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Towards Co-Design in Delivering Assistive Technology Interventions: Reconsidering Roles for Consumers, Allied Health

Natasha Layton1,2, Jackie O'Connor2, Amy Fitzpatrick2

  • 1Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Clayton, Melbourne, VIC 3800, Australia.

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PubMed
Summary

This study developed an assistive technology (AT) collaboration tool to help allied health practitioners (AHPs) and consumers navigate ethical, consumer-directed AT implementation. Pilot testing shows the tool supports inclusive roles and competency-based approaches for AT provision.

Keywords:
allied healthassistive technologyco-designconsumer directed caredieteticsoccupational therapyorthoticsperson centered practicepolicyprostheticsspeech pathologyworkforce

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Area of Science:

  • Health Services Research
  • Assistive Technology
  • Allied Health Professions

Background:

  • Evolving healthcare policies and technology innovations are reshaping roles for Australian allied health practitioners (AHPs).
  • There is a need for frameworks to guide collaborative implementation of assistive technology (AT) in consumer-directed care models.
  • Current literature lacks a tool to assist stakeholders in navigating AT interventions ethically and effectively.

Purpose of the Study:

  • To develop and pilot an AT collaboration tool for allied health practitioners (AHPs), consumers, and support networks.
  • To facilitate ethical, consumer-directed implementation of AT interventions.
  • To support policy redesign and clarify roles in AT service delivery.

Main Methods:

  • Development of an AT collaboration tool based on practice knowledge, evidence, and regulatory requirements.
  • Piloting the tool across four diverse AT interventions: custom prosthetics, home enteral nutrition, communication devices, and vehicle modifications.
  • Involving four allied health professions: prosthetics and orthotics, dietetics, speech pathology, and occupational therapy.

Main Results:

  • Pilot testing demonstrated the feasibility of reframing AT provision using competency-based and risk-informed approaches.
  • The tool supports more inclusive roles for consumers and the support workforce in AT implementation.
  • The developed tool identifies stakeholders, service steps, roles, and quality indicators for competent AT practice.

Conclusions:

  • The AT collaboration tool has the potential to enhance ethical, consumer-centered practice for AHPs.
  • It can facilitate greater consumer choice and involvement in AT interventions.
  • Further testing and strategic actions are recommended for widespread adoption by individuals, professions, and policymakers.