Assessing the outcome of mobility assistive technology (OMAT) in daily living: results in an Italian sample.
Background: Despite the widely recognised benefits of assistive technology (AT) in everyday life, AT abandonment rate due to unmet user needs or expectations is high. World Health Organisation emphasised the importance of evaluating AT outcomes as a top research priority, but comprehensive approache...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 19; no. 8; pp. 3031 - 3039 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2024
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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=180828113&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 180828113 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Nov2024 vid: 19 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 180828113 177621604 180828113 180828113 10.1080/17483107.2024.2339430 180828113 ppf: 3031 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Assessing the outcome of mobility assistive technology (OMAT) in daily living: results in an Italian sample. aug: au: Ramella, Marina Borgnis, Francesca Salatino, Claudia Saruggia, Maurizio Folini, Chiara Converti, Rosa Maria affil: IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy sug: subj: Activities of Daily Living Italy Assistive Technology Devices Utilization Physical Mobility Outcome Assessment Assistive Technology Services Evaluation Critical Path Persons with Disabilities Human Funding Source Italy Nonexperimental Studies Prospective Studies Pilot Studies Health Care Delivery Evaluation Health Services Accessibility Evaluation Rehabilitation Centers Motivation Quality of Life Patient Participation Personal Satisfaction Needs Assessment Patient Attitudes Patient Education Extended Family Severity of Illness Indices Questionnaires International Classification of Diseases Barthel Index Neuropsychological Tests Short Form-36 Health Survey (SF-36) Walkers Wheelchairs World Health Organization Italians Male Female Adolescence Adult Middle Age Aged Aged, 80 and Over Descriptive Statistics Comparative Studies Data Analysis Software T-Tests Pearson's Correlation Coefficient Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Despite the widely recognised benefits of assistive technology (AT) in everyday life, AT abandonment rate due to unmet user needs or expectations is high. World Health Organisation emphasised the importance of evaluating AT outcomes as a top research priority, but comprehensive approaches to assess users' needs and AT impact are still limited. Aim: The research study OMAT (outcomes of mobility assistive technology in rehabilitation pathways) aimed to evaluate the feasibility of a new AT assessment protocol for mobility AT, spanning from an initial evaluation of users' and relatives' needs to a follow-up after real-world use of assistive products (APs). Material and Methods: An observational single-arm study involving 95 AT users was conducted at Fondazione Don Gnocchi (Milan, Italy). The OMAT protocol encompassed baseline assessment, user training, prescription, authorisation, delivery and follow-up. The evaluations blend standard clinical evaluations with validated AT outcome measures for perceived effectiveness of AT, user satisfaction and changes in quality of life. Results: The feasibility of OMAT in clinical settings was established, with 67 user participants completing the protocol. Data showed positive impacts on user satisfaction and perceived AT effectiveness by all participants (users and relatives), with an improvement in the perceived degree of severity in problems. Quality of life outcomes, however, showed mixed results across various domains. Conclusion: OMAT is a feasible protocol for assessing mobility APs in clinical settings, underscoring the importance of involving users in the prescription process and the need for comprehensive AT monitoring mechanisms. This approach could enhance AT service delivery, exceeding the current standards of the Italian-National-Health-Service. Implication for rehabilitation: Personalise assistive technology (AT) based on user needs for higher effectiveness. Include structured follow-up in rehabilitation for better AT outcomes. Enhance patient involvement in AT selection to improve use. Focus on AT's role in enhancing overall quality of life. Use validated tools for AT impact assessment and monitoring. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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