Friederich Anja, Bernd Tanja, De Witte Luc
Vilans, Hoensbroek, the Netherlands.
Scand J Occup Ther. 2010 Dec;17(4):308-18. doi: 10.3109/11038120903377082. Epub 2009 Dec 7.
To identify theoretical frameworks and instruments used by rehabilitation professionals to perform the selection process of assistive technology (AT) in neurological rehabilitation centres in six Western European countries.
Descriptive, exploratory study by using survey design.
Sixty neurological rehabilitation centres were selected from the total number (n = 259) of centres, identified through a search of official databases from national bodies and associations, with 10 in each country. Each centre was approached to identify a professional to be contacted. Custom-designed questionnaires with multiple-choice and open-ended questions were sent out by e-mail and regular mail to each of these professionals.
Thirty questionnaires were returned, of which 29 could be analysed. Ten participants reported using a theoretical framework to select AT. Four models, three frames of reference, and one international classification were mentioned. Fifteen professionals replied to the question on which instruments they use by mentioning one or more methods; 14 participants stated that they used no specific instruments or left the question open. The instruments mentioned show a broad variety, the majority of the published ones not being AT-specific. Professionals often use self-made tools to fill this gap.
There is a lack of evidence-based AT-specific methods for the selection process. The development of comprehensive, easy to use tools for the selection of AT is recommended.
确定西欧六个国家神经康复中心的康复专业人员在进行辅助技术（AT）选择过程中所使用的理论框架和工具。
采用调查设计的描述性探索性研究。
从通过搜索国家机构和协会的官方数据库确定的总数（n = 259）个中心中选取60个神经康复中心，每个国家10个。联系每个中心以确定一名专业人员进行沟通。通过电子邮件和普通邮件向这些专业人员每人发送定制的包含多项选择题和开放式问题的问卷。
共返回30份问卷，其中29份可进行分析。10名参与者报告使用理论框架来选择AT。提到了四种模型、三个参考框架和一种国际分类。15名专业人员在被问及使用哪些工具时提到了一种或多种方法；14名参与者表示他们没有使用特定工具或未回答该问题。所提到的工具种类繁多，大多数已发表的工具并非专门针对AT。专业人员经常使用自制工具来弥补这一差距。
在选择过程中缺乏基于证据的专门针对AT的方法。建议开发用于选择AT的全面、易用的工具。
