Department of Health Sciences, Lund University, Malmö, Sweden.
BMC Health Serv Res. 2012 Sep 20;12:330. doi: 10.1186/1472-6963-12-330.
Knowledge about the relation between user involvement in the provision of assistive technology and outcomes of assistive technology use is a prerequisite for the development of efficient service delivery strategies. However, current knowledge is limited, particularly from low-income countries where affordability is an issue. The objective was therefore to explore the relation between outcomes of assistive technology use and user involvement in the service delivery process in Bangladesh.
Using structured interviews, data from 136 users of hearing aids and 149 users of manual wheelchairs were collected. Outcomes were measured using the International Outcome Inventory for Hearing Aids (IOI-HA), which was adapted for wheelchair users. Predictors of user involvement included preference, measurement and training.
Users reported outcomes comparable to those found in other high- and low-income countries. User involvement increased the likelihood for reporting better outcomes except for measurement among hearing aid users.
The findings support the provision of assistive technology as a strategy to improve the participation of people with disabilities in society. They also support current policies and guidelines for user-involvement in the service delivery process. Simplified strategies for provision of hearing aids may be explored.
了解用户在提供辅助技术方面的参与程度与辅助技术使用效果之间的关系，是制定高效服务提供策略的前提。然而，目前的知识有限，特别是在辅助技术的可负担性是一个问题的低收入国家。因此，本研究旨在探索孟加拉国辅助技术使用效果与用户在服务提供过程中的参与程度之间的关系。
使用结构化访谈，收集了 136 名助听器用户和 149 名手动轮椅用户的数据。使用国际助听器效果调查问卷（IOI-HA）来衡量结果，该问卷经过改编适用于轮椅使用者。预测用户参与度的因素包括偏好、测量和培训。
用户报告的结果与其他高收入和低收入国家的结果相当。用户参与度的增加增加了报告更好结果的可能性，但助听器用户的测量除外。
研究结果支持提供辅助技术作为一项战略，以提高残疾人士在社会中的参与度。它们还支持当前关于用户参与服务提供过程的政策和准则。可以探索简化助听器提供的策略。
