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User Satisfaction with Assistive Technologies: Application of the ICF-Checklist and QUEST on a group of Afghan disabled



A survey on user satisfaction of 30 disabled Afghans with technology devices was performed by the group on cross-cultural disability study of University of Rome “La Sapienza”. According to the new perspectives of ICF (WHO, 2001) the biopsychosocial model of disability was adopted in order to assess the interaction among body, personal, and environmental dimensions of disability.
User Satisfaction with Assistive Technologies:
Application of the ICF-Checklist and QUEST
on a group of Afghan disabled
Andrea Micangeli1 – Francesca Flumeri2 – Stefano Federici3 – Marta Olivetti
1CIRPS- University of Rome “La Sapienza”
2ECONA- University of Rome “La Sapienza”
3Department of Psychology, University of Rome “La Sapienza”
Keywords: Assistive technologies satisfaction, Cooperation, Disability Survey
A survey on user satisfaction of 30 disabled Afghans with technology devices was performed by the
group on cross-cultural disability study of University of Rome “La Sapienza”.
According to the new perspectives of ICF (WHO, 2001) the biopsychosocial model of disability
was adopted in order to assess the interaction among body, personal, and environmental dimensions
of disability.
Methodology: 30 subjects (15 male, 15 female) were tested on June 2002 at the rehabilitation
centre of the ICRC (International Committee of the Red Cross) of Kabul. Two tests were
administered: the ICF-Checklist in order to codify the “components” of disability, and the QUEST
(Demers, L., Weiss-Lambrou, R., and Ska, B., 1997), aimed at assessing the user satisfaction by
means of a questionnaire.
Results: Almost 100% of the interviewed faced environmental barriers, lack of educational and
support programs, as well as employment prospects. Discrimination was considered a great obstacle
to participate in the full range of social roles and ways of living, especially by women.
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(1-3), 21-30.
Demers, L., Weiss-Lambrou, R., & Ska, B. (2000). Item Analysis of the Quebec User Evaluation of
Satisfaction with Assistive Technology (QUEST). Assistive Technology, 12(2), 96-105.
Demers, L., Weiss-Lambrou, R., & Ska, B. (1997). Quebec user Evaluation of Satisfaction with
Assistive Technology (QUEST): A New Outcome Measure. RESNA, June 20-24, 94-96.
Üstün, T. B., Chatterji, S., Bickenbach, J. E., Trotter II, R. T., Room, R., Rehm, J., & Saxena, S.
(2001). Disability and Culture: universalism and diversity. Göttingen: Hogrefe & Huber.
World Health Organization. (2001). International classification of functioning, disability and
health: ICF . Geneva: World Health Organization.
... (1) Identifying the person belonging to the Italian Civil Protection service (responsible for the energy plants of the camp) in order to carry out the energy problem of the population; (2) Carrying out interviews and field surveys to identify the needs of the IDP and disadvantaged or disabled people, also following the methodology of -ICF Check List‖ [18]; (3) Designing the plant and preparing a feasibility study to be approved by local population and camp manager; (4) Presenting the project to the community and training local population on the technologies involved; (5) Installing the plant together with trained local people in the previous step and expertise, along with volunteers coming from CSOs. ...
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Recent natural and human-induced emergencies have highlighted the vulnerability of the built environment. In order to immediately answer to people's needs while managing an emergency, any intervention should be more proactive and take into account renewable technologies that can be applied in anemergency situation. Very few examples of renewable energy systems in emergency situations are presented in the literature and this gap needs to be filled. This paper presents the results of a project on Storage Integrated Solar Thermal Collectors, specifically studied for this kind of situations, carried out during the post-emergency and rehabilitation phases, after the earthquake in Abruzzi (2009). The overall objective of the project was to promote the advance and innovation of sustainable energy systems for the participatory use of renewable sources in post-emergency and rehabilitation phases. To raise the awareness and study the impact on social perception of renewable energy use, a special program was launched by CIRPS (Inter University Research Center on Sustainable Development of "Sapienza" University of Rome) along with L'Aquila municipality within the local population, just a few days after the earthquake. A "learning by doing" methodology was applied to carry out a participatory project, involving the local population and civil society organizations. Conclusions about the analysis of the project outcomes are presented and a set of measures aiming at increasing the renewable energy rates of displaced camps and rehabilitation phase are finally proposed.
To present a systematic literature review on the state of the art of the utilisation of the International Classification of Functioning, Disability and Health (ICF) since its release in 2001. The search was conducted through EMBASE, MEDLINE and PsychInfo covering the period between 2001 and December 2009. Papers were included if ICF was mentioned in title or abstract. Papers focussing on the ICF-CY and clinical research on children and youth only were excluded. Papers were assigned to six different groups covering the wide scenario of ICF application. A total of 672 papers, coming from 34 countries and 211 different journals, were included in the analysis. The majority of publications (30.8%) were conceptual papers or papers reporting clinical and rehabilitation studies (25.9%). One-third of the papers were published in 2008 and 2009. The ICF contributed to the development of research on functioning and on disability in clinical, rehabilitation as well as in several other contexts, such as disability eligibility and employment. Diffusion of ICF research and use in a great variety of fields and scientific journals is a proof that a cultural change and a new conceptualisation of functioning and disability is happening.
People who use augmentative and alternative communication (AAC) vary widely in their skills and communication needs. Interventions have been developed to meet different needs, but have met with varied success. Attempts to discover why interventions succeed or fail are hindered by the lack of detailed description of the research participants and the environments in which they communicate. This paper reviews the information commonly given about AAC research participants and presents guidelines for the description of people who use AAC, their conversation partners and their communicative environments. Electronic databases were searched for AAC intervention research reports published between 1990 and 2004. Data on research participants and their communication environments were extracted from reviewed papers. Information given in published papers and variables known to affect communication were presented to an expert group. A modified Nominal Group technique was used to decide what information should be reported in AAC intervention research. Guidelines for participant description that link with the World Health Organization International Classification of Functioning, Disability and Health were developed from the results of the nominal group. Detailed information is needed to demonstrate efficacy of AAC interventions. Guidelines for participant description are presented and discussion of their utility is now needed.
This study's purpose was to develop a clinical instrument designed to evaluate user satisfaction with assistive technology devices. This paper describes the methodology used to develop the instrument entitled the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST). Based on the theoretical and practical foundations of assistive technology as well as on the concept of satisfaction, preliminary versions of the instrument were created and examined by a panel of team participants. After the panel's recommendations were incorporated, a pretest of the revised instrument was conducted and the final French version of QUEST emerged. The originality of QUEST lies in its inter-activeness and user-directed approach to assessing satisfaction with assistive technology. From a set of 27 variables, the user is asked to indicate the degree of importance he/she attributes to each of the satisfaction variables and then to rate his/her degree of satisfaction with each of the variables considered (quite or very) important. While QUEST remains a clinical instrument undergoing pilot testing, it holds much promise in our quest for a reliable and valid means of assessing assistive technology outcome from the user's perspective.
The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) is an outcomes assessment tool designed to measure satisfaction with assistive technology in a structured and standardized way. The purpose of this article is to present the results of an analysis of the 24 items comprising QUEST and to explain how a subset of items demonstrating optimal measurement performance was selected. The criteria against which the items were measured were general acceptability, content validity, contribution to internal consistency, test-retest stability, and sensitivity. The items that ranked best in terms of these measurement properties were submitted to factorial analysis in order to complete the item selection. The first series of analyses reduced the item pool approximately by half, and the second series of analyses led to the final selection of 12 items. Factor analysis results suggested a bidimensional structure of satisfaction with assistive technology related to the assistive technology device (eight items) and services (four items). The 12-item revised version that will result from this study should prove to be a reliable and valid instrument for measuring outcomes in the field of assistive technology.
To investigate the measurement properties of the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) with respect to test-retest stability, alternate form reliability, construct validity and applicability. Data on satisfaction and quality of life impacts of mobility devices were obtained from 81 community-based adults with Multiple Sclerosis, using the QUEST 2.0 and the Psychosocial Impact of Assistive Devices Scale (PIADS). Subjects were assigned to four groups and a second QUEST 2.0 was administered one week later. Groups differed with respect to the format and the order in which alternate forms were presented. Measures of association were calculated between QUEST 2.0 and PIADS (n = 81) and between QUEST 2.0 alternate forms (n = 48). Respondents' reactions were considered. The device subscale, services subscale, and total QUEST 2.0 scores achieved good test-retest stability (ICC 0.82, 0.82, 0.91). Alternate-form equivalence (ICC 0.89, 0.76, 0.91) was lower for services. The positive correlations between QUEST 2.0 and the three PIADS dimensions were fair to moderate for device and total QUEST 2.0 (r(p) 0.34 to 0.45) and fair with services (r(p) 0.27 to 0.30). The tool was positively received, with some restrictions for the services subscale. These findings on the psychometric properties of the QUEST 2.0 reinforce the relevance of the device subscale as an important outcome measure for assistive technology MS users. Further assessment of the services subscale is needed.