Federici Stefano, Borsci Simone
a Department of Philosophy , Social & Human Sciences and Education, University of Perugia , Italy and.
b Human Factors Research Group , School of Mechanical, Materials and Manufacturing Engineering, University of Nottingham , UK.
Disabil Rehabil Assist Technol. 2016;11(1):22-31. doi: 10.3109/17483107.2014.930191. Epub 2014 Jun 17.
The study brings together three aspects rarely observed at once in assistive technology (AT) surveys: (i) the assessment of user interaction/satisfaction with AT and service delivery, (ii) the motivational analysis of AT abandonment, and (iii) the management/design evaluation of AT delivery services.
15 health professionals and 4 AT experts were involved in modelling and assessing four AT Local Health Delivery Service (Centres) in Italy through a SWOT analysis and a Cognitive Walkthrough. In addition 558 users of the same Centres were interviewed in a telephone survey to rate their satisfaction and AT use.
The overall AT abandonment was equal to 19.09%. Different Centres' management strategies resulted in different percentages of AT disuse, with a range from 12.61% to 24.26%. A significant difference between the declared abandonment and the Centres' management strategies (p = 0.012) was identified. A strong effect on abandonment was also found due to professionals' procedures (p = 0.005) and follow-up systems (p = 0.002).
The user experience of an AT is affected not only by the quality of the interaction with the AT, but also by the perceived quality of the Centres in support and follow-up. Implications for Rehabilitation AT abandonment surveys provide useful information for modelling AT assessment and delivery process. SWOT and Cognitive Walkthrough analyses have shown suitable methods for exploring limits and advantages in AT service delivery systems. The study confirms the relevance of person centredness for a successful AT assessment and delivery process.
本研究将辅助技术（AT）调查中很少同时观察到的三个方面结合在一起：（i）对用户与AT及服务提供的交互/满意度的评估，（ii）对AT弃用的动机分析，以及（iii）对AT服务提供的管理/设计评估。
15名健康专业人员和4名AT专家通过SWOT分析和认知走查参与了对意大利四个AT地方卫生服务中心的建模和评估。此外，还对同一中心的558名用户进行了电话调查，以评估他们的满意度和AT使用情况。
AT的总体弃用率为19.09%。不同中心的管理策略导致了不同比例的AT停用，范围从12.61%到24.26%。确定了宣称的弃用率与中心管理策略之间存在显著差异（p = 0.012）。还发现专业人员的程序（p = 0.005）和随访系统（p = 0.002）对弃用有强烈影响。
AT的用户体验不仅受与AT交互质量的影响，还受对中心支持和随访的感知质量的影响。对康复AT弃用调查的启示为AT评估和交付过程的建模提供了有用信息。SWOT和认知走查分析已显示出探索AT服务交付系统中的限制和优势的合适方法。该研究证实了以患者为中心对于成功的AT评估和交付过程的相关性。
