Article

The aim of this study was to develop an understanding of how assistive technology
(AT) contributes to self-perceived participation for individuals with spinal cord
injuries and to propose a revised definition of AT in light of the findings. A
grounded theory study of 19 adults with spinal cord injuries was conducted.
Participants engaged in individual in-depth interviews and took photographs of
the role of AT in their own environments. Analysis consisted of an inductive
process of constant comparison. Participants attended a follow-up focus group
intended to verify and contribute to the credibility of the findings. The primary
theme identified was AT as a means to participation. Three categories served to
identify the decision-making processes that individuals underwent to select AT
that would promote positive participation experiences: inclusion versus autonomy
and accomplishment, availability and cost and contexts of use. A new definition
of AT was proposed; this definition identifies AT as a means to enable
occupation, emphasizes the relevance of the environment and highlights the
importance placed on self-perceived participation. AT recommendations must be
based on a thorough understanding of the role that AT plays in the lives of
clients. Future research will further develop and validate the definition
proposed in this study.

Langue : ANGLAIS