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Related Concept Videos

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Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Exploring perspectives on assistive technology use: barriers, facilitators, and access.

Kimberley R Monden1, Susan Charlifue2, Angela Philippus1

  • 1Department of Rehabilitation Medicine, University of MN Medical School, Minneapolis, MN, USA.

Disability and Rehabilitation. Assistive Technology
|June 27, 2023
PubMed
Summary

Assistive technology (AT) access and use for tetraplegia is facilitated by resources and peer knowledge but hindered by cost and awareness. Veterans faced unique barriers, highlighting the need for improved AT support.

Keywords:
Rehabilitation medicineassistive technologybarriersfacilitatorsspinal cord injurytetraplegiaveterans

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Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Human-Computer Interaction

Background:

  • Tetraplegia significantly impacts daily living, making assistive technology (AT) crucial for independence.
  • Understanding barriers and facilitators to AT access is vital for improving outcomes for individuals with tetraplegia.
  • Differences in AT access and utilization between Veterans and civilians with tetraplegia require investigation.

Purpose of the Study:

  • To explore perceived barriers and facilitators to assistive technology (AT) access and utilization among Veterans and civilians with tetraplegia.
  • To identify differences in AT access and utilization between Veteran and civilian populations with tetraplegia.
  • To understand the perceived value of AT in enhancing daily living for individuals with tetraplegia.

Main Methods:

  • Qualitative study employing semi-structured focus groups with 32 adults (15 Veterans, 17 civilians) with tetraplegia (≥1 year post-injury).
  • Data collection occurred at two rehabilitation sites: Craig Hospital and Louis Stokes Cleveland VA Medical Center.
  • Thematic analysis of verbatim transcripts was used to analyze participant perceptions of AT facilitators, barriers, and value.

Main Results:

  • Key facilitators for AT access and utilization include resource connection, trial-and-error learning, and peer-to-peer knowledge sharing.
  • Significant barriers to AT use encompass device cost, limited resource awareness, and eligibility requirements.
  • Veterans uniquely reported challenges with resource awareness and eligibility criteria.
  • AT use was associated with increased independence, participation, productivity, quality of life, and safety.

Conclusions:

  • Assistive technology (AT) significantly enhances independence and quality of life for individuals with tetraplegia.
  • Addressing barriers such as cost and lack of awareness, particularly for Veterans, is crucial for improving AT utilization.
  • Connecting individuals with tetraplegia to resources and fostering peer support networks can facilitate AT adoption and benefit.