Function or feelings: factors in abandonment of assistive devices¹

Article type: Research Article

Authors: Hocking, Clare

Affiliations: School of Occupational Therapy, Auckland Institute of Technology, Private Bag 92 006, Auckland, New Zealand. Tel.: +64 9 307 9999 ext. 7120; Fax: +64 9 307 9991; E-mail: [email protected]

Note: [1] This paper is based on a presentation given to the 12th International Congress of the World Federation of Occupational Therapists in Montreal, Canada, 31 May–5 June 1998.

Abstract: The provision of assistive devices to improve functional independence is a well established component of occupational therapy practice. Recent research efforts in relation to assistive devices have indicated high levels of abandonment of devices in some client groups and for particular devices. Recommendations to address abandonment have focused primarily on training and follow-up of clients, apparently assuming abandonment relates to clients' skill levels and confidence in using devices. This article argues that abandonment also relates to people's perception of themselves as disabled, and to broader issues of identity. Factors for therapists to consider when working with persons who may benefit from assistive devices are suggested, based on concepts drawn from psychology, the social sciences, and consumer research.

Keywords: identity, occupational therapy practice, clinical reasoning

DOI: 10.3233/TAD-1999-111-202

Journal: Technology and Disability, vol. 11, no. 1-2, pp. 3-11, 1999