Assistive Technology in Australia: Integrating theory and evidence into action

Steel, Emily J. and Layton, Natasha A. (2016) Assistive Technology in Australia: Integrating theory and evidence into action. Australian Occupational Therapy Journal, . doi:10.1111/1440-1630.12293


Author Steel, Emily J.
Layton, Natasha A.
Title Assistive Technology in Australia: Integrating theory and evidence into action
Journal name Australian Occupational Therapy Journal   Check publisher's open access policy
ISSN 1440-1630
0045-0766
Publication date 2016
Sub-type Article (original research)
DOI 10.1111/1440-1630.12293
Total pages 10
Place of publication Richmond, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2017
Formatted abstract
Background
Occupational therapists use a range of strategies to influence the relationship between person, environment and occupation and facilitate people's participation and inclusion in society. Technology is a fundamental environmental factor capable of enabling inclusion, and occupational therapy models articulate a role for assistive technology (AT) devices and services, but there is a gap between theory, research and practice. The context of AT provision in Australia presents systemic barriers that prevent optimal application of AT devices and services for societal health promotion and in individualised solutions.

Methods
The Integrating Theory, Evidence and Action method (ITEA) was used to answer the question ‘How can occupational therapy support AT provision to enable older people and people with disability?’ A wide range of sources were systematically analysed to explore the complexities of AT provision in Australia.

Results
The International Classification of Functioning, Disability and Health (ICF) and IMPACT2 model are used as frameworks to reconstruct evidence into statements that summarise the theory, process and outcomes of AT provision. Analysis of the influence of the global disability rights and local policies and AT provision systems is used to highlight important aspects for occupational therapists to consider in research and practice. Pragmatic recommendations are provided to enable practitioners to translate theory and evidence into action.

Conclusion
AT provision can be improved by focusing on evidence for and congruence between theory, process and outcomes, rather than isolated interventions. Occupational therapists should consider the influence of contextual factors on practice, and work with consumers to improve access and equity in AT provision systems.
Keyword Assistive technology
Disability policy
ICF
Occupational therapy
Outcomes measurement
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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Created: Tue, 03 May 2016, 02:35:52 EST by System User on behalf of Learning and Research Services (UQ Library)