Towards solutions for assistive technology

Introduction What is assistive technology? The agreed World Health Organisation definition is "Assistive technology can be defined as “any piece of equipment, or product, whether it is acquired commercially, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of individuals with disabilities” (WHO, 2011) The array of possible assistive technology products and solutions reflects the diversity of the needs of people with disabilities – ranging from digital technologies that can support social engagement, communication, employment, learning, memory, planning and safe guarding services through to products and devices that support mobility and personal care requirements. Typically as the complexities of assistive technology solutions increase, so do the costs and potential risks (if not appropriately set up or maintained). This document is primarily focused on the Assistive Technology solutions derived from aids and equipment. Home and vehicle modifications and prosthetics have not yet been explored in the same level of detail and will be subject of further work. Proposed approach The proposed assistive technology service approach has been developed in line with the strategic goals of the NDIA. It is one aspect of a broader strategic approach the NDIA has to using technologies to enhance its engagement and management of relationships, services and supports with suppliers, providers, participants and the Australian community. The NDIA’s goal is to use technology in its various forms to ensure that services, supports, and communications between all stakeholders are as streamlined as possible and services are timely and effective. This document outlines the elements of a proposed service delivery approach for individuals to access assistive technology solutions and is based on the three key objectives outlined above

Assistive technologies as rights enablers

The Convention on the Rights of the Child and the Convention on the Rights of Persons with Disability establish the rights for all children. For some children, enjoying those rights depends on or is facilitated by assistive technology, that is, products adapted or designed for improving the functioning of disabled people and all services inherent to the selection, acquisition, and use of assistive products. This chapter reviews the definition of assistive technology and briefly describes assistive products categories to show the breadth of assistive products available. It then discusses children rights and how they can be mediated or moderated by assistive technologies. Some of the challenges and ethical issues of assistive technology provision for children are also examined.info:eu-repo/semantics/publishedVersio

Intellectual Disability and Assistive Technology: Opening the GATE Wider

The World Health Organization has launched a program to promote Global Cooperation on Assistive Technology (GATE). The objective of the GATE program is to improve access to high quality, affordable assistive technology for people with varying disabilities, diseases, and age-related conditions. As a first step, GATE has developed the assistive products list, a list of priority assistive products based on addressing the greatest need at population level. A specific group of people who can benefit from user appropriate assistive technology are people with intellectual disabilities. However, the use of assistive products by people with intellectual disabilities is a neglected area of research and practice, and offers considerable opportunities for the advancement of population health and the realization of basic human rights. It is unknown how many people with intellectual disabilities globally have access to appropriate assistive products and which factors influence their access. We call for a much greater focus on people with intellectual disabilities within the GATE program. We present a framework for understanding the complex interaction between intellectual disability, health and wellbeing, and assistive technology

They Said: A Global Perspective on Access to Assistive Technology

International experts in assistive technology from five global regions (South America, Asia Pacific, Europe, Africa, and Australia) and with affiliation to the World Health Organization (WHO) Global Cooperation on Assistive Technology (GATE) community were invited to share their perspectives on the delivery of assistive technology and provision of assistive products in their regions. Four common topics emerged from the experts: (a) user and environmental barriers; (b) policy, funding, and product access; (c) professional training, collaboration, and service delivery; and (d) occupational justice (i.e., empowerment, participation, and progress)

Mapping Assistive Technology Start-ups

Assistive technology (AT) is the application of organised knowledge and skills related to assistive products, systems and services designed to maintain or improve an individ-ual’s functioning and independence, thereby promoting their well-being [1]. We can enable life-changing differences in millions of lives worldwide using and enabling ac-cess to assistive technology. However, with all the incredible innovation, development and distribution of assistive products, there is still a significant gap between design and awareness to access and use of assistive products [2]. This was corroborated through our project to understand the met and unmet needs of AT through a country-capacity assessment [3]. As a part of this project, we carried out 5 focus group discussions with AT Users, policy stakeholders, AT developers, providers and those that work in AT distribution and support (n=31). We explored their experiences of providing and ac-cessing AT, including procurement strategies, adoption of new technologies and provi-sion pathways. Overall, we found that there is still a substantial knowledge gap in as-sistive products, how to access products and funding for needed products. These dis-cussions also enlightened us that word-of-mouth and peer networks are the main ave-nues through which knowledge of assistive products is shared. Difficulties in keeping up with the expanding innovative landscape was raised as a key concern

THE DEVELOPMENT AND EVALUATION OF QUALITY INDICATORS FOR ASSISTIVE TECHNOLOGY SERVICES

Survey research was used to conduct a formative evaluation of Quality Indicators for Assistive Technology Services (QIAT) by 120 leaders in the field of assistive technology. Survey respondents represented five different types of assistive technology interest and responsibilities: consumers of assistive technology services and family members, district and regional assistive technology leaders, state and national assistive technology leaders, assistive technology leaders in higher education, and assistive technology policy leaders. Respondents reviewed QIAT and completed either print or online electronic versions of a survey in which they provided their perspectives on the need for quality indicators, the importance of each quality indicator contained in QIAT, the clarity of each accompanying intent statement, and the usefulness of QIAT to people with assistive technology interests and responsibilities similar to their own. Results of this investigation suggested that quality indicators are needed to guide the development and delivery of assistive technology services, that the 39 quality indicators contained in QIAT are important, and that QIAT would be useful to people with varied interests and responsibilities in assistive technology. The perceptions of the majority of the participants about QIAT were positive. Analysis of the rankings indicated that every quality indicator contained in QIAT was considered important by greater than 92% of the participants and every intent statement was considered clear by greater than 82% of the participants. Results also indicated that participants believed that some revisions in the wording and reordering of the items contained in QIAT would increase clarity and that the identification and development of training and products aligned to QIAT could aid in the development and delivery of effective assistive technology services. Proposed revisions were made in QIAT as a result of respondent recommendations. Implications for practice, future development, and additional research also were proposed

Awareness, requirements and barriers to use of Assistive Technology designed to enable independence of people suffering from Dementia (ATD)

This article is available through the Brunel Open Access Publishing Fund. Copyright @ 2012 IOS PressThis study investigated the awareness and use of assistive technology for people with dementia. The aim of the study was to explore barriers to the uptake of, and the unmet needs for, assistive technology for dementia (ATD) The work was carried out with family carers of people with dementia because carers are often the purchasers, end users and main beneficiaries of this type of technology. Focus groups were used to explore carers’ views on ATD use, and the problems that might be addressed by ATD, in order to develop a questionnaire for dementia carers. The questionnaire was administered at Alzheimer’s Society carer support groups in South Bucks and in Hillingdon Borough (UK). None of the 16 focus group participants or the 42 respondents to the questionnaire had any personal experience of ATD. The dementia carers reported a number of concerns, problems and unmet needs that could be addressed by existing, commercially available ATD products. Some needs for new technology development were identified in the study, but the lack of awareness of ATD appears to be the most important barrier to technology adoption

Repair strategies for assistive technology in low resource settings

PURPOSE: To investigate the practices of repair that exist for users of mobility assistive products in low resource settings, as well as the psychosocial impact that the repair, or non-repair, of these devices has on users' lives. MATERIALS AND METHODS: This article collates data on repair practices and the responses from participants on the topic of repair from studies conducted by the authors across four different low resource settings in Kenya, Uganda, Sierra Leone, and Indonesia. This data was then analyzed to identify the common themes found across geographies. RESULTS: Three major models of repair practice emerged from the data: "Individual or Informal Repair in the Community"; "Local Initiatives"; and "Specialist AT Workshop Repair". Additionally, the wider impact on the participants' lives of "Problems & Concerns with Repair"; "Experiences of Breakages & Frequencies of Repair" and the "Impact of Broken Devices" are explored. CONCLUSIONS: The results of this analysis demonstrate the paramount importance of community-based repair of devices, and how despite this importance, repair is often overlooked in the planning and design of assistive products and services. There is a need to further incorporate and support these informal contributions as part of the formal provision systems of assistive device.IMPLICATIONS FOR REHABILITATIONA lack of available specialist repair services in low resource settings hinders the potential impact of assistive technology provision systems.Community-based repair is the major route by which assistive devices are repaired in low resource settings.Appropriate community-based repair strategies should be incorporated into and supported by the formal assistive technology provision models in order to optimise outcomes.A lack of data on outcomes across the lifecycle of assistive products hinders progress on improving focus on follow-up services - in particular repair & maintenance.By supporting community-based repair, repairs that are inappropriate for that approach could be better directed to specialist repair services

Intersections Between Systems Thinking and Market Shaping for Assistive Technology: The SMART (Systems-Market for Assistive and Related Technologies) Thinking Matrix

The Sustainable Development Goals (SDGs) aspire to "leave no-one behind". Universal access to assistive products is a critical link between the realization of the SDGs and those most likely to be left behind. However, assistive technology provision in many countries, particularly low- and middle-income countries, has traditionally been conducted through small-scale local providers, manufacturing products of varying degrees of quality at a limited price range. An effective way to scale these production and provision enterprises to the required level is needed to close the gap between available and required assistive technology. We argue that better access to assistive technology will only be realized through the adoption of a far stronger systems thinking and market shaping approach. We undertook a rapid literature review to explore the relationship between market shaping and assistive technology. Based on our review, we present an emergent framework for conceptualizing intersections between systems thinking and market shaping for assistive technology-the SMART (Systems-Market for Assistive and Related Technologies) Thinking Matrix

Assistive technology in gaming : A survey of gamers with disabilities

Assistive technology (AT), i.e. products to assist people with disabilities (among others), can enhance accessibility, yet we know little about their use in gaming. This study aims to answer the following research questions: 1. Do people with disabilities use assistive technology for gaming? 2. What assistive technology do people with disabilities use for gaming? 3. Why people with disabilities do not use assistive technology for gaming? The questions are addressed with survey data of 92 gamers with disabilities. The findings suggest that people with disabilities use different ATs for gaming. The most mentioned products were screen readers and custom controllers. However, the analysis has shown that people who are not currently using assistive technology could benefit from them, but barriers, such as price and lack of knowledge impede this use.Peer reviewe