Gramstad Astrid, Storli Sissel Lisa, Hamran Torunn
Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø , Tromsø , Norway and.
Disabil Rehabil Assist Technol. 2014 Nov;9(6):493-8. doi: 10.3109/17483107.2014.921249. Epub 2014 May 20.
Researching the outcomes of assistive technology devices (ATDs) for older clients is important to facilitate clinical decision-making. However, to understand the outcomes associated with ATDs, one must investigate the users' experiences and acknowledge the user as an active participant in diverse social contexts.
To enhance understanding of the users' perspective regarding ATDs, this study aimed to investigate the meaning of the ATD for older individuals still living in their home environment.
To provide descriptions of ATD experiences, older individuals who received a new ATD to compensate for their challenges in moving around, assist in self-care or both were recruited for the study. Participants were interviewed twice, with a few months between interviews, about their experience in using their new ATD. The interview transcripts were analyzed in a hermeneutical-phenomenological research approach.
The analysis revealed three recurring themes associated with the description of ATD experiences: "enabling performance and choice", "transformation from requiring assistance to assisting others", and "preparing for the future".
The results show that ATDs are used to enhance competence, mastery, control, self-worth, hope, and preparedness. The ATD service delivery should be client-centered and the client should be acknowledged as an active participant in producing change.
研究辅助技术设备(ATD)对老年客户的效果对于促进临床决策很重要。然而,要理解与ATD相关的效果,必须调查用户的体验,并承认用户是不同社会环境中的积极参与者。
为了增进对用户关于ATD观点的理解,本研究旨在调查ATD对仍居住在家庭环境中的老年人的意义。
为了描述ATD的使用体验,招募了因行动不便、需要自我护理或两者皆有而接受新ATD的老年人参与研究。参与者接受了两次访谈,两次访谈间隔几个月,内容是关于他们使用新ATD的体验。访谈记录采用诠释现象学研究方法进行分析。
分析揭示了与ATD体验描述相关的三个反复出现的主题:“实现功能与选择”、“从需要帮助到帮助他人的转变”以及“为未来做准备”。
结果表明,ATD被用于增强能力、掌控力、自我价值感、希望和准备程度。ATD服务应以客户为中心,并且应承认客户是产生变化的积极参与者。