Assistive Technology Outcomes Research: Challenges Met and Yet Unmet

Fuhrer MJ: Assistive technology outcomes research: Challenges met and yet unmet. J Am Phys Med Rehabil 2001;80:528–535.This article highlights the special requirements, achievements, and yet unmet challenges of assessing the outcomes of assistive technology services. The current status of this research is considered from the standpoint of developmental stages that seem to characterize many areas of outcomes research. Those stages include exhortation, sober appraisal, infrastructure building, and “getting on with it.” The status of measuring assistive technology outcomes is described, and efforts to develop new measures are critically reviewed. Three as yet unmet challenges are discussed that are faced alike by assistive technology outcomes research and by rehabilitation outcomes research in general. They are as follows: (1) operationalizing a multiple-stakeholder approach to outcomes research; (2) formulating adequate treatment theories; and (3) creating shared databases.

[1]  Harvey Rf,et al.  Functional performance assessment: a program approach. , 1981 .

[2]  F DeRuyter,et al.  Evaluating outcomes in assistive technology: do we understand the commitment? , 1995, Assistive technology : the official journal of RESNA.

[3]  R O Smith,et al.  Measuring the outcomes of assistive technology: challenge and innovation. , 1996, Assistive technology : the official journal of RESNA.

[4]  L Demers,et al.  Development of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). , 1996, Assistive technology : the official journal of RESNA.

[5]  B Kirshner,et al.  A methodological framework for assessing health indices. , 1985, Journal of chronic diseases.

[6]  M. Fuhrer Subjectifying quality of life as a medical rehabilitation outcome , 2000, Disability and rehabilitation.

[7]  J. Persson,et al.  Cost-Utility Analysis of Assistive Technologies in the European Commission's Tide Program , 1995, International Journal of Technology Assessment in Health Care.

[8]  R. Carey,et al.  Program evaluation of a physical medicine and rehabilitation unit: a new approach. , 1978, Archives of physical medicine and rehabilitation.

[9]  C. Ryff Psychological Well-Being in Adult Life , 1995 .

[10]  K. Kilgore,et al.  Satisfaction with and usage of a hand neuroprosthesis. , 1999, Archives of physical medicine and rehabilitation.

[11]  R Andrich,et al.  A model of cost-outcome analysis for assistive technology. , 1998, Disability and rehabilitation.

[12]  Frank DeRuyter,et al.  The importance of outcome measures for assistive technology service delivery systems , 1997 .