Smith Emma, Layton Natasha, Smith Roger
Assisting Living and Learning (ALL) Institute, Maynooth University, Maynooth, Ireland.
RESNA (Rehabilitation Engineering Association of North America), Arlington, Texas, USA.
Assist Technol. 2025 Feb 14;37(sup1):S131-S138. doi: 10.1080/10400435.2024.2389139. Epub 2024 Aug 22.
Capturing the outcomes of assistive technology (AT) is essential to know what works and what is needed. People across the globe are working to close the gap of unmet need for AT, and to enable access to quality AT products and services. Inconsistent terminology, measures and a lack of coordinated systems prevent the sharing of knowledge, and the lack of articulated global priorities limit the usefulness of data for policymakers and resource allocation decisions. This paper provides methods of a global "Grand Challenge" project, run by the Global Alliance of Assistive Technology Organizations, and describes the resulting challenges. A multiphase, mixed method approach founded on participatory principles sought to capture multi-country and multi-stakeholder perspectives "from the ground up." A collaborative consensus method was adapted to document and distil AT challenge data from global regions, to refine this data with global stakeholder organizations, and to publish a shortlist of AT Grand Challenges. The 2022 Grand Challenges in Outcomes and Impact are 1) measuring need, 2) documenting inputs, 3) measuring outcomes, 4) measure impacts, 5) sharing data, and 6) informing policy. The challenge now remains to work together to resolve them.
获取辅助技术（AT）的成果对于了解哪些有效以及需要什么至关重要。全球各地的人们都在努力缩小辅助技术未满足需求的差距，并使人们能够获得优质的辅助技术产品和服务。术语不一致、衡量标准以及缺乏协调一致的系统阻碍了知识的共享，而缺乏明确的全球优先事项限制了数据对政策制定者和资源分配决策的有用性。本文介绍了由全球辅助技术组织联盟开展的一个全球“重大挑战”项目的方法，并描述了由此产生的挑战。一种基于参与性原则的多阶段、混合方法试图“自下而上”地获取多国和多利益相关方的观点。采用了一种协作共识方法来记录和提炼来自全球各地区的辅助技术挑战数据，与全球利益相关方组织一起完善这些数据，并公布辅助技术重大挑战的入围名单。2022年成果与影响方面的重大挑战包括：1）衡量需求；2）记录投入；3）衡量成果；4）衡量影响；5）共享数据；6）为政策提供信息。现在的挑战仍然是共同努力解决这些问题。
