Biomedical Engineering Reference
In-Depth Information
new way of using available AT is actually adopted by the assistance user. The framework
indicates how an inclusive assistance strategy can also be beneficial for the user's informal
caregivers. Accordingly, AT use is a vital determinant of benefits such as enhanced activ-
ity, participation, psychological functioning, device satisfaction, and well-being of the user
and his or her caregiver.
With conceptual framework 1, AT intervention alters the personal adaptive strategy,
especially the manner and extent of concerted human help with activity, and, in some
instances, wholly eliminates the need for that assistance. The altered helper-related
activities encompass (1) the physical and psychological components that are identified in
the literature on caregivers (Hoenig et al. 2003; Demers et al. 2009), and (2) the interaction
between AT and personal assistance (Chen et al. 1999; Allen et al. 2001; Verbrugge and
AT
intervention
changes
Personal adaptive
strategy
combines
Assistive
technology
Assistance
of others
includes
determines
is made up of
Structural
alterations
Outcomes
for assistance users
is measured in
terms of
Formal personal
assistance
services
Assistive
devices
Informal personal
assistance
Behvioral
modifications
are influenced by
are measured in terms of
influences
Personal
factors
Cognitive and
physical function
Satisfaction with
adaptation strategy
is composed of
includes
Activities
participation
Attitudes towards assistive devices
Health
Other
caregivers
Main
caregiver
Psychological
wellbeing
is characterized by
Performance
Satisfaction
Other
activities
Help-related
activities
includes
Physical
component
Psychological
component
Perceived physical
di�culty
is measured thru
Emotional
di�culty
is measured thru
Satisfaction in
providing help
Number of hours
FIgUre 5.1
Model for assistive technology outcomes on an assistive technology user/caregiver dyad.
