Abstract:Rollator acquisition appeared to be a unilateral, prescriptive process. Individuals described initial resistance to use, although in the long-term, negative perceptions were outweighed by the functional and social benefits of rollator use. Encouraging users to participate in deciding whether to use a rollator and providing adequate education on its indications, benefits, barriers, and facilitators are likely to promote optimal use of a rollator.
“…A negative attitude towards using technology and assistive technology by the end user was a barrier to using assistive technology. When the end user was against the idea of using technology due to it being perceived as annoying, awkward or not appropriate for them, the personal attitude of the individual influenced the use of the assistive technology [52,53,55,58,61,[66][67][68]70,74,[77][78][79][81][82][83]85,87]. The end user's attitudes towards their health condition relates to the end user need to accept their current health condition and the need for help before they are willing to use assistive technology.…”
Section: Theme 4: Psychologicalmentioning
confidence: 99%
“…The end user's attitudes towards their health condition relates to the end user need to accept their current health condition and the need for help before they are willing to use assistive technology. The acceptance of needing help could be distressing and depressing for the users; this barrier needs to be overcome before assistive technology is accepted [52,55,61,[66][67][68]70,74,82,87]. Past negative experiences with assistive technology influenced the acceptance of the current assistive technology by the user.…”
Section: Theme 4: Psychologicalmentioning
confidence: 99%
“…Users often felt stigmatised by society when using assistive technology. The negative attitudes of others towards them made individuals feel vulnerable, selfconscious and embarrassed using their assistive technology in public places [49,50,52,54,55,59,63,65,67,68,70,73,74,78,81,84,85,87].…”
Section: Theme 6: Societal Barriersmentioning
confidence: 99%
“…The design and construction of public infrastructure, for example buildings, roads and paths reduced the accessibility of the physical environment to assistive technology users, becoming a barrier to its use. Lack of access ramps, narrow corridors and aisles, high counters and a lack of appropriate parking spaces all limited assistive technology use [50,59,63,68,70,73,77,78,87]. Limited and poorly designed public transportation was also a barrier to the use of assistive technology in the community [50,59,63,70,83,87].…”
Section: Theme 6: Societal Barriersmentioning
confidence: 99%
“…Lack of access ramps, narrow corridors and aisles, high counters and a lack of appropriate parking spaces all limited assistive technology use [50,59,63,68,70,73,77,78,87]. Limited and poorly designed public transportation was also a barrier to the use of assistive technology in the community [50,59,63,70,83,87].…”
Purpose: Assistive technology can provide a key tool to enabling independence, greater inclusion and participation in society for individuals with chronic conditions. This potential is currently not always realised due to barriers to accessing and using assistive technology. This review aims to identify all the common barriers to acquiring and using assistive technology for users with chronic conditions through a systematic meta-synthesis. This differs from other systematic reviews by applying a transdiagnostic approach to identify if barriers are common across chronic conditions.
Materials and methods:A systematic literature search of five scientific databases (PubMed, SCOPUS, PsycINFO, CINAHL and Medline) was conducted to identify relevant qualitative studies. The search was conducted in November 2019. For the identified articles, thematic content analysis was conducted and the methodological quality was evaluated using the Critical Appraisal Skills Programme (CASP) checklist for qualitative research.Results: Forty papers met the inclusion criteria and were included in the analysis. Fifty-one descriptive themes grouped into six overarching analytical themes were identified from the studies. The analytical themes identified were: the design and function of the assistive technology, service provision, information and awareness, psychological barriers, support network and societal barriers.
Conclusions:The barriers are interconnected and common across different health conditions. More involvement in personalised care for developing strategies, adaptation of home technologies and provision of assistive technology could overcome the service provision and design barriers to assistive technology. Accessible information and providing greater awareness will be important to overcoming information, psychological and societal barriers to assistive technology.
“…A negative attitude towards using technology and assistive technology by the end user was a barrier to using assistive technology. When the end user was against the idea of using technology due to it being perceived as annoying, awkward or not appropriate for them, the personal attitude of the individual influenced the use of the assistive technology [52,53,55,58,61,[66][67][68]70,74,[77][78][79][81][82][83]85,87]. The end user's attitudes towards their health condition relates to the end user need to accept their current health condition and the need for help before they are willing to use assistive technology.…”
Section: Theme 4: Psychologicalmentioning
confidence: 99%
“…The end user's attitudes towards their health condition relates to the end user need to accept their current health condition and the need for help before they are willing to use assistive technology. The acceptance of needing help could be distressing and depressing for the users; this barrier needs to be overcome before assistive technology is accepted [52,55,61,[66][67][68]70,74,82,87]. Past negative experiences with assistive technology influenced the acceptance of the current assistive technology by the user.…”
Section: Theme 4: Psychologicalmentioning
confidence: 99%
“…Users often felt stigmatised by society when using assistive technology. The negative attitudes of others towards them made individuals feel vulnerable, selfconscious and embarrassed using their assistive technology in public places [49,50,52,54,55,59,63,65,67,68,70,73,74,78,81,84,85,87].…”
Section: Theme 6: Societal Barriersmentioning
confidence: 99%
“…The design and construction of public infrastructure, for example buildings, roads and paths reduced the accessibility of the physical environment to assistive technology users, becoming a barrier to its use. Lack of access ramps, narrow corridors and aisles, high counters and a lack of appropriate parking spaces all limited assistive technology use [50,59,63,68,70,73,77,78,87]. Limited and poorly designed public transportation was also a barrier to the use of assistive technology in the community [50,59,63,70,83,87].…”
Section: Theme 6: Societal Barriersmentioning
confidence: 99%
“…Lack of access ramps, narrow corridors and aisles, high counters and a lack of appropriate parking spaces all limited assistive technology use [50,59,63,68,70,73,77,78,87]. Limited and poorly designed public transportation was also a barrier to the use of assistive technology in the community [50,59,63,70,83,87].…”
Purpose: Assistive technology can provide a key tool to enabling independence, greater inclusion and participation in society for individuals with chronic conditions. This potential is currently not always realised due to barriers to accessing and using assistive technology. This review aims to identify all the common barriers to acquiring and using assistive technology for users with chronic conditions through a systematic meta-synthesis. This differs from other systematic reviews by applying a transdiagnostic approach to identify if barriers are common across chronic conditions.
Materials and methods:A systematic literature search of five scientific databases (PubMed, SCOPUS, PsycINFO, CINAHL and Medline) was conducted to identify relevant qualitative studies. The search was conducted in November 2019. For the identified articles, thematic content analysis was conducted and the methodological quality was evaluated using the Critical Appraisal Skills Programme (CASP) checklist for qualitative research.Results: Forty papers met the inclusion criteria and were included in the analysis. Fifty-one descriptive themes grouped into six overarching analytical themes were identified from the studies. The analytical themes identified were: the design and function of the assistive technology, service provision, information and awareness, psychological barriers, support network and societal barriers.
Conclusions:The barriers are interconnected and common across different health conditions. More involvement in personalised care for developing strategies, adaptation of home technologies and provision of assistive technology could overcome the service provision and design barriers to assistive technology. Accessible information and providing greater awareness will be important to overcoming information, psychological and societal barriers to assistive technology.
Practitioners need access to and the ability to openly discuss advanced in practice and concepts as they apply to the practice of cardiovascular and pulmonary physical therapy (PT). Lack of accessibility to research literature, limited personal time, or insufficient knowledge to adequately review the breadth of literature published each year can hinder this process. This article provides an overview of cardiovascular and pulmonary research published in 2018 that the authors believe most important and relevant or speaks to the volume or trend of current topics in the clinical practice of cardiovascular and pulmonary PT. Two methods of research presentation used this year give either a broad overview of a research topic or a select article meant to describe the theme of research in a given topic area. Both were followed by brief overview of clinical relevance and open to discussion with the participants present at the 2019 Combined Sections Meeting in Washington, DC.
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