Need and access to assistive technology in Italy: results from the rATA survey.

Purpose: This study assessed the prevalence of assistive products need, use, and access in Italy using the rapid Assistive Technology Assessment (rATA) tool. Materials and Methods: Conducted from June to September 2021, the survey involved a random sample of 10167 Italian citizens. Stratified sampli...

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Published in:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 7; pp. 2327 - 2339
Main Authors: Desideri, Lorenzo, Magni, Riccardo, Guerreschi, Massimo, Bitelli, Claudio, Hoogerwerf, Evert-Jan, Vaccaro, Concetta, Taruscio, Domenica, De Santis, Marta, Romeo, Rosa Immacolata, Capuano, Elena Ilaria, D'Avenio, Giuseppe, Morelli, Sandra, Daniele, Carla, Meli, Paola, Rossi, Mirko, Pirrera, Antonia, Grigioni, Mauro, Giansanti, Daniele
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Need and access to assistive technology in Italy: results from the rATA survey.
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        au:
          Desideri, Lorenzo
          Magni, Riccardo
          Guerreschi, Massimo
          Bitelli, Claudio
          Hoogerwerf, Evert-Jan
          Vaccaro, Concetta
          Taruscio, Domenica
          De Santis, Marta
          Romeo, Rosa Immacolata
          Capuano, Elena Ilaria
          D'Avenio, Giuseppe
          Morelli, Sandra
          Daniele, Carla
          Meli, Paola
          Rossi, Mirko
          Pirrera, Antonia
          Grigioni, Mauro
          Giansanti, Daniele
        affil: AIAS Bologna onlus, Bologna, Italy
      sug:
        subj:
          Assistive Technology Utilization
          Health Services Accessibility
          Needs Assessment
          Clinical Assessment Tools
          Persons with Disabilities Psychosocial Factors
          Assistive Technology Devices Supply and Distribution
          Human
          Funding Source
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Italy
          Questionnaires
          Prevalence
          Smartphone
          Eyeglasses
          Logistic Regression
          Quality Assessment
          Aging
          Health Policy
          Patient Satisfaction
          Random Sample
          Stratified Random Sample
          Cross Sectional Studies
          Descriptive Statistics
          Comparative Studies
          Odds Ratio
          Confidence Intervals
          Chi Square Test
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Post Hoc Analysis
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study assessed the prevalence of assistive products need, use, and access in Italy using the rapid Assistive Technology Assessment (rATA) tool. Materials and Methods: Conducted from June to September 2021, the survey involved a random sample of 10167 Italian citizens. Stratified sampling was used to ensure that the sample involved was representative of the Italian population. A combination of Computer Assisted Telephone Interviewing (CATI) and Computer Assisted Web Interviewing (CAWI) was used. Results: The estimated prevalence of need in the population resulted of 52,6% with 45,8% reporting their needs as met and 6,7% experiencing unmet needs. Use and need were higher among older adults (60+ years). Logistic regression indicated that respondents aged 60+ (OR: 3,3; 95% CI: 2,8-3,8) and respondents reporting more severe functional difficulties (OR: 23,9; 95% CI: 19,4-29,6) are more likely to be users of assistive products. Younger respondents (0-17 years old) reported using on average more assistive products (M = 2,7; SD = 2,9) than adults (M = 1,6; SD = 1,7) and older users (M = 1,6; SD = 1,5) (all ps <.001). Notably, mobile digital devices (smartphones/tablets) are the second most used assistive products, preceded by spectacles and followed by pill organizers. Conclusions: This study provides essential baseline data to inform policies and improve AT access nationwide. The results highlight the importance of recognizing mainstream digital devices, such as commercially available smartphones, as legitimate assistive products. Secondary analyses will contribute to strengthen the understanding of factors associated to successful AT provision. IMPLICATIONS FOR REHABILITATION: AT needs in Italy are highest among older adults, especially for functional limitations related to aging. Children and adolescents use more AT products than other groups. Mainstream devices like smartphones are frequently used as AT solutions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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