Date: Thursday, July 14, 2022 5:00 PM- Thursday, July 14, 2022 6:00 PM
The interdependence-Human Activity Assistive Technology Model (i-HAAT): A contemporary conceptual approach to assistive technology outcomes research
Authors: Fani Lee ( University of Illinois Chicago ); Heather Feldner ( University of Washington ); Fabricio Balcazar ( University of Illinois Chicago ); Brenda Sposato Bonfiglio ( University of Illinois Chicago ); Sarah Parker Harris ( University of Illinois Chicago ); Kelly Hsieh ( University of Illinois Chicago )
Despite an increased utilization of social theory in assistive technology (AT) outcomes research, there continues to be a gap in integrating AT conceptual models in research design, data analysis, and results interpretation. Meaningful integration of theory into practice is the essential next step in generating socially-responsive research that addresses AT consumer needs and moves the field forward. This paper proposes that AT research must merge biophysical and social theory in a way that conveys the interconnection of factors impacting AT users’ experiences, values, participation, and quality of life. To accomplish this task, two pre-existing AT models, the Human Activity Assistive Technology model (HAAT) and the interdependence frame for AT have been merged into a novel framework, the interdependence-HAAT model (i-HAAT). Components of the i-HAAT model are first presented and defined, and then applied pragmatically to a study examining the outcomes of former long-term nursing home residents using AT in the community as an example of the framework’s utility. In this study, the i-HAAT facilitated quantitative variable identification and categorization, emphasized the interconnectivity between domain variables, and explored the infrastructural supports necessary for the successful community reintegration of deinstitutionalized AT users. Additional research using this model is necessary across methodologies and populations to hone its application and significance.
Development of the Contingent Employment Participation Survey (CEPS)
Authors: Frances Harris ( Georgia Institute of Technology ); Patricia Griffiths ( Georgia Institute of Technology ); Salimah LaForce ( Georgia Institute of Technology ); Maureen Linden ( Georgia Institute of Technology ); Nathan Moon ( Georgia Institute of Technology )
This paper describes the development and content validity of a new survey, the Contingent Employment Participation Survey (CEPS). Contingent work refers to non-traditional, non-permanent work arrangements, such as freelancing, independent contractors, and other temporary forms of employment. Methods: Development of the CEPS was based on 22 semi-structured interviews conducted 2018-2019 with people with disabilities who were engaged in varied contingent employment work. All data were entered into the qualitative analysis software program NVivo. Analyses used an iterative, constant comparative method consistent with a grounded theory approach to search for broad themes and patterns. Results: Data analysis led to the identification of six major domains and 48 items within those domains: 1) the Nature of Disability (5 items), 2) Work Practices (18 items), 3) Technology Use (6 items), 4) Work Participation (9 items), 5) Barriers to Work (4 items), and 6) Social Inclusion (6 items). Content Validity Testing Methods: Eight experts were recruited to assess the CEPS’ Content Validity and to evaluate each of the 48 items for "relevance" and "clarity"; both of which were rated on a scale of 1 to 4 (Highly Relevant or Clear to Not Relevant or Clear). Space was provided for additional comments and suggestions. Results: The number of relevant items per domain was equal to the number of items in the domain for 5 of the 6 domains, meaning half or more of the raters evaluated all items in the domain as relevant. Scale-level S-CVIs ranged from a low of .78 for the Social inclusion domain to .98 for the Technology and Work Participation domains. Conclusion: The CEPS possesses an appropriate and acceptable level of content validity within each domain and for the total scale. It is well positioned to, not only capture key data about contingent employment, but to better understand the myriad ways in which workers with disabilities find and create employment opportunities.
Complex Rehabilitation Technology Policy Investigation
Authors: Madelyn Betz ( University of Pittsburgh ); Tyler Beauregard ( The Ohio State University ); Ashley Stojkov ( The Ohio State University ); Richard Schein ( University of Pittsburgh ); Carrnen DiGiovine ( The Ohio State University )
Service delivery of complex rehabilitation technology (CRT) is an eight-step process outlined in the RESNA Wheelchair Service Provision Guide, highlighting steps from referral and assessment by clinicians and providers to delivery of the wheeled mobility device (WMD). The policies that regulate CRT provision vary in interpretation and implementation across clinical settings and payor sources. A broad investigation into Medicare, Medicaid, Veteran’s Health Administration, and international policies reveals commonalities and differences in language, themes, and qualifying definitions. Extracted common themes include definitions of “medical necessity”, the use of standardized coding, and the requirement for qualified medical professionals for prescription and implementation of CRT. There are universal issues with current policy in the US and internationally. This includes gaps between official policy guidelines and realistic practices that restrict the consumer’s ability to acquire the technology, accessories, and routine maintenance for these technologies they need and should medically qualify for. The results of this policy investigation will support the development and implementation of a novel CRT service delivery policy that promotes value-based care, improved health outcomes, and satisfaction for wheeled mobility device users.