Assisting Living & Learning (ALL) Institute, Department of Psychology, Maynooth University, Maynooth, Ireland.
Centre for Global Health, School of Psychology, Trinity College Dublin, Dublin, Ireland.
J Intellect Disabil Res. 2018 Oct;62(10):900-921. doi: 10.1111/jir.12532. Epub 2018 Jul 10.
The World Health Organisation has launched a programme to promote Global Cooperation on Assistive Technology. Its aim is to increase access to high-quality affordable assistive products (AP) for everybody in need. People with intellectual disabilities (ID) are a specific group that could benefit from AP, but use less AP compared to their non-intellectual disabled peers.
A systematic literature search was carried out to identify barriers and potential facilitators for access to AP for people with ID globally. The search strategy terms were 'Intellectual Disability' and 'Assistive Technology' with the following electronic literature databases PubMed, Embase, ASSIA, Web of Science, Medline, CINAHL complete, PsycInfo, Scopus and ERIC. The quality and relevance of the studies were assessed. Factors associated with access were identified thematically, categorised into barriers and facilitators and mapped into themes.
In all, 22 key studies were retrieved, describing 77 barriers and 56 facilitators. The most frequently reported barriers were related to lack of funding and cost of AP, lack of awareness about AP and inadequate assessment. An increase of knowledge and awareness about AP and the need of AP for people with ID were most often extracted as factors that could potentially facilitate access.
This review proposes actions linked to the barriers and facilitators that have a particular importance for people with ID to access AP. Yet, only limited research is available describing factors that influence access to AP for people with ID in low and middle income countries and rural areas.
世界卫生组织发起了一项促进辅助技术全球合作的计划。其目的是为所有有需要的人增加获得高质量、负担得起的辅助产品（AP）的机会。智力残疾（ID）人群是特别受益于 AP 的群体，但与非智力残疾同龄人相比，他们使用的 AP 较少。
进行了系统的文献检索，以确定全球 ID 人群获得 AP 的障碍和潜在促进因素。搜索策略术语为“智力残疾”和“辅助技术”，涵盖了以下电子文献数据库：PubMed、Embase、ASSIA、Web of Science、Medline、CINAHL complete、PsycInfo、Scopus 和 ERIC。评估了研究的质量和相关性。通过主题分析确定了与获得 AP 相关的因素，将其分为障碍和促进因素，并将其映射到主题中。
共检索到 22 项关键研究，描述了 77 个障碍和 56 个促进因素。报告最多的障碍与 AP 的缺乏资金和成本、对 AP 的缺乏认识以及评估不足有关。增加对 AP 的了解和认识以及 ID 人群对 AP 的需求通常被提取为潜在促进获得 AP 的因素。
本综述提出了与 ID 人群获得 AP 的障碍和促进因素相关的行动。然而，只有有限的研究描述了影响中低收入国家和农村地区 ID 人群获得 AP 的因素。
