Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

080616

809 views

Published on

Non-use of provided assistive technology devices, a literature overview

Published in: Technology, Business
  • Be the first to comment

  • Be the first to like this

080616

  1. 1. Non-use of provided assistive technology devices, a literature overview
  2. 2. Outline <ul><li>Introduction </li></ul><ul><li>Methods </li></ul><ul><li>Results </li></ul><ul><li>Discussion </li></ul><ul><li>Strategies to reduce non-use of provided assistive technology </li></ul>
  3. 3. Introduction <ul><li>a solid theoretical framework is not yet available </li></ul><ul><li>if large numbers of devices are not being used </li></ul><ul><ul><li>resources are not being spent efficiently </li></ul></ul><ul><ul><li>problems might not be solved optimally </li></ul></ul><ul><ul><li>professionals in assistive technology service delivery want to do their job well </li></ul></ul><ul><li>adherence (or compliance) with medical interventions </li></ul><ul><li>what degree non-use can be viewed as non-adherence and, based on that, we will see what strategies might be useful to prevent non-use </li></ul>
  4. 4. Methods <ul><li>compare the definitions of non-use used in the various publications </li></ul><ul><li>listed the determinants identified, categorising them into four groups </li></ul><ul><ul><li>personal (client) factors </li></ul></ul><ul><ul><li>factors related to the device </li></ul></ul><ul><ul><li>intervention-related factors </li></ul></ul><ul><ul><li>factors related to the user’s environment </li></ul></ul>
  5. 5. Methods (cont.) <ul><li>some basic literature on adherence with medical interventions is reviewed </li></ul><ul><li>non-adherence can be categorised into six groups </li></ul><ul><ul><li>intra-psychological factors </li></ul></ul><ul><ul><li>characteristics of the disability </li></ul></ul><ul><ul><li>environmental factors </li></ul></ul><ul><ul><li>practical matters </li></ul></ul><ul><ul><li>the client-professional relation </li></ul></ul><ul><ul><li>the communication between client and professional </li></ul></ul>
  6. 6. Results <ul><li>Results from separate studies can hardly be compared </li></ul><ul><li>Definition of non-use </li></ul><ul><li>Determinants of non-use of assistive technology devices </li></ul><ul><li>Personal (client) factors </li></ul><ul><li>Factors related to the device </li></ul><ul><li>Factors related to the user’s environment </li></ul><ul><li>Intervention-related factors </li></ul><ul><li>Determinants of adherence with medical interventions </li></ul>
  7. 7. Definition of non-use <ul><li>a device to be abandoned (or not used) when it has been replaced by a different type of device (e.g. when a cane has been replaced by a walking frame) </li></ul><ul><li>The device is not used at all ; </li></ul><ul><li>The device is not used full-time ; </li></ul><ul><li>The device is not used voluntarily; </li></ul><ul><li>The device is not used at the time of questioning; </li></ul><ul><li>The device is not used frequently; </li></ul><ul><li>The device is not used for a substantial part of the day; </li></ul><ul><li>The device is not used at any given point post-discharge; </li></ul><ul><li>The average use is low; </li></ul><ul><li>The device has not been used at least three times since prescription; </li></ul><ul><li>The device is not used correctly; </li></ul><ul><li>The device is not used for (all) the activities it was prescribed for. </li></ul>
  8. 8. Determinants of non-use of assistive technology devices <ul><li>on the effectiveness of prescribed devices in developing or restoring function in activities of daily living or work roles </li></ul><ul><li>being concerned about how individuals would respond to assistive devices and an awareness of clients at times not valuing assistive devices to the extent therapists did </li></ul><ul><li>However, this concern has not lead to research into aspects beyond aesthetics and usability of devices. </li></ul><ul><li>The role of psychosocial aspects remains a frontier of knowledge. </li></ul><ul><li>Studies into non-use of assistive devices show an analogue development. </li></ul>
  9. 9. Personal (client) factors <ul><li>rejection of obvious assistive devices is more common among people with slowly progressing disabilities </li></ul><ul><li>often influences the rate of use of assistive devices in a negative way, because the devices keep reminding the user of his disability </li></ul><ul><li>If a disability gets more severe, a device might no longer be sufficient </li></ul><ul><li>multiple devices </li></ul>
  10. 10. Factors related to the device <ul><li>poor quality </li></ul><ul><li>an unpleasant appearance will evoke negative reactions </li></ul><ul><li>on the other hand, if a device is portable, lightweight and easy to use, it will be used more often and for a longer period of time </li></ul>
  11. 11. Factors related to the user’s environment <ul><li>social circle supports them in using the device </li></ul><ul><li>assistive devices might be adapted more optimally to individual needs of a client </li></ul><ul><li>concerning funding of assistive devices </li></ul>
  12. 12. Intervention-related factors <ul><li>When users’ opinions are considered in the selection process, devices are more likely to be retained </li></ul><ul><li>correct provision process and installation </li></ul><ul><li>follow-up service </li></ul>
  13. 14. Determinants of adherence with medical interventions <ul><li>A distinction can be made between short-term adherence and long-term adherence </li></ul><ul><li>Five important characteristics of short-term adherence </li></ul><ul><ul><li>Supervision/guidance </li></ul></ul><ul><ul><li>A curative goal </li></ul></ul><ul><ul><li>Outcome can be evaluated </li></ul></ul><ul><ul><li>Complaints/symptoms serve as ‘cues’ </li></ul></ul><ul><ul><li>Recovery serves as reward </li></ul></ul>
  14. 15. long-term adherence
  15. 16. Discussion
  16. 18. Strategies to reduce non-use of provided assistive technology <ul><li>A training of professionals in conversation and communication skills can be very helpful. </li></ul><ul><li>The user’s condition has improved or got worse or the environment has changed. </li></ul><ul><ul><li>This type of non-use can be managed by introducing a recycling system. </li></ul></ul><ul><li>A training program can compensate a shortage of cognitive skills. </li></ul>

×