Telehealth delivery of remote assessment of wheelchair and seating needs for adults and children: A scoping review (Preprint)

Effects of Reminder Devices on Medication Adherence—An Assistive Technology Perspective

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