Understanding assistive technology as a pre-requisite for choice and participation.
Assistive technology (AT) is an often-used intervention to enhance participation and occupational performance, but disparities in access to and outcomes from its use are common. An occupational perspective of being and becoming an AT user is missing from the discourse on the right to, and choice of,...
| Publicado en: | Journal of Occupational Science Vol. 26; no. 1; pp. 87 - 99 |
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| Formato: | Artículo |
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Taylor & Francis Ltd
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=135412944&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 135412944 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 14427591 GYT jtl: Journal of Occupational Science issn: 14427591 maglogo: N pubinfo: dt: Apr2019 vid: 26 iid: 1 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 135412944 10.1080/14427591.2018.1515648 ppf: 87 ppct: 12 formats: tig: atl: Understanding assistive technology as a pre-requisite for choice and participation. aug: au: Steel, Emily J. affil: School of Health and Wellbeing, Faculty of Health, Engineering and Sciences, The University of Southern Queensland, Ipswich, Australia TC Beirne School of Law, The University of Queensland, St Lucia, Australia su: Assistive technology Occupational science Health equity Medical decision making Occupational therapists sug: subj: Assistive technology Occupational science Health equity Medical decision making Occupational therapists keyword: Choice Disability IPA Participation Policy Qualitative research Self-management ab: Assistive technology (AT) is an often-used intervention to enhance participation and occupational performance, but disparities in access to and outcomes from its use are common. An occupational perspective of being and becoming an AT user is missing from the discourse on the right to, and choice of, assistive technology, and policies guiding its provision. This study investigated the experiences of people operating outside of public AT programs in Australia, and their experiences of access to, choice of, and outcomes from AT. Interpretive Phenomenological Analysis (IPA) of interviews with two participants with extensive and diverse experiences of AT provision demonstrates how a person becomes an AT user over time. The emergent themes discussed are becoming an AT user, self-management by AT users, and the risks and responsibilities of choice without awareness or support. The findings illustrate that being an AT user is an occupation that involves ongoing learning and problem-solving as part of self-management, and support the notion that AT is a pre-requisite for participation and choice. AT users can only make and realise choices if facilitating conditions are present. These include the existence and awareness of options, support to explore and experience new products and skills, respect for preferences, and ongoing servicing responsibilities. Policies emphasising individual consumer choice discount the iterative processes, risks and responsibilities involved in AT provision and the importance of relationships. Policymakers require an understanding of what is involved in being and becoming an AT user, and how this precedes participation and choice for people with disability. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2019 holdings: @attributes: islocal: N |
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