Ripat Jacquie, Woodgate Roberta L, Bennett Laura
Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
College of Nursing, Rady Faculty of Health Sciences, University of Manitoba.
Disabil Rehabil Assist Technol. 2020 Apr;15(3):314-321. doi: 10.1080/17483107.2019.1571118. Epub 2019 Feb 19.
To explore how the attitudinal environment influences the participation experiences of young adults with disabilities who use assistive technology. In this qualitative study, twenty young adults using assistive technology completed individual interviews before and after engaging in a photovoice process. Ten of the participants then took part in a focus group. Data were analyzed inductively using a thematic analysis approach. Analysis yielded three primary themes "seen and treated as different, assumptions made and impatience". A fourth theme emerged through focus group discussion "photos as a means of consciousness-raising". Findings suggest that young adults with disabilities who use assistive technology regularly encounter negative societal attitudes that hinder participation. The photovoice process promoted consciousness-raising at the individual, interpersonal and societal level for the participants. Many young adults with disabilities use assistive technology to facilitate participation in everyday activities. However, the usefulness of assistive technology is susceptible to the environment in which it is used. Further actions are needed toward resolving this challenging participation barrier; these actions should draw on the perspectives and creativity of young adult assistive technology users.IMPLICATIONS FOR REHABILITATIONYoung adults with disabilities who use assistive technology describe how other people's negative attitudes can make it challenging to participate in their important activities.Participants took photographs that represented the negative attitudes they face on a daily basis and saw their photos as a way to raise awareness of the negative attitudes.This research highlights the importance of addressing negative attitudes toward people using assistive technology: young adults with disabilities have expertise and creative ideas about how to do this, so their voices should guide future research projects.
探讨态度环境如何影响使用辅助技术的残疾青年的参与体验。在这项定性研究中，20名使用辅助技术的残疾青年在参与摄影发声过程前后完成了个人访谈。其中10名参与者随后参加了焦点小组。使用主题分析方法对数据进行归纳分析。分析得出三个主要主题：“被视为不同并区别对待、存在假设和不耐烦”。通过焦点小组讨论出现了第四个主题：“照片作为提高意识的一种手段”。研究结果表明，经常使用辅助技术的残疾青年经常遇到阻碍参与的负面社会态度。摄影发声过程在个人、人际和社会层面促进了参与者的意识提高。许多残疾青年使用辅助技术来便利参与日常活动。然而，辅助技术的效用易受其使用环境的影响。需要采取进一步行动来解决这一具有挑战性的参与障碍；这些行动应借鉴残疾青年辅助技术使用者的观点和创造力。
对康复的启示
使用辅助技术的残疾青年描述了他人的负面态度如何使他们难以参与重要活动。
参与者拍摄代表他们日常所面临负面态度的照片，并将这些照片视为提高对负面态度认识的一种方式。
残疾青年对于如何做到这一点拥有专业知识和创意想法，因此他们的声音应指导未来的研究项目。
