Assistive technology services for adults with disabilities in state-federal vocational rehabilitation programs.
Prior research indicates that the provision of assistive technology (AT) services positively predicts successful employment outcomes in vocational rehabilitation (VR) programs. While AT services can be promising, they are underutilized overall, and there are apparent disparities in AT service utiliz...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 19; no. 4; pp. 1382 - 1392 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2024
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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=ccm&AN=176934541&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176934541 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: May2024 vid: 19 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 176934541 162631956 176934541 176934541 10.1080/17483107.2023.2181413 176934541 ppf: 1382 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Assistive technology services for adults with disabilities in state-federal vocational rehabilitation programs. aug: au: Alshamrani, Khalid A. Roll, Marla C. Malcolm, Matt P. Taylor, Aryn A. Graham, James E. affil: Department of Occupational Therapy, Colorado State University, Fort Collins, CO, USA sug: subj: Persons with Disabilities In Adulthood Assistive Technology Services In Adulthood Rehabilitation, Vocational Government Programs Federal Government Sociodemographic Factors Health Services Accessibility Healthcare Disparities Equality Access to Primary Care Human Adolescence Adult Middle Age Aged Male Female Retrospective Design Record Review Descriptive Statistics Multiple Logistic Regression Unemployment Minority Groups Mental Disorders Cognition Disorders Odds Ratio Confidence Intervals Data Analysis Software Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Prior research indicates that the provision of assistive technology (AT) services positively predicts successful employment outcomes in vocational rehabilitation (VR) programs. While AT services can be promising, they are underutilized overall, and there are apparent disparities in AT service utilization. The purpose of this study was to identify sociodemographic factors which may act as barriers to receiving AT services in VR programs. Recognizing potential disparities is the first step in improving equity in access to beneficial services. This study is a retrospective analysis of national data collected by the Rehabilitation Service Administration's Case Service Report from fiscal years 2017–2019. The sample included 788,173 cases that reported having a disability, were aged ≥18 years old, was deemed eligible for VR services, and had a complete set of data. Less than 9% of VR clients received AT services. We ran a multiple logistic regression analysis to examine the independent effects of various sociodemographic variables on the likelihood of receiving AT services through VR programs. The following client characteristics were associated with a lower likelihood of receiving AT services: men, unemployed, minority, low income, significant disability, non-enrolled in post-secondary education, mental or cognitive disability, less education, and younger age (all p <.001). The findings emphasize the need for more research to identify underlying mechanisms and potential solutions to these apparent disparities in access to AT services for adults with disabilities. Future research and implications are provided. Increasing assistive technology (AT) training in counsellor education and offering more AT training for in-service rehabilitation counsellors to increase their competence to serve individuals with diverse disabilities, particularly those with cognitive and mental disabilities. Counsellors should be encouraged to use a team approach to ensure the most effective AT solutions are provided, and improve access to age-appropriate AT for younger individuals. Counsellors should identify alternative funding sources and refine eligibility criteria for low-income individuals, and develop effective means for educating less-informed individuals about the benefits of AT, and recognise the limited access of minority groups to receive services within vocational rehabilitation programs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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