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Adapting and validating the Satisfaction with Assistive Technology Services (SATS) scale for the Korean context
1Department of Occupational Therapy, Jeonju University, Jeonju-si, South Korea.
Assistive Technology : the Official Journal of RESNA
|May 28, 2025
Summary
The Satisfaction with Assistive Technology Service (SATS) instrument was culturally adapted for South Korea, creating the SATS-K. This validated tool reliably measures assistive technology service satisfaction for Korean users.
Area of Science:
- Rehabilitation Engineering
- Health Services Research
- Psychometrics
Background:
- Evaluating assistive technology (AT) services is crucial for user satisfaction.
- Existing instruments may not capture cultural nuances in South Korea.
- A culturally adapted tool is needed for accurate AT service evaluation.
Purpose of the Study:
- To culturally adapt and validate the Satisfaction with Assistive Technology Service (SATS) instrument for South Korea.
- To ensure the SATS-K accurately reflects the experiences of Korean AT users.
- To provide a reliable measure for assessing AT service satisfaction in the South Korean context.
Main Methods:
- Cultural adaptation followed "Principles of Good Practice" guidelines.
- Translation involved forward/backward translation and cognitive debriefing.
- Reliability (Cronbach's alpha, ICC) and validity (concurrent, with QUEST-K) were assessed.
Main Results:
- The SATS-K demonstrated high reliability (Cronbach's alpha = 0.94, ICC = 0.92).
- Strong concurrent validity was confirmed (Pearson's r = 0.934).
- Notable differences in "instruction & training" satisfaction were observed compared to European versions.
Conclusions:
- The SATS-K is a reliable and valid instrument for measuring AT service satisfaction in South Korea.
- The tool offers valuable insights for improving AT service delivery.
- Retaining the "waiting time" item is important for comprehensive service evaluation.

