A framework for the conceptual modelling of assistive technology device outcomes

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

doi:10.1080/09638280310001596207

Cited by 184 publications

(117 citation statements)

References 14 publications

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“…It is difficult to isolate the effects of ATDs, as they are provided to individuals in diverse contexts, and there is an indefinite number of possible outcomes [12]. Furthermore, the needs of an individual (relating to functional decline or improvement) can change over time, altering the benefits provided by the ATD [13].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the meaning of a new assistive technology device for older individuals

Gramstad¹,

Storli²,

Hamran³

2014

Disability and Rehabilitation: Assistive Technology

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Exploring the meaning of a new assistive technology device for older individuals AbstractResearching the outcomes of assistive technology devices (ATDs) for older clients is important to facilitate clinical decision-making. However, to understand the outcomes associated with ATDs, one must investigate the users' experiences and acknowledge the user as an active participant in diverse social contexts.Purpose: To enhance understanding of the users' perspective regarding ATDs, this study aimed to investigate the meaning of the ATD for older individuals still living in their home environment. Method:To provide descriptions of ATD experiences, older individuals who received a new ATD to compensate for their challenges in moving around, assist in self-care or both were recruited for the study. Participants were interviewed twice, with a few months between interviews, about their experience in using their new ATD. The interview transcripts were analysed in a hermeneutical-phenomenological research approach. Results:The analysis revealed three recurring themes associated with the description of ATD experiences: 'enabling performance and choice', 'transformation from requiring assistance to assisting others', and 'preparing for the future'. Conclusion:The results show that ATDs are used to enhance competence, mastery, control, self-worth, hope, and preparedness. The ATD service delivery should be client-centred and the client should be acknowledged as an active participant in producing change.

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Section: Introductionmentioning

confidence: 99%

“…Outcome research is concerned with verifying causality between interventions and observed changes, as well as improving understanding of these relationships [11]. Therefore, a central goal of ATD outcome research has been to detect and measure the effects of ATDs in users' lives and environments [11,12].…”

Section: Introductionmentioning

confidence: 99%

Exploring the meaning of a new assistive technology device for older individuals

Gramstad¹,

Storli²,

Hamran³

2014

Disability and Rehabilitation: Assistive Technology

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“…60 The assessment is helpful to the manufacturers, vendors, and so on, as it improves upon the effectiveness, efficiency, services of the AT systems, and minimize their costs. 61 Actually, the assessment of the AT outcomes provides an evidence-based data which help the AT users, insurers, social policy experts, and other stakeholders in decision-making related to the appropriate treatments. 62 For example, the item response theory which comprised of the mathematical tools and statistical methods can analyze items and scales, create and manage health outcome measures, and assess selfreported health outcomes.…”

Section: Process Features or Criteriamentioning

confidence: 99%

Utilizing sensors networks to develop a smart and context-aware solution for people with disabilities at the workplace (design and implementation)

Kbar

Al-Daraiseh

Mian

et al. 2016

International Journal of Distributed Sensor Networks

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The developments and improvements in human-computer interaction and information and communication technologies have resulted in innovative assistive technology (AT) solutions for the people with disabilities (PWDs). Although, there have been many new ideas and technologies for assisting the PWDs, still very few of them have considered the workplace environment. Therefore, there is a need to develop a comprehensive universal AT solution that can maximize the PWDs productivity at work. In this work, an AT and smart context-aware solution has been developed to assist the PWDs at the workplace. This has been achieved through the designing and the implementation of a smart unified interface to guide and assist the PWDs. A wireless sensor network has been employed in this context-aware smart solution in order to track and determine user's location. The unified interface is adaptive and includes four modules that are smart helping, smart communication, smart editor, and auto emergency response. A proper AT process and technological design considerations have been adopted to achieve a comprehensive, universal, adaptive, and context-aware solution.

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“…Of note, Fuhrer et al developed a conceptual assistive technology outcomes framework to serve as a foundation for modelling the measurement of specific assistive technology device outcomes. 8 In this conceptualization, outcomes are derived through the interaction of the assistive technology device/intervention, their users and environment, and are affected by a host of moderating cofactors. Importantly, this overarching framework provides useful guidance for approaches to measure adaptive seating outcomes and the influence of relevant moderating cofactors during different periods of use.…”

Section: Measurement Of Functional Outcomes In Adaptive Seatingmentioning

confidence: 99%

Lessons learned from studying the functional impact of adaptive seating interventions for children with cerebral palsy

Ryan

2016

Develop Med Child Neuro

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Little empirical evidence exists about the effectiveness of assistive technology interventions for children with cerebral palsy (CP) to inform clinical practice. This article reviews what we know about the functional impact of adaptive seating interventions -a common assistive technology type recommended for children with CP. A contemporary assistive technology outcomes framework is considered as a way to model the temporality and measure the effects of seating interventions and moderating cofactors. Three research studies are profiled to illustrate different research methods, measurement approaches, and follow-up periods to learn about adaptive seating outcomes. Recommendations for future research include the adoption of common measurement indicators, consideration of quality assessment criteria, and the use of varied methodologies to generate new knowledge about functional outcomes. It is suggested that the proposed strategies will lead to new understandings, clinical applications, and ultimately improvements in the everyday lives of children with CP and their families.Children with cerebral palsy (CP) use assistive technology devices and specialized assistive technology services to enhance everyday functioning, though researchers and clinicians know little about the impact of these common interventions.1 The cost, complexity, and variety in product and related service options, and uncertainty about assistive technology effectiveness, efficiency, and satisfaction, suggest a compelling need for empirical evidence to inform clinical practice and shared decision making with children and families.The International Classification of Functioning, Disability and Health (ICF), 2 and its derived classification for children and youth (ICF-CY), 3 provide a theoretical framework to study the assessment, selection, delivery, and impact of assistive technology interventions. The ICF framework conceptualizes assistive technology as an environmental resource that interacts with the child's health condition and other contextual factors to influence functioning at the levels of the body (body function and structures), the individual child (activity), and the child as a member of society (participation).Given the broad scope and goals of different assistive technology interventions, the following narrative review focuses on the progress, challenges, and lessons learned by our research team measuring functional outcomes consistent with the ICF framework and associated with adaptive seating -a common form of assistive technology recommended by clinicians for children with CP. EVIDENCE OF THE FUNCTIONAL IMPACT OF ADAPTIVE SEATING INTERVENTIONSPediatric occupational and physical therapists recommend adaptive seating devices and services to improve the activity performance of children with CP in a variety of settings. Adaptive seating devices include wheelchair seating systems, and special purpose positioning products such as adaptive car seats, bath seats, and toileting systems; whereas, adaptive seating interventions include both t...

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A framework for the conceptual modelling of assistive technology device outcomes

Cited by 184 publications

References 14 publications

Exploring the meaning of a new assistive technology device for older individuals

Exploring the meaning of a new assistive technology device for older individuals

Utilizing sensors networks to develop a smart and context-aware solution for people with disabilities at the workplace (design and implementation)

Lessons learned from studying the functional impact of adaptive seating interventions for children with cerebral palsy

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