目标:有强有力的证据表明,辅助行动技术可以提高职业绩效,社会参与,残疾人的教育和就业机会以及整体生活质量。然而,残疾人在获得移动产品和相关服务方面仍然面临障碍。这篇综述旨在总结和综合:(1)理论,用于理解移动辅助技术访问的模型和框架,(2)获取的决定因素和(3)知识差距。
方法:使用Arksey和O\'Malley的五步框架进行范围审查。
方法:我们搜索了MEDLINE,EMBASE,2000年至2024年间出版的护理和相关健康文献和SCOPUS数据库的累积指数。我们搜索了截至2024年3月20日发表的文章。
方法:我们在同行评审的期刊中纳入了英文发表的文献,这些文献报道了(a)提供移动辅助技术的障碍,(b)包括至少一项理论,2000年至2024年之间的模型或框架和(C)。
方法:我们提取了研究特征,理论,模型,框架用法,研究建议,关于移动辅助技术障碍和理论命题的主要发现。我们在特纳方法的指导下进行了理论综合。
结果:我们收录了18篇文章,使用了8种理论,模型和框架,合成9个命题。综合理论强调,流动性对人类的繁荣至关重要,某些健康状况可能会对行动施加限制。这种影响可以通过两个直接决定因素来减轻:(1)提供适当的服务和(2)全面提供服务。政策和成本间接影响这些服务。环境和个人因素也会影响这些服务的使用。无效地解决这些决定因素可能会限制对移动辅助技术的访问和随后的残疾。
结论:我们的综合模型描述了提供基于证据的移动辅助技术的逻辑,我们确定了可以作为未来工作目标的访问的决定因素,以改善移动辅助技术的提供。
OBJECTIVE: There is strong evidence that mobility-assistive technologies improve occupational performance, social participation, educational and employment access and overall quality of life in people with disabilities. However, people with disabilities still face barriers in accessing mobility products and related services. This
review aims to summarise and synthesise: (1) theories, models and frameworks that have been used to understand mobility-assistive technology access, (2) determinants of access and (3) gaps in knowledge.
METHODS: A scoping
review using the five-step framework by Arksey and O\'Malley.
METHODS: We searched the MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature and SCOPUS databases for publications published between 2000 and 2024. We searched for articles published up to 20 March 2024.
METHODS: We included English-published literature in peer-reviewed journals that reported (a) barriers to the provision of mobility-assistive technologies, (b) including at least one theory, model or framework and (c) between 2000 and 2024.
METHODS: We extracted the study characteristics, theories, models, framework usage, research recommendations, key findings on mobility-assistive technology barriers and theoretical propositions. We conduct a theoretical synthesis guided by Turner\'s approach.
RESULTS: We included 18 articles that used 8 theories, models and frameworks, synthesised into 9 propositions. The synthesised theory emphasises that mobility is essential for human flourishing, and that certain health conditions may impose restrictions on mobility. This impact can be alleviated by two direct determinants: (1) the provision of suitable services and (2) their comprehensive provision. Policies and costs influence these services indirectly. Environmental and personal factors also affect the use of these services. Ineffectively addressing these determinants can limit access to mobility-assistive technologies and subsequent disabilities.
CONCLUSIONS: Our synthetic model describes the logic of providing evidence-based mobility-assistive technologies, and we identify the determinants of access that can act as targets for future work to improve the provision of mobility-assistive technologies.