Why people use and don’t use technologies: Introduction to the special issue on assistive technologies for cognition/cognitive support technologies

Scherer, Marcia J.; Federici, Stefano

doi:10.3233/nre-151264

Cited by 50 publications

(41 citation statements)

References 19 publications

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“…When the environment is unsupportive, negative perceptions and experiences can be such that the potential usefulness of assistive technologies is uncoupled from their perceived value [27]. AT is frequently abandoned or not used, the reasons are often multifactorial, and can include difficulties in incorporating assistive technologies in identity and self-image [13,28,29].…”

Section: Individual Construction Of Self and Atmentioning

confidence: 99%

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Desmond

Layton

Bentley

et al. 2018

Disability and Rehabilitation: Assistive Technology

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136

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Assistive technology (AT) is a powerful enabler of participation. The World Health Organization's Global Collaboration on Assistive Technology (GATE) programme is actively working towards access to assistive technology for all. Developed through collaborative work as a part of the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit, this position paper provides a "state of the science" view of AT users, conceptualized as "People" within the set of GATE strategic "P"s. People are at the core of policy, products, personnel and provision. AT is an interface between the person and the life they would like to lead. People's preferences, perspectives and goals are fundamental to defining and determining the success of AT. Maximizing the impact of AT in enabling participation requires an individualized and holistic understanding of the value and meaning of AT for the individual, taking a universal model perspective, focusing on the person, in context, and then considering the condition and/or the technology. This paper aims to situate and emphasize people at the centre of AT systems: we highlight personal meanings and perspectives on AT use and consider the role of advocacy, empowerment and co-design in developing and driving AT processes.

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Section: Individual Construction Of Self and Atmentioning

confidence: 99%

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Desmond

Layton

Bentley

et al. 2018

Disability and Rehabilitation: Assistive Technology

Self Cite

136

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“…One possible explanation may be that improving HRQoL through the use of ATC requires more than access to devices. One may have to take into account the interactions between the device and everyday life environments in order to make ATC an effective intervention [41]. Prior studies have identified critical factors for successful use of ATC underlining the importance of establishing a match between the person with impaired cognition and the ATC through comprehensive assessment of individual characteristics [20, 26, 37].…”

Section: Discussionmentioning

confidence: 99%

Assistive Technology for Cognition and Health-related Quality of Life in Huntington’s Disease

Walsem

Howe

Frich

et al. 2016

JHD

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Background: Assistive technology for cognition (ATC) can be defined as external devices aimed at supporting cognitive function. Studies in neurological populations suggest that use of ATC is a promising strategy to ameliorate negative effects of cognitive impairment and improve Health-related Quality of Life (HRQoL). There is a lack of studies on the effects of ATC in HD.Objective: This study aimed to describe the use of ATC in patients with HD, and to investigate the association between ATC and HRQoL.Methods: A cross-sectional population-based study, including eighty-four patients with a clinical HD diagnosis (stages I–V). Socio-demographic and clinical data were collected, including information regarding various aspects of ATC use and an evaluation of cognitive impairment was performed. The Unified Huntington’s Disease Rating Scale (UHDRS) Total Functional Capacity scale (TFC) and the EQ-5D Visual Analogue Scale were used to evaluate functional ability and HRQoL. Descriptive analyses were conducted to describe ATC use and regression analyses to investigate associations between ATC and HRQoL.Results: Thirty-seven percent of the patients had ATC, and ATC was used most frequently in stages I-III. Information about ATC, needs evaluation and training was provided to 44%, 32.1% and 20.2% respectively. The regression analysis showed a significant association between TFC and HRQoL (β value = –0.564, p = 0.001), but there was no association between ATC and HRQoL.Conclusions: One-third of all patients used ATC, mainly those with mild to moderate cognitive impairment (stage I –III). No association between ATC and HRQoL was found. More research is needed to investigate effects of ATC in HD.

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“…For AP users in general, the overall abandonment rate has been 30% [23]. Possible reasons for abandonment may be due to the assignment of inappropriate AP, or failure to meet user needs and expectations [24,25]. For people with ID intellectual limitations may influence their skills to use AP independently and consequently determine the potential dependence on others for support [17,26,27].…”

Section: Introductionmentioning

confidence: 99%

Are there differences in factors influencing access and continued use of assistive products for people with intellectual disabilities living in group homes?

Boot

MacLachlan

Dinsmore

2019

Disability and Rehabilitation: Assistive Technology

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Background: The World Health Organization has launched a program to promote Global Cooperation on Assistive Technology (GATE) to implement those parts of the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) referring to assistive technology and products. A particular vulnerable group deeply affected by health inequity affecting access to assistive products are people with intellectual disabilities. Objective: The objective of this study is to understand the barriers and facilitators to effectively access and continuously use essential assistive products for people with intellectual disabilities. Materials and methods: Face-to-face interviews with 15 adults with a mild to profound intellectual disability and 15 providers of assistive products were conducted to gain insights about current use, needs, knowledge, awareness, access, customization, funding, follow-up, social inclusion, stigma and policies around assistive products and intellectual disability. The technique of constant comparative analysis was used to analyze the data. Results and conclusion: An overview of factors is presented that fit within seven domains for access and eight domains for continuous use of assistive products for people with intellectual disabilities. It illustrates that access and continuous use are influenced by different barriers and facilitators. These different influences should be taken into account in country policies and frameworks that seek to implement the UNCRPD through assistive technology. ä IMPLICATIONS FOR REHABILITATIONProactive assessment for assistive products by health professionals is rare and the vast majority of people with intellectual disabilities depend on carers to signal the need . A lack of education for carers around available assistive products and the benefits of assistive products for people with intellectual disabilities may lead to an underutilization for this group. The paternalistic attitude of care providers towards people with intellectual disabilities limits access and use to certain (high-tech) assistive products. The segmented and disjointed aspect of public funding to support assistive products found in this study is a key issue for policymakers who aspire to adhere to implementing the UNCRPD equally in all areas of their country. ARTICLE HISTORY

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Why people use and don’t use technologies: Introduction to the special issue on assistive technologies for cognition/cognitive support technologies

Cited by 50 publications

References 19 publications

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Assistive Technology for Cognition and Health-related Quality of Life in Huntington’s Disease

Are there differences in factors influencing access and continued use of assistive products for people with intellectual disabilities living in group homes?

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