A literature review of the challenges encountered in the adoption of assistive technology (AT) and training of healthcare professionals

Conference paper


Manship, S., Hatzidimitriadou, E., Stein, M., Parkin, C., Raffray, M., Gallien, P. and Delestre, C. 2019. A literature review of the challenges encountered in the adoption of assistive technology (AT) and training of healthcare professionals.
AuthorsManship, S., Hatzidimitriadou, E., Stein, M., Parkin, C., Raffray, M., Gallien, P. and Delestre, C.
TypeConference paper
Description

Background: Long-term disabilities often result in loss of autonomy and social interaction. Accordingly, there is a demand for Assistive Technology (AT) devices to enable individuals to live independently for as long as possible. However, many people experience difficulties in obtaining and using AT. This paper presents findings from a narrative literature review undertaken as part of the development of AT training for healthcare professionals, one of the work areas of the ADAPT project (Assistive Devices for Empowering Disabled People through Robotic Technologies), funded by EU INTERREG France (Channel) England. The results of the review informed the design of a survey of healthcare professionals regarding their views and experiences of AT and the development of AT training.

Method: The review sought to understand challenges encountered in the adoption and use of AT as well as how training of healthcare professionals in AT takes place. A narrative approach was adopted as the most appropriate way to synthesise published literature on this topic and describe its current state-of-art. Narrative reviews are considered an important educational tool in continuing professional development. An initial search was conducted via databases in the UK and France, including CINAHL, Academic Search Index, Social Sciences Citation Index, BDSP (Base de données en Santé Publique), Documentation EHESP/MSSH (Ecole des Hautes Etudes en Santé Publique/Maison des Sciences Sociales et Handicap), Cairn, Google Scholar and Pubmed. Inclusion criteria for the review included: covering issues relating to AT provision and training, English or French language, and published from 1990 onwards. Application of these criteria elicited 79 sources, including journal papers (48), reports (11), online sources (11), books (6) and conference papers (3). Sources were thematically analysed to draw out key themes.

Key results: The majority of papers were from USA and Canada (27), then UK (20) and France (19). Others were from Europe (7), Australia (3), country unknown (2), and one joint UK/France publication. The main source of literature was journal papers (48), of which the most common types were practice reports (18), evaluation surveys (10) and qualitative studies (9). The review uncovered a number of key challenges related to the adoption of devices, including: difficulty defining AT across disciplines, lack of knowledge of healthcare professionals and users, obtrusiveness and stigmatisation AT users can experience when using devices, and shortfalls in communication amongst professional groups and between professionals and users. These issues can lead to abandonment of AT devices. Furthermore, substantial barriers to healthcare professionals exist, including inconsistent provision and quality of training, lack of evaluation of training, lack of resources and funding, shortage of qualified professionals to teach, and the increasingly rapid development of the technologies.
Conclusion: Support, training and education for prescribers, distributors, users, and their carers is vital in the adoption and use of AT. Evidence indicates a need for comprehensive education in the AT field, as well as ongoing assessment, updates and evaluation which is embedded in programmes.

KeywordsLiterature review; challenges adopting AT care solutions; AT training of healthcare professionals
Year2019
ConferenceAssociation for the Advancement of Assistive Technology in Europe Conference
Publication process dates
Deposited18 Sep 2019
Completed19 Apr 2019
Accepted19 Apr 2019
Accepted author manuscript
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An evaluation of domestic abuse programmes for adolescents in Kent and Medway
Manship, S. and Perry, R. 2012. An evaluation of domestic abuse programmes for adolescents in Kent and Medway.
Cultural capital during migration: findings from narrative interviews with academically and vocationally skilled adults with immigrant background in the UK - final report
Hatzidimitriadou, E. 2008. Cultural capital during migration: findings from narrative interviews with academically and vocationally skilled adults with immigrant background in the UK - final report. Canterbury European Centre for the Study of Migration and Social Care, University of Kent.
Cultural capital of second generation migrant women in the UK: reconstructing gendered experiences through biographical narratives
Hatzidimitriadou, E. 2008. Cultural capital of second generation migrant women in the UK: reconstructing gendered experiences through biographical narratives.
Domestic violence in Europe: study on determinants and characteristics of domestic violence in England
Lindsay, J. and Hatzidimitriadou, E. 2012. Domestic violence in Europe: study on determinants and characteristics of domestic violence in England.
Male and female physical intimate partner violence and socioeconomic position: a cross-sectional international multicentre study in Europe
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2016. Male and female physical intimate partner violence and socioeconomic position: a cross-sectional international multicentre study in Europe. Public Health. 139, pp. 44-52. https://doi.org/10.1016/j.puhe.2016.05.001
Singing for mental health and wellbeing: findings from West Kent and Medway
Clift, S., Manship, S. and Stephens, L. 2015. Singing for mental health and wellbeing: findings from West Kent and Medway. Canterbury, UK Canterbury Christ Church University.
A qualitative evaluation of psychosocial outcomes of the Creative Communications pilot project for people with dementia
Manship, S. and Hatzidimitriadou, E. 2015. A qualitative evaluation of psychosocial outcomes of the Creative Communications pilot project for people with dementia.
Understanding factors behind the late testing and diagnosis of HIV: Findings from phase 1 of the IMPRESS Health 2 (Interreg IVA Channel Programme) Project
Manship, S., O'Connor, S., Clift, S., Diouf, M., Lorenzo, P., Trouillet, H. and Schmit, J. 2015. Understanding factors behind the late testing and diagnosis of HIV: Findings from phase 1 of the IMPRESS Health 2 (Interreg IVA Channel Programme) Project.
Phase 1 Anglo-French report on the IMPRESS Health 2 (Interreg IVA Channel Programme) project 4282: understanding factors behind the late testing and diagnosis of HIV
O'Connor, S., Manship, S., Clift, S., Diouf, M., Lorenzo, P., Trouillet, H. and Schmit, J. 2014. Phase 1 Anglo-French report on the IMPRESS Health 2 (Interreg IVA Channel Programme) project 4282: understanding factors behind the late testing and diagnosis of HIV. Canterbury Canterbury Christ Church University.
Targeting late diagnosis of HIV in Kent, Medway and Picardy: evaluation of interventions in the Anglo-French IMPRESS Health 2 (Interreg IVA Channel Programme) project 4282
O'Connor, S., Manship, S., Jeffreys, W., Tung, M., Navaratne, L., Hembron, R., Khan, F., Famechon, M., Trouillet, H., Lancel, F., Lorenzo, P. and Schmit, J. 2015. Targeting late diagnosis of HIV in Kent, Medway and Picardy: evaluation of interventions in the Anglo-French IMPRESS Health 2 (Interreg IVA Channel Programme) project 4282. Canterbury Canterbury Christ Church University.
Editorial: User involvement and empowerment in health care practices with ethnic minority and migrant groups: a community approach
Garcia-Ramirez, M. and Hatzidimitriadou, E. 2009. Editorial: User involvement and empowerment in health care practices with ethnic minority and migrant groups: a community approach. International Journal of Migration, Health and Social Care. 5 (1), pp. 2-4. https://doi.org/10.1108/17479894200900001
'No one knows like we do' - the narratives of mental health service users trained as researchers
Palmer, D., Williams, L., White, S., Chenga, C., Calabria, V., Branch, D., Arundal, S., Storer, L., Ash, C., Cuthill, C., Bezuayehu, H. and Hatzidimitriadou, E. 2009. 'No one knows like we do' - the narratives of mental health service users trained as researchers. Journal of Public Mental Health. 8 (4), pp. 18-28. https://doi.org/10.1108/17465729200900024
Sozialraumliche Koordinaten beruflicher Orientierung. Hochqualifizierte der zweiten Generation in Deutschland und Grossbritannien
Schittenhelm, K. and Hatzidimitriadou, E. 2010. Sozialraumliche Koordinaten beruflicher Orientierung. Hochqualifizierte der zweiten Generation in Deutschland und Grossbritannien. in: Nohl, A., Schittenhelm, K., Schmidtke, O. and Weiss, A. (ed.) Kulturelles Kapital in der Migration: Hochqualifizierte Einwanderer und Einwanderinnen auf dem Arbeitsmarkt Wiesbaden, Germany VS Verlag. pp. 301-314
"Isn't he wonderful?" Exploring the contribution and conceptualization of older husbands as carers
Milne, A. and Hatzidimitriadou, E. 2003. "Isn't he wonderful?" Exploring the contribution and conceptualization of older husbands as carers. Ageing International. 28 (4), pp. 389-407. https://doi.org/10.1007/s12126-003-1011-y
Carers of older relatives in long term care: support needs and services
Milne, A., Hatzidimitriadou, E. and Chryssanthopoulou, C. 2004. Carers of older relatives in long term care: support needs and services. Generations Review. 14 (3), pp. 4-9.
Carers of older relatives in long term care: support needs and services
Milne, A., Hatzidimitriadou, E. and Chryssanthopoulou, C. 2004. Carers of older relatives in long term care: support needs and services. Generations Review.
Planning ahead: meeting the needs of older people with intellectual disabilities in the United Kingdom
Hatzidimitriadou, E. and Milne, A. 2005. Planning ahead: meeting the needs of older people with intellectual disabilities in the United Kingdom. Dementia: The International Journal for Social Research and Practice. 4 (3), pp. 341-359. https://doi.org/10.1177/1471301205055027
GP attitudes to early diagnosis of dementia: evidence of improvement
Hatzidimitriadou, E., Milne, A. and Hamilton-West, K. 2005. GP attitudes to early diagnosis of dementia: evidence of improvement. Aging & Mental Health. 9 (5), pp. 449-455. https://doi.org/10.1080/13607860500142762
Providing care for older people with learning disabilities
Hatzidimitriadou, E. and Milne, A. 2006. Providing care for older people with learning disabilities. in: Carnaby, S. (ed.) Intimate and Personal Care for People with Learning Disabilties London Jessica Kingsley. pp. 160-180
Learning in the real world? Exploring widening participation student views concerning the 'fit' between knowledge learnt and work practices
Forrester-Jones, R. and Hatzidimitriadou, E. 2007. Learning in the real world? Exploring widening participation student views concerning the 'fit' between knowledge learnt and work practices. Assessment & Evaluation in Higher Education. 31 (6), pp. 611-624. https://doi.org/10.1080/02602930600760181
Migrant women and welfare issues: diversity of experiences, challenges and opportunities
Hatzidimitriadou, E. 2007. Migrant women and welfare issues: diversity of experiences, challenges and opportunities. International Journal of Migration, Health and Social Care. 3 (3), pp. 2-5. https://doi.org/10.1108/17479894200700014
Community activism and empowerment of Turkish-speaking migrant women in London
Hatzidimitriadou, E. and Cakir, S. 2009. Community activism and empowerment of Turkish-speaking migrant women in London. International Journal of Migration, Health and Social Care. 5 (1), pp. 34-46. https://doi.org/10.1108/17479894200900005
Migration and ageing: settlement experiences and emerging care needs of older refugees in developed countries
Hatzidimitriadou, E. 2010. Migration and ageing: settlement experiences and emerging care needs of older refugees in developed countries. Hellenic Journal of Psychology. 7 (1), pp. 1-20.
Intimate partner violence in Europe: design and methods of a multinational study
Costa, D., Soares, J., Lindert, J., Hatzidimitriadou, E., Karlsson, A., Sundin, O., Toth, O., Ioannidi-Kapolou, E., Degomme, O., Cervilla, J. and Barros, H. 2013. Intimate partner violence in Europe: design and methods of a multinational study. Gaceta Sanitaria. 27 (6), pp. 558-561. https://doi.org/10.1016/j.gaceta.2013.03.001
From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services
Carpenter, J., Ring, C., Sangster, A., Cambridge, P. and Hatzidimitriadou, E. 2000. From the asylum to the community: a longitudinal study of staff involved in the transition from Tone Vale Hospital to community-based services. Journal of Mental Health. 9 (2), pp. 211-230. https://doi.org/10.1080/09638230050009203
Early diagnosis of dementia by GPs: an exploratory study of attitudes
Milne, A., Woolford, H., Mason, J. and Hatzidimitriadou, E. 2000. Early diagnosis of dementia by GPs: an exploratory study of attitudes. Aging & Mental Health. 4 (4), pp. 292-300. https://doi.org/10.1080/713649958
Caring in later life: reviewing the role of older carers
Milne, A., Hatzidimitriadou, E., Chryssanthopoulou, C. and Owen, T. 2001. Caring in later life: reviewing the role of older carers. London Help the Aged.
Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups
Hatzidimitriadou, E. 2002. Political ideology, helping mechanisms and empowerment of mental health self-help/mutual aid groups. Journal of Community & Applied Social Psychology. 12 (4), pp. 271-285. https://doi.org/10.1002/casp.681
The caring in later life report: a secondary analysis of the 1995 General Household Survey
Milne, A. and Hatzidimitriadou, E. 2002. The caring in later life report: a secondary analysis of the 1995 General Household Survey. Quality in Ageing and Older Adults. 3 (3), pp. 3-15. https://doi.org/10.1108/14717794200200017
Gaining access to and working with self-help groups in mental health
Hatzidimitriadou, E. 2003. Gaining access to and working with self-help groups in mental health. in: Cochrane, S. (ed.) Where You Stand Affects Your Point of View: Emancipatory Approaches to Mental Health Research: Notes from SPN Study Day 12 June 2003 UK Social Perspectives Network.
Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Intimate partner violence and health-related quality of life in European men and women: findings from the DOVE study. Quality of Life Research. 24 (2), pp. 463-471.
Exploring information technology (IT) strategy and processual alignment: an exploratory case study in higher education (HE)
Bowden, L., Fearon, C., Manship, S., Dee, T. and McLaughlin, H. 2014. Exploring information technology (IT) strategy and processual alignment: an exploratory case study in higher education (HE).
Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries
Costa, D., Hatzidimitriadou, E., Ioannidi-Kapolou, E., Lindert, J., Soares, J., Sundin, O., Toth, O. and Barros, H. 2015. Physical intimate partner violence in Europe: results from a population-based multi-center study in six countries. International Journal of Epidemiology. 44 (S1), p. 264. https://doi.org/10.1093/ije/dyv096.500
Phase 1 Research Report on the IMPRESS Health 2 (Interreg IVA Channel Programme) Project 4282: Understanding the factors behind the late testing and diagnosis of HIV
O'Connor, S., Manship, S., Hart, M., Tudor, F. and Clift, S. 2014. Phase 1 Research Report on the IMPRESS Health 2 (Interreg IVA Channel Programme) Project 4282: Understanding the factors behind the late testing and diagnosis of HIV. Canterbury, UK. Canterbury Christ Church University.
"Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain
Li, S., Hatzidimitriadou, E. and Psoinos, M. 2014. "Tangled wires in the head": older migrant Chinese's perception of mental illness in Britain. Journal of Aging Studies. 30 (1), pp. 73-86. https://doi.org/10.1016/j.jaging.2014.04.001
Cultural health capital and professional experiences of overseas doctors and nurses in the UK
Hatzidimitriadou, E. and Psoinos, M. 2014. Cultural health capital and professional experiences of overseas doctors and nurses in the UK. Diversity and Equality in Health and Care. 11 (1), pp. 35-47.
Making the case for ‘techno-change alignment’: a processual approach for understanding technology enabled organisational change
Fearon, C., Manship, S., McLaughlin, H. and Jackson, S. 2013. Making the case for ‘techno-change alignment’: a processual approach for understanding technology enabled organisational change. European Business Review. 25 (2), pp. 147-162. https://doi.org/10.1108/09555341311302648
Evaluation of co-production processes in a community-based mental health project in Wandsworth
Hatzidimitriadou, E., Mantovani, N. and Keating, F. 2012. Evaluation of co-production processes in a community-based mental health project in Wandsworth. Kingston upon Thames Kingston University and St George's, University of London.
Ageing in the English countryside: is it good for your health?
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2004. Ageing in the English countryside: is it good for your health?
Health and quality of life among older people in rural England: exploring the impact and efficacy of policy
Milne, A., Hatzidimitriadou, E. and Wiseman, J. 2007. Health and quality of life among older people in rural England: exploring the impact and efficacy of policy. Journal of Social Policy. 36 (3), pp. 477-495. https://doi.org/10.1017/S0047279407001055