Centre for Disability and Mental Vulnerability, The National Board of Social Services, Odense, Denmark.
The Research Initiative for Activity Studies and Occupational Therapy, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Disabil Rehabil Assist Technol. 2020 Jul;15(5):590-603. doi: 10.1080/17483107.2019.1682067. Epub 2019 Nov 8.
The objective of this systematic review was to investigate effects of different assistive technology service delivery processes (AT-SDPs) for people with functional limitations, including investigation of factors associated with positive outcomes. The study was registered in PROSPERO, registration number CRD42018097030. Included were quantitative studies published in peer reviewed journals: randomized controlled trials, cohort, case-control and analytical cross-sectional studies investigating effects of different AT-SDPs or factors associated with the AT-SDP and with ≥ 10 participants. A systematic literature search was carried out in the databases PsycINFO, CINAHL, SSCI and Medline from 1 January 2008 to 25 July 2018. Besides, four journals were hand searched. The Joanna Briggs Institute MAStARI Critical Appraisal Tools were utilized to assess the risk of bias. The search resulted in a total of 2947 references of which 12 articles representing 10 studies were included. Five studies were experimental, two were cohort, and five were cross-sectional studies. This systematic review confirms previous findings that assistive technology users should be involved in the AT-SDP in order to achieve positive outcomes. The level of evidence is, however, low, and it is not clear which of the applied methods are most effective. The review also gives some indication that new technologies could be used to improve the AT-SDP and reduce costs and that training in using the assistive devices seems to be useful. Even though some evidence of effective AT-SDP methods has been identified, more research is still needed to give valid recommendations to AT-SDP practice.Implications for rehabilitationAssistive technology users should be involved in the AT-SDP in order to achieve positive outcomes, but it cannot be determined which methods are the most effective.New digital technologies could be used to improve the AT-SDP and reduce costs.Training of the users in using their devices is probably useful, but since no specific methods nor extent or dose can be recommended, the professionals still need to use their clinical experience and reasoning to assess the user's needs for training.
本系统评价的目的是调查不同辅助技术服务提供过程（AT-SDP）对功能受限者的影响，包括调查与积极结果相关的因素。该研究已在 PROSPERO 注册，注册号为 CRD42018097030。纳入标准为发表在同行评议期刊上的定量研究：随机对照试验、队列研究、病例对照研究和分析性横断面研究，调查不同 AT-SDP 的效果或与 AT-SDP 及 ≥ 10 名参与者相关的因素。系统检索了 PsycINFO、CINAHL、SSCI 和 Medline 数据库，检索时间为 2008 年 1 月 1 日至 2018 年 7 月 25 日。此外，还对四本期刊进行了手工检索。采用 Joanna Briggs 研究所 MAStARI 批判性评价工具评估偏倚风险。该检索共产生 2947 条参考文献，其中有 12 篇文章（10 项研究）符合纳入标准。5 项研究为实验性研究，2 项为队列研究，5 项为横断面研究。本系统评价证实了之前的发现，即辅助技术使用者应参与 AT-SDP 以获得积极结果。但是，证据水平较低，尚不清楚应用的方法中哪些最有效。该综述还表明，新技术可用于改进 AT-SDP 并降低成本，并且对辅助设备使用的培训似乎是有用的。尽管已经确定了一些有效的 AT-SDP 方法的证据，但仍需要更多的研究为 AT-SDP 实践提供有效的建议。对康复的启示辅助技术使用者应参与 AT-SDP 以获得积极结果，但无法确定哪些方法最有效。新的数字技术可用于改进 AT-SDP 并降低成本。对用户使用设备进行培训可能是有用的，但由于无法推荐特定的方法、程度或剂量，专业人员仍需运用其临床经验和推理来评估用户对培训的需求。
