Skip to main content
SpringerLink
Log in

Evaluation and Outcomes of Assistive Technologies in an Outpatient Setting: A Technical-Nursing Science Approach

  • Chapter
  • First Online:
Safe at Home with Assistive Technology

  • 1204 Accesses

Abstract

As our society is ageing, the ability to live a self-determined life is growing more and more important for an ever increasing number of elderly people. Assistive technologies (AT) for outpatient use created by interdisciplinary research and development teams can be helpful assets in that regard. However, assistive systems or processes have to be engineered and evaluated with care in order to finally qualify as evidence-based products that will in turn be accepted by their intended users as well as the market. For that purpose, the involved researchers and developers coming from different areas of expertise—with potentially divergent focuses—need to be aware of and have an in-depth knowledge regarding assessment instruments that can be used to empirically evaluate the outcomes of AT as thoroughly as possible. In order to provide an overview of the relevant subject matter, this chapter initially introduces the reader into the basic nature of the concept “assistive technology” and the general idea of evaluation. In the next step, different models of the development and evaluation process relating to AT are examined from a technical perspective followed by an analysis of the evaluation process from the healthcare perspective. Ultimately, a synthesis of technology and evaluation from both angles of vision is proposed as a holistic approach and enriched by a number of scientifically tested assessment instruments usable for outpatient AT evaluation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 59.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aas IH (2001) A qualitative study of the organizational consequences of telemedicine. J Telemed Telecare 7(1):18–26

    Article  CAS  PubMed  Google Scholar 

  • Aiken LH, Partician P (2000) Measuring organizational traits of hospitals: the revised Nursing Work Index. Nurs Res 49(3):146–153

    Article  CAS  PubMed  Google Scholar 

  • Anttila H, Samuelsson K, Salminen A et al. (2012) Quality of evidence of assistive technology interventions for people with disability: an overview of systematic reviews. Technology and Disability 24(1):9–48. doi:10.3233/TAD-2012-0332

    Google Scholar 

  • Arthur D, Pang S, Wong T et al. (1999) Caring attributes, professional selfconcept and technological influences in a sample of Registered Nurses in eleven countries. Int J Nurs Stud 36(5):387–396

    Google Scholar 

  • Bartholomeyczik S, Halek M (eds) (2010) Assessmentinstrumente in der Pflege: Möglichkeiten und Grenzen. Schlütersche Verlagsgesellschaft, Hannover

    Google Scholar 

  • Behrens J, Görres S, Schaeffer D et al. (2012) Agenda Pflegeforschung für Deutschland. Halle (Salle). Available via DIALOG. http://www.agenda-pflegeforschung.de/AgendaPflegeforschung2012.pdf. Accessed 22 Aug 2016

  • Beyer H, Holtzblatt K (1999) Contextual design. interactions 6(1):32–42

    Article  Google Scholar 

  • Bortz J, Schuster C (2010) Statistik für Human-und Sozialwissenschaftler. Springer, Berlin, Heidelberg

    Book  Google Scholar 

  • Brewster L, Mountain G, Wessels B et al. (2013) Factors affecting frontline staff acceptance of telehealth technologies: a mixed method systematic review. J Adv Nurs 70(1):21–33. doi:10.1111/jan.12196

  • Brown T, Wyatt J (2015) Design thinking for social innovation. Annual Review of Policy Design 3(1):1–10

    Google Scholar 

  • Cagney KA, Glass TA, Skarupski KA et al. (2009) Neighborhood-level cohesion and disorder: measurement and validation in two older adult urban populations. J Gerontol B Psychol Sci Soc Sci 64(3):415–424. doi:10.1093/geronb/gbn041

    Article  PubMed  Google Scholar 

  • Connell J, Grealy C, Olver K et al. (2008) Comprehensive scoping study on the use of assistive technology by frail older people living in the community, urbis for the Department of Health and Ageing. Available via DIALOG. http://www.health.gov.au/internet/main/publishing.nsf/Content/1D7C7D1598A94CE1CA257BF0001959C2/$File/AssistiveTechnologyReport.pdf. Accessed 12 Feb 2014

  • de Sousa Leite E, Rodrigues PT, Duarte de Farias MCA et al. (2016) Influence of assistive technology for the maintenance of the functionality of elderly people: an integrative review. International Archives of Medicine 2(21). doi:10.3823/1892

  • de Witte L, Knops H, Pyfers L et al. (eds) (1994) European service delivery system in rehabilitation technology: a comprehensive description of service delivery systems of 16 European countries. HEART (Horizontal European Activities of Rehabilitation Technology). iRv, Institute for Rehabilitation Research, Line C. Hoensbroek

    Google Scholar 

  • Demers L, Fuhrer MJ, Jutai J et al. (2009) A conceptual framework of outcomes for caregivers of assistive technology users. Am J Phys Med Rehabil 88:645–655

    Google Scholar 

  • Dijcks BPJ, Wessels RD, de Vlieger SLM et al. (2006) KWAZO, a new instrument to assess the quality of service delivery in assistive technology provision. Disabil Rehabil 28(15):909–914. doi:10.1080/09638280500301527

    Article  PubMed  Google Scholar 

  • Fänge A, Iwarsson S (1999) Physical housing environment: development of a self-assessment instrument. Can J Occup Ther 66(5):250–260

    Article  PubMed  Google Scholar 

  • Fougeyrollas P, Noreau L, St. Michel G et al. (1999) Measurement of the Quality of the Environment Version2.0. RIPPH/INDCP, Québec

    Google Scholar 

  • French SE, Lenton R, Walters V et al. (2000) An empirical evaluation of an expanded nursing stress scale. Nurs Meas 8(2):161–178

    CAS  Google Scholar 

  • Friedrich HF, Eigler H, Mandl H et al. (eds) (1997) Multimediale Lernumgebungen in der betrieblichen Weiterbildung. Luchterhand, Neuwied, Gestaltung, Lernstrategien und Qualitätssicherung

    Google Scholar 

  • Fuhrer MJ, Jutai JW, Scherer MJ et al. (2003) A framework for the conceptual modelling of assistive technology device outcomes. Disabil Rehabil 25(22):1243–1251. doi:10.1080/09638280310001596207

    Article  CAS  PubMed  Google Scholar 

  • Gray DB, Hollingsworth HH, Stark S et al. (2008) A subjective measure of environmental facilitators and barriers to participation for people with mobility limitations. Disabil Rehabil 30(6):434–457. doi:10.1080/09638280701625377

    Article  PubMed  Google Scholar 

  • IDEA (1990) Individuals with disabilities education act of 1990. Available via DIALOG. http://uscode.house.gov/statutes/pl/101/476.pdf. Accessed 13 Jun 2016

  • Intille SS (2013) Closing the evaluation gap in UbiHealth Research. IEEE Pervasive Comput 12(2):76–79. doi:10.1109/MPRV.2013.28

    Article  Google Scholar 

  • Isfort M, Rottländer R, Weidner F et al. (2016) Pflege-Thermometer 2016. Eine bundesweite Befragung von Leitungskräften zur Situation der Pflege und Patientenversorgung in der ambulanten Pflege. Herausgegeben von: Deutsches Institut für angewandte Pflegeforschung e.V. (dip), Köln. Available via DIALOG. http://www.dip.de/fileadmin/data/pdf/projekte/Endbericht_Pflege-Thermometer_2016-MI-2.pdf. Accessed 22 Aug 2016

  • ISO (2010) ISO 9241-210: Ergonomie der Mensch-System-Interaktion: Teil 210: Prozess zur Gestaltung gebrauchstauglicher interaktiver Systeme. DIN Deutsches Institut für Normung, Berlin

    Google Scholar 

  • Kelley T (2007) The art of innovation: lessons in creativity from IDEO. America’s leading design firm. Crown Business, New York et al

    Google Scholar 

  • Keysor J, Jette A, Haley S (2005) Development of the home and community environment (HACE) instrument. J Rehabil Med 37(1):37–44. doi:10.1080/16501970410014830

    Article  PubMed  Google Scholar 

  • Lalli M (1992) Urban-related identity: theory, measurement, and empirical findings. J Environ Psychol 12(4):285–303

    Article  Google Scholar 

  • Mahler C, Reuschenbach B (2011) Richtlinien zur Übersetzung von Assessmentinstrumenten. In: Reuschenbach B, Mahler C (eds) Pflegebezogene Assessmentinstrumente. Verlag Hans Huber, Bern, Internationales Handbuch für Pflegeforschung und Praxis, pp 101–110

    Google Scholar 

  • Martin S, Kelly G, Kernohan WG et al. (2008) Smart home technologies for health and social care support. Cochrane Database Syst Rev 8(4):CD006412. doi:10.1002/14651858.CD006412.pub2

  • Molenbroek J (2013) Putting older people at the heart of every ICT development. In: Mieczakowski A, Clarkson, P (eds) Ageing, adaption and accessibility: Time for the Inclusive Revolution! Engineering Design Centre. University of Cambridge, Cambridge, pp 41–43

    Google Scholar 

  • Norman DA (2013) The design of everyday things. Basic books, New York

    Google Scholar 

  • Nutbeam D, Bauman A (2006) Evaluation in a Nutshell. A practical guide to the evaluation of health promotion programs, McGraw-Hill, Maidenhead

    Google Scholar 

  • Reuschenbach B (2011) Gütekriterien. In: Reuschenbach B, Mahler C (eds) Pflegebezogene Assessmentinstrumente. Verlag Hans Huber, Bern, Internationales Handbuch für Pflegeforschung und Praxis, pp 57–80

    Google Scholar 

  • Robinson B, Thurnher M (1979) Taking care of aged parents: a family cycle transition. Gerontologist 19(6):586–593

    Article  CAS  PubMed  Google Scholar 

  • Rosson MB, Carroll JM (2003) Scenario-based Design. In: Jacko JA, Sears A (eds) The human-computer interaction handbook. Lawrence Erlbaum Associates, New Jersey-London, Mahwah, pp 1032–1050

    Google Scholar 

  • Saelens BE, Sallis JF, Black JB et al. (2003) Neighborhood-based differences in physical activity: an environment scale evaluation. Am J Public Health 93(9):1552–1558

    Article  PubMed  PubMed Central  Google Scholar 

  • Sampson RJ, Raudenbush SW, Earls F (1997) Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 277(5328):918–924

    Article  CAS  PubMed  Google Scholar 

  • Stark S, Hollingsworth HH, Morgan KA et al. (2007) Development of a measure of receptivity of the physical environment. Disabil Rehabil 29(2):123–137. doi:10.1080/09638280600731631

    Article  PubMed  Google Scholar 

  • Stockmann R, Meyer W (2014) Evaluation. Eine Einführung, 2nd edn. Barbara Budrich UTB, Opladen-Toronto

    Google Scholar 

  • Tervo-Heikkinen T, Kiviniemi V, Partanen P et al. (2009) Nurse staffing levels and nursing outcomes: a bayesian analysis of finnish-registered nurse survey data. J Nurs Manag 17(8):986–993. doi:10.1111/j.1365-2834.2009.01020.x

    Article  PubMed  Google Scholar 

  • Topo P (2009) Technology studies to meet the needs of people with dementia and their caregivers: a literature review. J Appl Gerontol 28(1):5–37. doi:10.1177/0733464808324019

    Article  Google Scholar 

  • Whiteneck GG, Harrison-Felix CL, Mellick DC et al. (2004) Quantifying environmental factors: a measure of physical, attitudinal, service, productivity, and policy barriers. Arch Phys Med Rehabil 85(8):1324–1335. doi:10.1016/j.apmr.2003.09.027

    Article  PubMed  Google Scholar 

  • Zagler WL (2013) Rehabilitationstechnik—assistive technologie. In: Fialka-Moser V (ed) Kompendium Physikalische Medizin und Rehabilitation. Springer-Verlag, Wien, Diagnostische und therapeutische Konzepte, pp 245–258

    Chapter  Google Scholar 

  • Zarit SH, Orr NK, Zarit JM (1985) The hidden victims of alzheimer’s disease: families under stress. New York University Press, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty Health, Safety, Society, Furtwangen University, Furtwangen, Germany

    Ulrike Lindwedel-Reime, Alexander Bejan, Beatrix Kirchhofer & Peter Koenig

Authors
  1. Ulrike Lindwedel-Reime
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alexander Bejan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Beatrix Kirchhofer
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Peter Koenig
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ulrike Lindwedel-Reime .

Editor information

Editors and Affiliations

  1. Applied Science Berlin (D), Alice Salomon University of Applied Science Berlin (D), Berlin, Germany

    Ingrid Kollak

Rights and permissions

Reprints and permissions

Copyright information

© 2017 The Author(s)

About this chapter

Cite this chapter

Lindwedel-Reime, U., Bejan, A., Kirchhofer, B., Koenig, P. (2017). Evaluation and Outcomes of Assistive Technologies in an Outpatient Setting: A Technical-Nursing Science Approach. In: Kollak, I. (eds) Safe at Home with Assistive Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-42890-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42890-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42889-5

  • Online ISBN: 978-3-319-42890-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation