Borgnis Francesca, Desideri Lorenzo, Converti Rosa Maria, Salatino Claudia
IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy.
AIAS Bologna onlus, Bologna, Italy.
JMIR Rehabil Assist Technol. 2023 Nov 15;10:e51124. doi: 10.2196/51124.
The World Health Organization claimed that measuring outcomes is necessary to understand the benefits of assistive technology (AT) and create evidence-based policies and systems to ensure universal access to it. In clinical practice, there is an increasing need for standardized methods to track AT interventions using outcome assessments.
This review provides an overview of the available outcome measures that can be used at the follow-up stage of any AT intervention and integrated into daily clinical or service practice.
We systematically searched for original manuscripts regarding available and used AT outcome measures by searching for titles and abstracts in the PubMed, Scopus, and Web of Science databases up to March 2023.
We analyzed 955 articles, of which 50 (5.2%) were included in the review. Within these, 53 instruments have been mentioned and used to provide an AT outcome assessment. The most widely used tool is the Quebec User Evaluation of Satisfaction with Assistive Technology, followed by the Psychosocial Impact of Assistive Technology Scale. Moreover, the identified measures addressed 8 AT outcome domains: functional efficacy, satisfaction, psychosocial impact, caregiver burden, quality of life, participation, confidence, and usability. The AT category Assistive products for activities and participation relating to personal mobility and transportation was the most involved in the reviewed articles.
Among the 53 cited instruments, only 17 (32%) scales were designed to evaluate specifically assistive devices. Moreover, 64% (34/53) of the instruments were only mentioned once to denote poor uniformity and concordance in the instruments to be used, limiting the possibility of comparing the results of studies. This work could represent a good guide for promoting the use of validated AT outcome measures in clinical practice that can be helpful to AT assessment teams in their everyday activities and the improvement of clinical practice.
世界卫生组织称,衡量结果对于了解辅助技术(AT)的益处以及制定基于证据的政策和系统以确保普遍获得该技术而言是必要的。在临床实践中,越来越需要采用标准化方法,通过结果评估来跟踪AT干预措施。
本综述概述了可在任何AT干预的随访阶段使用并整合到日常临床或服务实践中的现有结果测量方法。
我们通过在截至2023年3月的PubMed、Scopus和Web of Science数据库中搜索标题和摘要,系统地检索了有关现有和使用的AT结果测量方法的原始手稿。
我们分析了955篇文章,其中50篇(5.2%)被纳入综述。在这些文章中,共提及并使用了53种工具来进行AT结果评估。使用最广泛的工具是《魁北克辅助技术满意度用户评估》,其次是《辅助技术的社会心理影响量表》。此外,所确定的测量方法涉及8个AT结果领域:功能效能、满意度、社会心理影响、照顾者负担、生活质量、参与度、信心和易用性。在综述文章中,与个人移动和交通相关的活动及参与的辅助产品这一AT类别涉及最多。
在引用的53种工具中,只有17种(32%)量表是专门设计用于评估辅助设备的。此外,64%(34/53)的工具仅被提及一次,这表明在要使用的工具中缺乏一致性和协调性,限制了比较研究结果的可能性。这项工作可为促进在临床实践中使用经过验证的AT结果测量方法提供良好指导,这有助于AT评估团队开展日常活动并改善临床实践。