School for Allied Health Professions, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH Eindhoven, The Netherlands.
Department of Tranzo, School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, The Netherlands.
Int J Environ Res Public Health. 2019 Jan 24;16(3):318. doi: 10.3390/ijerph16030318.
Patients with orthopedic problems often use assistive devices, e.g., ankle-foot orthoses and therapeutic footwear, to support their mobility. However, many users are not satisfied with their devices or do not use them at all, resulting in a decrease of quality of life. It has been shown that a main cause for dissatisfaction and non-use lies in the process of drawing up requirements. It appears that orthopedic engineers have too little insight in the different areas of life of patients leading to deficient design requirements. In this article a general approach-the so-called Triple I model-is presented to understand the different areas of life of patients. This model offers, in line with and directed by the intention of the International Classification of Functioning, Disability and Health (ICF) model three perspectives or 'pairs of lenses' to analyze these areas of life: the identity, the interests of key stakeholders or social actors, and the underlying societal ideals. The Triple I model is elaborated for assistive devices and offers an associated methodology to orthopedic engineers to systematically map the different areas of life of patients, to understand the requirements for every area, and to explore the conditions. In case of assistive devices five different areas of life have to be investigated: daily living at home, work, transport, social and spiritual activities, sport and leisure.
骨科问题患者常使用助行器，如踝足矫形器和治疗性鞋具，以支持其活动能力。然而，许多使用者对其器械不满意或根本不使用，导致生活质量下降。研究表明，不满意和不使用的主要原因在于需求制定过程。似乎矫形工程师对患者生活的不同领域了解甚少，导致设计要求不足。本文提出了一种通用方法——所谓的三重 I 模型，以了解患者的不同生活领域。该模型根据国际功能、残疾和健康分类（ICF）模型的意图，提供了三个视角或“一对对镜头”来分析这些生活领域：身份、关键利益相关者或社会行为者的利益，以及潜在的社会理想。三重 I 模型针对助行器进行了阐述，并为矫形工程师提供了一种相关方法，以系统地映射患者的不同生活领域，了解每个领域的要求，并探索条件。在助行器的情况下，需要调查五个不同的生活领域：日常生活、工作、交通、社会和精神活动、运动和休闲。
