轉助科技棄用現象探討與結果研究介紹

An Exploration into the Phenomenon of Assistive Technology Abandonment and Outcome Research

10.6217/SEQ.2014.132.27-36

黃宜君(I-Chun Huang)

輔助科技 ； 結果研究 ； 棄用 ； 輔具使用 ； assistive technology ； outcome research ； abandonment ； device use

特殊教育季刊

132期（2014 / 09 / 01）

27 - 36

繁體中文

近年來隨著科技的進步，輔助科技相關產品推陳出新且擁有輔具的人數也持續增加；但許多研究卻發現在輔助科技擁有比率逐漸上升的同時，失用率也隨之增加；此輔助科技棄用現象的產生，顯示探討輔助科技介入結果之重要性，以真實瞭解使用者的需求，提升輔助科技所能發揮的效用。本文旨在介紹輔助科技結果研究，首先整理相關的棄用調查數據，接著分析可能影響輔助科技使用或棄用之重要因素，並探討結果研究領域重要的概念模式。

In recent years, due to advances in technology, the types of assistive device and the number of people owning assistive devices have gradually increased. However, several studies indicate that the number of people who possess assistive devices far exceeds the number of people who actually use them. The emerging phenomenon of device abandonment stresses the importance of assistive technology outcome research in order to understand device users' needs in their everyday usage and maximize the benefit of assistive technology intervention. This study aimed to provide an account of assistive technology outcome research. The author firstly summarized studies concerning device abandonment rate and then explored the reasons influencing device use or non-use. Finally, the important conceptual models in the field of outcome research were introduced.

1. Hersh, M. A. (2010). The design and evaluation of assistive technology products and devices. Part 1: Design. In J. H. Stone & M. Blouin (Eds.), International Encyclopedia of Rehabilitation. Retrived from: http://cirrie.buffalo.edu/encyclopedia/en/article/309/.http://cirrie.buffalo.edu/encyclopedia/en/article/309/
2. Brooks, N. A.(1991).Users' responses to assistive devices for physical disability.Social science and medicine,32(12),1417-1424.
3. Caudrey, D. J.,Seeger, B. R.(1983).Rehabilitation engineering service evaluation: a follow-up survey of device effectiveness and patient acceptance.Rehabilitation literature,44(3-4),80-84.
4. Clemson, L.,Martin, R.(1996).Usage and effectiveness of rails, bathing and toileting aids.Occupational therapy in health care,10(1),41-59.
5. Cook, A. M.,Hussey, S. M.(2002).Assistive technologies: principles and practice.St. Louis:Mosby.
6. Demers, L.,Monette, M.,Lapierre, Y.,Arnold, D. L.,Wolfson, C.(2002).Reliability, validity, and applicability of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) for adults with multiple sclerosis.Disability and rehabilitation,24(1),21-30.
7. Demers, L.,Wessels, R. D.,Weiss-Lambrou, R.,Ska, B.,De Witte, L. P.(1999).An international content validation of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST).Occupational therapy international,6(3),159-175.
8. DeRuyter, F.(1997).The importance of outcome measures for assistive technology service delivery systems.Technology and disability,6(1),89-104.
9. Dijcks, B. P. J.,De Witte, L. P.,Gelderblom, G. J.,Wessels, R. D.,Soede, M.(2006).Non-use of assistive technology in The Netherlands: A non-issue?.Disability and rehabilitation: assistive technology,1(1-2),97-102.
10. Fuhrer, M. J.,Jutai, J. W.,Scherer, M. J.,DeRuyter, F.(2003).A framework for the conceptual modelling of assistive technology device outcomes.Disability and rehabilitation,25(22),1243-1251.
11. Gitlin, L. N.,Levine, R.,Geiger, C.(1993).Adaptive device use by older adults with mixed disabilities.Archives of physical medicine and rehabilitation,74(2),149-152.
12. Gray, D. B.(Ed.),Quatrano, L. A.(Ed.),Lieberman, M. L.(Ed.)(1998).Designing and using assistive technology: the human perspective.Baltimore:Paul H. Brooks.
13. Hammel, J.(1996).What's the outcome? Multiple variables complicated the measurement of assistive technology outcomes.Rehabilitation management,9(2),97-99.
14. Heinemann, A. W.,Magiera-Planey, R.,Schiro-Geist, C.,Gimines, G.(1987).Mobility for persons with spinal cord injury: an evaluation of two systems.Archives of physical medicine and rehabilitation,68(2),90-93.
15. Hersh, M. A.,Johnson, M. A.(2008).On modelling assistive technology systems-part I: modelling framework.Technology and disability,20(3),193-215.
16. Huang, I.-C.,Sugden, D.,Beveridge, S.(2009).Assistive devices and cerebral palsy: factors influencing the use of assistive devices at home by children with cerebral palsy.Child:care, health and developments,35(1),130-139.
17. Kohn, J.,Enders, S.,Preston, J. J.,Motloch, W.(1983).Provision of assistive equipment for handicapped persons.Archives of physical medicine and rehabilitations,64(8),378-381.
18. Lane, J. P.(Ed.),Mann, W. C.(Ed.)(1995).Assistive technology for persons with disabilities.Bethesda, Maryland:The American Occupational Therapy Association, Inc.
19. Livneh, H.,Antonak, R.,Gerhardt, J.(1999).Psychosocial adaptation to amputation: the role of sociodemographic variables disability-related factors and coping strategies.International journal of rehabilitation research,22(1),21-31.
20. McGrath, P. J.,Goodman, J. T.,Cunningham, S. J.,MacDonald, B.-J.,Nichols, T. A.,Unruh, A.(1985).Assistive devices: utilization by children.Archives of physical medicine and rehabilitation,66(7),430-432.
21. McMillen, A.-M.,Soderberg, S.(2002).Disabled persons' experience of dependence on assistive devices.Scandinavian Journal of Occupational Therapy,9,176-183.
22. Mitchell, P. H.,Ferketich, S.,Jennings, B. M.(1998).Quality health outcomes model.Journal of nursing scholarship,30(1),43-46.
23. Phillips, B.,Zhao, H.(1993).Predictors of assistive technology abandonment.Assistive technology,5(1),36-45.
24. Riemer-Reiss, M. L.,Wacker, R. R.(2000).Factors associated with assistive technology discontinuance among individuals with disabilities.Journal of rehabilitation,66(3),44-50.
25. Scherer, M. J.(2000).Living in the state of stuck: how technology impacts the lives of people with disabilities.Cambridge, MA:Brookline.
26. Scherer, M. J.,Lane, J. P.(1997).Assessing consumer profiles of 'ideal' assistive technologies in ten categories: an integration of quantitative and qualitative methods.Disability and rehabilitation,19(12),528-535.
27. Smith, R. V.(Ed.),Leslie, J. H. J.(Ed.)(1990).Rehabilitation engineering.Boston:CRC.
28. Sonn, U.,Davegardh, H.,Lindskog, A. C.,Steen, B.(1996).The use and effectiveness of assistive devices in an elderly urban population.Aging,8(3),176-183.
29. Ward, C.(1990).,Washington, DC:Electronic Industries Foundation Rehabilitation Engineering Center.
30. Wielandt, T.,Mckenna, K.,Tooth, L.,Strong, J.(2006).Factors that predict the post-discharge use of recommended assistive technology (AT).Disability and Rehabilitation: Assistive Technology,1(1/2),29-40.
31. Wielandt, T.,Strong, J.(2000).Compliance with prescribed adaptive equipment: a literature review.British journal of occupational therapy,63(2),65-75.
32. Wressle, E.,Samuelsson, K.(2004).User satisfaction with mobility assistive devices.Scandinavian Journal of Occupational Therapy,11(3),143-150.
33. Wright, B. A.(1983).Physical disability: A psychological approach.New York:Harper & Row.
34. 毛慧芬、姚開屏、黃小玲(2006)。行政院國家科學委員會專題研究成果報告行政院國家科學委員會專題研究成果報告,行政院國家科學委員會。
35. 林映華(2008)。碩士論文(碩士論文)。臺北，國立臺灣大學衛生政策與管理研究所。
36. 陳莞音(2007)。碩士論文(碩士論文)。臺北，國立臺灣大學職能治療學系。

1. 程欣儀、俞雨春、朱彥穎、王錦滿、王雅秋(2017)。輔具與生活參與-學習輔具申請配置之問題與現況調查。身心障礙研究，15(4)，235-250。