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Ferraro M
Paolo, age 23, motor disability: improving independence at home and work integration
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Because of an accident at work that caused the amputation of the patient's upper limbs a social and work reintegration - helped by suitable prostheses and technical aids - was planned.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
Pigini L, Liverani G
Antonietta, 46 years old. Workplace adaptation for a bank employee, with an outcome of childhood polio
Portale SIVA Fondazione Don Carlo Gnocchi
Antonietta is a woman aged 46 with a disability recognized by 74% due to polio in childhood. She also suffers from bilateral carpal tunnel. Currently she uses a pair of crutches and canes for moving outdoors. Antonietta works as a clerk in a bank. This short presentation highlights potential risks arising from the performance of this particular work and presents a suitable design solution for her safety at work.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Pigini L, Liverani G
Stefano, 46 years old. Workplace adaptation for an employee with muscular dystrophy
Portale SIVA Fondazione Don Carlo Gnocchi
Stefano is a man aged 46 suffering from a particular form of muscular dystrophy, for which he was granted an accompanying disability by 100%. At present his major problems are the control of legs, balance and reduced muscle strength. Stefano works for a social cooperative that operates in the field of services for people with disabilities. In this short presentation inadequacies and potential risks arising from the performance of this particular work are highlighted, as well as the suitable design solution making the workplace more secure and protected.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Vannini R
Nicoletta, age 20, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
A car accident caused a tetraplegia and required lower limbs amputation. A global rehabilitation program that allows home reintegration and a good level of autonomy in everyday life activities is required. The evaluation of suitable aids and prostheses is fundamental for home reintegration with a reasonably demanding level of assistance.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
AAATE
AAATE position paper: A 2003 view on Technology and Disability
AAATE
This document presents an official view of AAATE (Association for the Advancement of Assistive Technology in Europe) on the current situation of research, development and availability of assistive technologies. It points out priority areas for the various stakeholders involved in the assistive technology domain, such as policy makers, funding agencies, researchers, industry, public service delivery systems. It also discusses the new challenges put by today’s quick pace of technology innovation, whose impact on the people’s lifestyle may even require a re-definition of the concept of assistive technology. The document is divided into 6 chapters: 1) Introduction 2) Role and relevance of Assistive Technology 3) Priority areas within the assistive technology domain 4) New challenges ahead 5) A key player: industry and 6) AAATE in brief. AAATE is the European interdisciplinary Scientific Society specifically focused on assistive technologies.
Year of publication: 2003
Type of document: Not published
Last update: May 2013
AAATE
Socio-economic assessment of assistive technology in service delivery practice
Proceedings of the AAATE 2008 International Workshop (Milano, 25-26/09/2008)
Nowadays, there is an increasing demand for evidence of the cost-effectiveness of assistive technologies. Policy makers and financing agencies need such information to properly allocate resources, control how efficiently they are used, stimulate the market, identify priority areas for research, understand possible wider implications at an overall societal level; professionals working in health care and social services – within today’s climate of accountability calling for evidence based practice - need to know whether their AT choices have proved effective within the rehabilitation programme, useful for the client, and efficient in using resources; industrialists need evidence of the added value their products or services may offer in comparison to those of other competitors; users and user organisations require to be fully involved in decision making processes and bring their expertise in this discussion. Studies on this subject started to appear in literature quite recently. Most of them are still struggling with fundamental research questions; others work at developing, field-testing and validating specific instruments or methodologies; overall, knowledge has greatly advanced on this topic in the recent years. However, it seems that transfer of such knowledge into policy development and service delivery practice is still in the early stages. The AAATE 2008 International Workshop offered a significant contribution on this issue. It brought together experts from all over the world that have developed expertise in this subject or are carrying out significant field experiences. The workshop included invited speakers, round table and discussion sessions. It gave the opportunity to all participants to learn from each other’s experience, to investigate how socio-economic assessment mechanisms could be integrated into service delivery practice, and discuss possible roadmaps for all actors involved, including the AAATE, to promote advancement on this topic.
Year of publication: 2008
Type of document: Not published
Last update: May 2013
AAATE, EASTIN
Service Delivery System in Europe: Position Paper 2013
AAATE (Association for the Advancement of Assistive Technology in Europe), EASTIN (European Assistive Technology Information Network)
The purpose of this paper is to indicate a framework for exploiting the role of assistive technology (AT) in supporting care and participation of people with disabilities and elderly people through appropriate service delivery systems (SDS). The first chapter (Background) discusses the reasons why the Scientific Society AAATE and the EASTIN Association deemed useful to produce a position paper on this issue, based on the findings of an international workshop held in Copenhagen in 2012. The second chapter (The scope of an AT SDS), discusses the concept of assistive solutions – intended as individualised interventions providing users with appropriate environmental facilitators (AT products, personalised environmental modifications, personal assistance) to overcome disability and enable participation in all aspects of life – and the mission of a SDS – ensuring that all people with disabilities can access appropriate assistive solutions that are able to support autonomy in their life environment. The paper also points out that AT service delivery policies should be well coordinated with accessibility policies i.e. those related to infrastructural interventions ensuring that the mainstream environment, products and services are usable by all people, including those with reduced function or who depend on assistive technology. The third chapter (Basic features of an AT SDS) discusses why public SDS are needed for AT, what the main AT SDS models are, and how a SDS process can be described and monitored in terms of quality. The discussion is organised into answers to eight research questions. The last chapter (Some recommendations) provides a number of useful recommendations for those who are engaged in the design, development and implementation of AT SDS policies. The recommendations are clustered round the six SDS quality indicators suggested by the European HEART Study: Accessibility, Competence, Coordination, Efficiency, Flexibility, User Influence.
Year of publication: 2012
Type of document: Not published
Last update: May 2013
Andrich R
Cost analysis of assistive technology and other enviromental facilitators: the SCAI (Siva Cost Analysis Instrument)
Milano: Fondazione Don Carlo Gnocchi
The SCAI instrument was designed to help clinicians estimate the economic aspects of the provision of assistive technology (AT) solutions to individual users. Use of the instrument involves three steps: 1) describing the objectives of the individual AT programme 2) establishing the sequence and the timing of all the interventions that form the programme 3) compiling a cost calculation table for each AT solution. The last distinguishes between social costs (the sum of all material and human resources mobilised by the intervention) and the financial plan (the actual disbursement of money over time by all actors involved). The social cost is the main indicator of the economic significance of the AT solution: alternative solutions should be compared in terms of their social cost. The financial plan identifies the expenditure, i.e. the cash that should be dispensed by the funding actors during the programme lifecycle. The SCAI is not primarily intended as a decision-making tool; it ought to be looked at as an informative tool that adds to clinical assessment so as to make clinicians and users aware of the economic consequences of their decisions.
Year of publication: 2011
Type of document: Not published
Last update: November 2011
Andrich R
Fundamentals of assistive technology
Portale SIVA
(text automatically translated from Italian) Leaving ***dalla the definition of the concepts of technical assistive device and accessibility, a classification of the assistive devices based on their role in the rehabilitation process is proposed and of social inclusion of the person with disability, distinguishing them between ***protesici, ***ortesici assistive devices, adapted to you, it acclimatizes them, charitable, therapeutic and ***cogniti to you. The aspects are analyzed therefore to consider for one correct assesment of the individual needs of the person, in relation to the choice of the appropriated technological solutions more for the personal independence and the charitable support, in relation to the objectives to pursue (activity of the daily life, school, job, free time etc…), to the familiar context and alive the physical environment where the person. From this analysis they gush proposed methodological and instruments of job on like organizing the job of assesment, chosen and prescription of the assistive devices in the within of the rehabilitative process.
Year of publication: 2011
Type of document: Not published
Last update: September 2011
Andrich R
Fundamentals of outcome measurement for assistive technology
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Year of publication: 2008
Type of document: Not published
Last update: April 2013
Andrich R, Pilati G (a cura di)
Assistive Technologies in the individual empowerment programme of persons with disabilities
Documento di Lavoro Seminario di Ricerca “Tecnologie, ausili e soluzioni professionali per l’autonomia possibile delle persone con disabilità” (Malosco, 20-23/07/2008). Fondazione Zancan Onlus e Fondazione Don Gnocchi Onlus, 2008
(text automatically translated from Italian) In the face of a technological development that provides people with disabilities even more powerful tools for functional recovery, for personal autonomy, to the education and job placement, the organization of health services effort to accommodate such opportunities in their processes. Interventions that should be synergistic and coordinated by its very nature as the provision of assistive technology, the works of improvement of the living environment, the assignment of personal assistance, follow channels legislative and organizational aspects, often leaving the user the to extricate themselves knocking at various "gates" to more without the certainty of finding the appropriate skills to develop effective responses. On these issues, he has experimented with the interdisciplinary group of experts gathered at the Seminar of Research, "" Assistive Tecnology and professional solutions for the possible independence of people with disabilities ", held in Malone (TN) 20 to 23 July 2008 for a joint initiative Foundation Zancan of Padua and the Don Gnocchi Foundation in Milan. During the seminar, we analyzed how it could be possible to integrate these interventions into a single project, formalized and it may be known at all times the case manager, and how the unity of the project is essential to make the 'effective intervention - from the point of view of the citizen witnessed - and efficient - in accordance with the optimal use of the resources allocated to the health system. Precisely in terms of effectiveness and efficiency , scientific research has shown extensively as assistive technologies, if provided in an appropriate manner, allowing to achieve important economies on interventions, sometimes measurable on one or two orders of magnitude. The current national system of prosthetic assistance has not been properly organized to detect these economies.
Year of publication: 2008
Type of document: Not published
Last update: April 2013
Andrich R, Vincenti S
The Italian assistive technology provision system: a summary of the core regulations
Portale SIVA Fondazione Don Carlo Gnocchi
Responsibilities for AT provision in Italy reside mainly with the National Health System (NHS), but there are also regulations at regional level and other benefits and sector-specific provisions, thus leading to a complex legislation regulating this domain. This document is therefore intended to provide an overall reference frame, offering guidance on regulations in force and on opportunities to apply for funding. The different settings “home, everyday life”/”employment” and “education” are analysed separately, providing indications on the main pieces of legislation, as well as on the system of delivery, according to national regulations and regional policies.
Year of publication: 2012
Type of document: Not published
Last update: May 2013
Occhi E
Standing and walking orthoses
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The achievement of a standing position in an independent, effective, economic and safe way is a fundamental requirement for many people with disabilities resulting from damages of the central or peripheral nervous system. It is also a primary objective of the rehabilitative intervention. Orthoses and assistive products play a fundamental role in this field.
Year of publication: 2016
Type of document: Not published
Last update: April 2016
Salatino C, Andrich R, Desideri L
Assistive technology outcome measures: a literature review.
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Objectives: Identifying outcome measures for individual assistive technology (AT) interventions, applicable to any kind of assistive products. Study design: Literature review. Methods: Three investigators searched and reviewed scientific papers published in sector journals in the past 13 years in relation to AT outcome measures. Results: 53 papers met the inclusion criteria. Overall, they describe 86 measures. 37 of them were found to be related to the outcome of the whole rehabilitation process rather than to AT purposely. 41 are restricted to specific categories of AT products. Only five are actually applicable to any AT products: FIATS, IPPA, PIADS, QUEST, and SCAI. In addition, three further measures were found that - although unable to fully capture the AT outcome if used alone - can add useful information on the quality of the AT intervention (KWAZO, SATS) and the individual predisposition to AT use (ATD-PA). Conclusions: A careful monitoring of the achieved outcome is an essential aspect of any individual AT interventions. This study provides a list of measures that help monitoring the intervention effectiveness and cost.
Year of publication: 2018
Type of document: Not published
Last update: June 2019
Organizzazione Mondiale della Sanità
WHO Priority Assistive Products List
World Health Organization, Geneve 2016
The WHO APL (which stands for "World Health Organization Assistive Products List") includes 50 categories of assistive products that are considered "priority" or "essential" by the Worls Health Organization (WHO): those products that are highly needed, an absolute necessity to maintain or improve an individual’s functioning and which need to be available at a price the community/state can afford. The List has been adopted by the WHO Assembly on May 24, 2016, and will be probably updated in the future.
Year of publication: 2016
Type of document: Fact sheets
Last update: June 2016
Andrich R
Fundamentals in Assistive Technology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
Lecture providing on overview of assistive technologies and their role in individual programmes related to rehabilitation, autonomy and social integration. On the ground of the ICF classification of the World Health Organisation and of recent findings in scientific literature and clinical practice, this lecture helps classify the various types of assistive technology against their function and their impact on the organisation of daily life activities. It also suggests criteria for judging their appropriateness, effectiveness and utility in relation to each individual case.
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
Andrich R
Cost-Outcome analysis of assistive technology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
An assistive solution can be considered appropriate when it meets two criteria: effectiveness (achievement of the expected outcomes) and efficiency (making optimal use of resources). The most appropriate efficiency indicator is the additional social cost, i.e. the overall amount of the costs incurred by all stakeholders (user, service, health, entities etc ...), minus the overall amount of costs that same actors would bear in the absence of the assistive solution. The purchase price of the assistive products is just a part of the total investment, hence is not a valid cost indicator. The additional social cost must be measured considering the entire life cycle of the equipment, in view of the results that we intend to achieve (outcome) and the cost of the "non-solution" (i.e. the social cost which would be incurred in case no assistive solution were implemented). The social cost of "non-solution" is often higher than the social cost of the solution, as the latter decreases the burden of assistance and provides the users (and their family or network) with greater autonomy. The lecture ends with illustrating an instrument able to measure of the additional social cost of assistive solution: the SCAI (Siva Cost Analysis Instrument), developed by the Don Gnocchi Foundation within a research programme funded by the Ministry of Health.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
User education for independent living: methods and instruments
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture suggests methodologies and tools for the education of persons with disabilities to autonomy, intended as the ability to take control over their own lives and their own choices, to enter into relationships with others, and to become protagonists in society. The path that leads from the recognition of a need for the implementation of its solution is discussed, highlighting the need to help the users develop assistive-technology-related knowledge and basic skills by means of appropriate educational programs. In this regard the European study EUSTAT (Empowering Users Through Assistive Technology) developed a set of educational materials guidelines for building inclusion culture in the community.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Assistive technology provision in Italy: the legislation and regulatory framework
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture provides a systematic overview of the current regulations on the provision of assistive technology at national and regional level. It also illustrates the related procedures, and the fiscal benefits for those who purchase assistive technology products at their own expenses. The regulations are clustered round five categories: the National Health Service Prosthetic Assistance Scheme; the fiscal benefits eligibility scheme (reduced Vat and deductions in the Annual Tax Declaration); the contributions for removal of architectural barriers; the contributions for cars adaptation; the independent living budget schemes, available in some Regions; and the reimbursements by private Insurance Companies.
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
Andrich R
Organizing Assistive Technology Centres
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture analyzes the assistive devices assessment/choice process and the fundamental role of Assistive Technology Centres within the process. Criteria and instruments are suggested that can be useful in various stages of the process (competences/skills needed within the team, logistics, assistive products exhibition, intake methods and work protocols). Examples of good practice are presented from foreign assistive technology centres as well as from the Italian AT centres network (GLIC). The lecture proceeds with illustrating the major informative resources available in Italy SIVA Portal, Essediquadro, other Web Sites) and worldwide (EASTIN and the connected national databases) and the scientific Societies that are active in this sector (AAATE, RESNA etc.). Finally, the lecture suggests some quality indicators (accessibility, competence, coordination, flexibility, efficiency, user infuence), as basis for comparison between the Italian service delivery system and the systems of other European Countries.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Assessment and certification of assistive devices
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture provides a general framework for assistive technology assessment. The first part discusses various aspects of functional and technical assessment, such as safety, quality, functionality, usability, referring to regulations and certification standards issued by national (UNI), international (ISO) and European (CEN) standadization Bodies. Some assessment checklists are described, such as the 17 criteria proposed by A.Batavia and G.Hammer (1990), the 7 criteria proposed by the European Institute on Design and Disability (1998) and the European handbook USERFIT (1996). In the second part, the lesson discussed the fundamentals of individualized assessment, based on three concepts: competence (whether the assistive solution achieves the goals) reaches the target), consonance (whether the user is comfortable with it) and contextuality (whether it fits the context). In the third part, the lesson investigates socio-economic aspects, such as effectiveness (objectives achieved), usefulness (user-perceived value) and cost-efficiency.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Fundamentals of outcome assessment for assistive technnology
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The appropriateness of an assistive solution can be estimated on the basis of its effectiveness in answering to the objectives for which it has been chosen, of its usefullness or significance for the quality of life of the customer, of its efficiency in relation to the economic investment. After describing the fundamentals of assistive technology outcome analysis - based on the ICF paradigm (International Classification of the Disability, the Operation and the Health), the lecture presents three validated outcome instruments: the QUEST, the PIADS and the IPPA.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Andrich R
Individual assessment of assistive products within rehabilitation programmes
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
The lecture discusses the issue related to the assessment and selection of assistive solutions within individual rehabilitation programmes. It suggests a methodology that helps to schedule the assessment in the various stages of the programme in order to achieve a clinically valid and user-accepted choice, with a verifiable long-term outcome. As a matter of fact, assistive technology is too-often carried out too late, at the end of the programme or even later, withoug adequate time for trials, familiarization and training. The lecture illustrate some tools that prevent that risk, by carrying out preliminary assessments in earlier stages of the programmes and facilitate the definition of the objectives to be achieved. Finaly, the lecture suggests a self-administered quality assessment grid that helps understand how well the local assistive technology service delivery system works.
Year of publication: 2019
Type of document: Lectures
Last update: October 2019
Caracciolo A
Guidelines for individual assistive technology assessment
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The lecture examines the various aspects of the intended evaluation work aids such as specialist service "focal", ie in which the user does not? taken over in a rehabilitation program, but consults during a single session to get an indication of the most assistive technologies? appropriate to their case. Using various case studies related to DAT Service (Home Automation, Products, Occupational Therapy) Don Gnocchi Foundation in Milan, the lecture examines the working methods, the modalities? communication with the user and mode? Reporting (drafting of Aids Evaluation Report).
Year of publication: 2018
Type of document: Lectures
Last update: April 2018
Ferrarin M, Mazzoleni P
Fundamentals of motor function analysis
Dispense Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi
(text automatically translated from Italian) The aim of the lesson is to introduce the tools and biomechanical models for quantitative analysis of human movement, in its components kinematics, dynamics and electromyographic. Also describes the main variables that are useful in setting the therapeutic treatment / rehabilitation and monitoring of its effects. Finally, some applications are illustrated instrumental analysis of the movement in the following areas: project development of innovative orthotic for the journey in paraplegia, analysis of the biomechanical effects of the use of orthotics AFO in walking, analysis of the direct and indirect effects of guardians of the hand in treatment of focal dystonia of the upper limb. Finally, you will commonly used protocols in the laboratories of the Center IRCCS S. Maria Nascente for setting the therapeutic treatment / rehabilitation and for monitoring its effects.
Year of publication: 2012
Type of document: Lectures
Last update: May 2013
Johnson I
Assistive devices and orthesis for handling
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
Starting from a brief analysis of the anatomical and functional aspects of the upper limb, the lesson illustrates the design criteria and methods for creating hand protectors, either static or dynamic.
Year of publication: 2015
Type of document: Lectures
Last update: February 2018
Occhi E
Rehabilitation clinic and assistive technology
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The rehabilitation process is a bio-psycho-social aims at promoting disabled person in the best possible quality of life through a specific intervention directed on the same subject (rehabilitation medicine) and an intervention on the context, targeted killing of those physical and psychological barriers that may hinder market integration (environmental adaptations). Aids, "set of tools and tricks that allow you to do what otherwise would not be possible to do because of their own limitations, or to do so with less effort, more safely, faster and acceptable" constitute a means of rehabilitation, inserted at the right time and integrated with other therapeutic tools available (therapeutic exercise, drugs, surgery, functional, etc.). allows you to achieve autonomy would otherwise be impossible. After a general introduction about the relationship between rehabilitation and aids, and after a general overview on the different categories of aids, describes the process that, starting from a detailed assessment of the problems presented by the person with disabilities, leading to the identification, and then to prescription of 'aid, emphasizing the importance of education and to verify the use of the same short-term and long-term efficacy and utility.
Year of publication: 2013
Type of document: Lectures
Last update: April 2013
Occhi E
Fundamentals of biomechanics, orthoses and walking aids
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
(text automatically translated from Italian) The first part of the lesson is devoted to the analysis of normal walking, with particular reference to kinematics, kinetics and neuromuscular events. Below is a description of the way in some pathological forms of disability (subjects with cerebral palsy, people with bone and joint diseases, spinal cord injured subjects, subjects with lesions of the peripheral nervous system), distinguishing, within patterns observed, defects, primary and secondary , and remuneration. Are then processed hypotheses on the possible therapeutic solutions with particular reference to the orthotics and assistive devices. Of these devices are described characteristics and, in particular, the mechanism of action. Particular attention is paid to the analysis and interpretation of the signs and the process that, starting from the latter, take you through interdisciplinary work including, among other figures, even the fundamental orthotist, the correct choice of the garrison, and after the verification of its effectiveness and utility
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
Pigini L
Examples of use of SIVA and EASTIN Portals in assessment and choice of Assistive Technologies.
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The lecture illustrates the main funcionalities of SIVA and EASTIN Portals useful in the assessment and choice of Assitive Technologies. SIVA portal is presented in its parts with didactic examples through a path that takes the learners to be able to use it as a guide for AT assessment, prescription and supply. EASTIN Portal (European Assistive Technology Network www.eastin.eu) is introduced, european information network on Assistive Technologies, able to offer an overview on products present on european market. The Portal SIVA database of products let the user carry out searches through different modalities, depending on the information in possession and on contingent necessity. Siva Portal, besides to the database containing Assistive Technologies, Companies, Centers, makes available a wide archive of documents connected to the tipologies of products present on the database, such as deepening sheets, case studies and ideas, and others more general such as articles, lectures, monografic sheets, work tools, thesis, manuals or books. Further instruments useful for formation, information and exchange of knowledge between operators, familiars, caregivers are vademecum, glossary, news, tele-desk, webinars.
Year of publication: 2013
Type of document: Lectures
Last update: January 2016
Redazione Portale SIVA
Webinars of the SIVA Portal 2012
Portale SIVA Fondazione Don Carlo Gnocchi
These 10 webinars scheduled for 2012 focus on the latest assistive devices, and are addressed mainly to rehabilitation professionals. The first part includes a summary of the new AT added within SIVA and EASTIN databases. Following to it, two presentations are delivered, by specialists coming from selected companies. The last minutes of the conference are devoted to participants' questions. The recordings of all the webinars are available at the following links.
Year of publication: 2012
Type of document: Lectures
Last update: May 2013
Redazione Portale SIVA
Webinars of the SIVA Portal 2013
Portale SIVA Fondazione Don Carlo Gnocchi
These 10 webinars scheduled for 2012 focus on the latest assistive devices, and are addressed mainly to rehabilitation professionals. The first part includes a summary of the new AT added within SIVA and EASTIN databases. Following to it, two presentations are delivered, by specialists coming from selected companies. The last minutes of the conference are devoted to participants' questions. The recordings of all the webinars are available at the following links.
Year of publication: 2013
Type of document: Lectures
Last update: May 2013
Andrich R
The assistive technology counselling: Organization and working methodology of assistive technology information centres
Milano: Fondazione Don Carlo Gnocchi, 1996
This book deals with organisational and methodological issues involved in setting up Assistive Technology Information / Advice centres. The model presented – framed in the Italian context – is based on several years’ experience of the SIVA service (Assistive Technology Research and Information Centre) of the Don Gnocchi Foundation (a major non-profit provider of rehabilitation services in Italy, based in Milano). Assistive Technology Information / Advice services may be part of a local Rehabilitation Unit, or stand alone organisations providing consultancy. Their mission is providing either information / guidance or individual assessment for recommending assistive technology solutions case by case. The book offers a set of guidelines on how to carry out this activities.
Year of publication: 1996
Type of document: Manuals or books
Last update: April 2003
Andrich R
Assessing, recommending and prescribing assistive technology solutions
Quaderni della Fondazione Don Gnocchi n.8, Milano 2015
This handbook is intended for rehabilitation professionals as well as for anybody working in the field of disability. It offers guidance to the world of assistive technology products, or in general to whatever technology makes available today for inproving autonomy and social participation of people with disabilities in society. The first part clarifies the role of assistive technology and other environmental facilitators (personal assistance, accessibility, etc ...) within a individualized rehabilitation, care or educational programme; it also discusses how to properly carry out the assessment of the person's needs so as to achieve effective and efficient assistive solutions. The path leading from the recognition of the need to the implementation of the solution is divided into four steps: assessment, decision, implementation and follow-up. The second part provides further details related to various categories of assistive products: orthotics and prosthetics, seating aids, mobility aids, assistive products to the home and daily life activities, environmental control and home automation, accessibility to information technology, augmentative communication, assistive products in the school and in the job context. The last part illustrates the main instruments needed by the professionals who carry out the assistive technology assessment work. The handbook features a rich iconography, maily based on original photos made with the cooperation of professionals and clients of the IRCCS Centre Fondazione Don Gnocchi in Milano, Italy.
Year of publication: 2015
Type of document: Manuals or books
Last update: April 2015
Eustat Consortium
Assistive technology education for end-users: guidelines for trainers
Milano: European Commission, 1999
This book - also known as the EUSTAT Guidelines - is intended for people who organise and carry out educational programmes for end-users of Assistive Technology (AT). These may be user organisations, self-help groups, rehabilitation or social services, mixed user and professional organisations, or AT providers. The book helps reflect about establishing priorities, focusing goals, and clarifying the role of AT in the users’ empowerment process. It also offers methods and tools for designing and implementing educational initiatives. This book is divided into six chapters. Chapter One (Guidelines in brief) clarifies the objectives of this book and the intended readership. It also offers a general overview of the concepts explored in the other chapters, so it can be used as a checklist for organisers of educational initiatives. Chapter Two (Basic concepts) clarifies some basic terms related to disability and AT that educators should know before undertaking any educational initiative. Chapter Three (Setting objectives and adopting methods) helps organisers of educational programmes to set objectives, label them according to a consistent terminology, and take decisions about priorities and critical factors. Chapter Four (Organising educational initiatives) addresses the organisation of educational initiatives, including the design process, the selection of topics to cover, pedagogical methods and styles, and practicalities. Chapter Five (Gearing to the audience) discusses factors to consider so as to meet the learning pace of trainees and ensure that the knowledge delivered will be useful in their daily life context. Chapter Six (Case studies) offers three case studies that may be useful as concrete examples of educational activities for end-users. These are based on experiences carried out by three EUSTAT partners in Belgium, France and Italy in 1998.
Year of publication: 1999
Type of document: Manuals or books
Last update: June 2008
Impact Consortium
Increasing the impact of Assistive Technology - Introductory Module
Eindhoven: European Commission
This manual provides an overview of what assistive technology (AT) is, its role and its implication for both the individual user and society. It helps the reader 1) know enough about ageing and disability to appreciate the importance of AT, 2) know the main forms of AT and appreciate the wide range of products, devices and applications, 3) recognise that the current situation regarding availability and take-up of AT for those who need it is often very unsatisfactory, 4) understand the crucial role and responsibility of all branches of the health and social services, and all of their respective caring personnel, in remedying this situation and 5) know the main elements of the role of ATI (assistive technology intermediary) that many health care professionals can and should play. This manual is the introductory module of the IMPACT courseware – a resource learning set to enable students and practitioners within social and health care to be aware of the role they can play in ensuring that older and disabled people have access to assistive technology that can improve their quality of life.
Year of publication: 1999
Type of document: Manuals or books
Last update: May 2013
Andrich R
The Siva Cost Analysis Instrument (SCAI): Worksheet in Italian and English language
Milano: Fondazione Don Gnocchi
The SCAI (SIVA Cost Analysis Instrument), freely downloadable in both PDF (paper forms) and and XLS (computer spreadsheet) format, in Italian and English language, helps estimate the social cost of the environmental facilitators (assistive technology products, personal assistance, environmental adaptations) involved in individualised programmes supporting independence and quality of life of people with disabilities.
Year of publication: 2012
Type of document: Tools
Last update: April 2013
Andrich R
SIVA Template for the individual Assistive Technology Intervention Report
Portale SIVA Fondazione Don Carlo Gnocchi
Individual assessment for assistive technology requires a detailed analysis of the user's needs, the ability to guide the user to establish priorities and define objectives, and the ability to formulate recommendations for the most appropriate solutions. In good practice, the outcome of an individual assessment should be writted down in a good assessment report that synthesises all the carried-out analyses and trials, describes the recommended solutions and enclosed all needed documentary evidence. The enclosed template - which is freely downloadable and can be used by anybody interested - is the result of many years of research and experimental trials witin the Current Research programme of the Fondazione Don Gnocchi Clinical Research Institute (under the Biomedical Research Programme of the Italian Ministry of Health). It can track the whole assistive technology service delivery process from the initial assessment (assistive technology recommandation) to the verification of the assistive solutions provided and the subsequent follow-up. TECHNICAL NOTES : the file is a fillable PDF; it was developed by means of a specialized software (Adobe LiveCycle Designer) but can be opened and filled-in by means of any free PDF reader (such as Acrobat Reader DC). Depending on your Internet browser and your Acrobat Reader version, you may experience difficulties in opening the form on-line (a typical message is "To view the full contents of this document, you need a later version of the PDF viewer". In this case you may wish to download the form onto your computer (right click > save this link with a name) and open it locally, or upgrade your Acrobat Reader to the latest version available on www.adobe.com. The filled-in data can be also exported into XML for later filing and statistical processing (to do this, some basic programming skills are needed).
Year of publication: 2018
Type of document: Tools
Last update: September 2019
Batavia A, Hammer G
The Batavia and Hammer instrument for functional assessment of assistive technology products
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) This checklist, compiled in 1990 by the American researchers A.Batavia G.Hammer and interviewing a large sample of people users of assistive technology includes seventeen useful criteria for the comparative evaluation between different products belonging to the same type. The criteria are: affordability, technical compatibility, self-repairability, reliability, durability, ease of assembly, maintenance facilitrà, effectiveness, flexibility, ease of learning, maneuverability, personal acceptability, comfort, safety, portability, durability axes, technical assistance. For each criterion, the checklist suggests to assign a rating to each aid (eg, "low", "medium", "high") and a priority, in order to build a comparative judgment overall.
Year of publication: 1996
Type of document: Tools
Last update: April 2013
Day H, Jutay J (traduz. Pedroni F, Andrich R)
The PIADS Instrument (Psychosocial Impact of Assistive Devices Scale) – Italian vesrsion
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
Italian translation of the PIADS instrument and user manual. This instrument is ment to estimate the psychosocial impact of assistive technology on user life taking into account of three main aspects: the ability of the user, its adaptability, that is the predisposition to make new experiences, and the self esteem (i.e. self confidence and self assurance).
Year of publication: 2012
Type of document: Tools
Last update: April 2013
Demers L, Weiss-Lambrou R, Ska B (traduz. Fucelli P, Andrich R)
The QUEST Instrument (Quebec User Evaluation of Satisfaction with Assistive Technology) – Italian version
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The QUEST instrument is a self-administered questionnaire - initially developend in Canada and now used in several Countries - assessing the user satisfaction with and assistive technology product and associated services.
Year of publication: 2003
Type of document: Tools
Last update: April 2013
EATS Consortium
The EATS Instrument Kit (Efficiency of Assistive Technology and Services)
CMT Department of Health and Society, Linkoping University, Sweden
The EATS Instruments Kit is a battery of instruments for rating the benefits the user/patient obtains from rehabilitation measures, particularly from the adoption of an assistive device. It was developed between 1997 and 1999 within the EU-funded project EATS (Efficiency of Assistive Technology and Services) by a Consortium of five Institution from Sweden, Norway,Italy and The Netherlands. The instruments included in the battery are generic and make comparisons possible between different measures, and between different groups of disabilities. The EATS Kit consists of two instruments: the IPPA (Individually Prioritised Problems Analysis), which is intended to measure how well the measures have succeeded in decreasing the problems encountered in daily life by a person with disabilities; and the PIRS (Problems Impact Rating Scale), which is a visual analogue scale (VAS) intended to measure how the user’s problems affect everyday life. In addition, the kit includes a five-dimensions version of the EuroQol, (EQ-5D), a standardised generic life quality instrument that has been supplemented with two additional questions.
Year of publication: 2002
Type of document: Tools
Last update: March 2014
Eustat Consortium
The EUSTAT instrument for analysing the user's needs
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) The European study EUSTAT (Empowering Users Through Assistive Technology), as well as to develop a set of training materials for the education of persons with disabilities to independence through the use of assistive devices, has developed an analysis tool that helps the need user and operator, through the compilation of a couple of cards, to identify more precisely the needs of the user in order to formulate targets for intervention. The first tab (analysis of problem assets) proposes a list of 22 typical activities of daily living (that the user can freely complete adding any other activity) and asked to describe in one sentence - only for those activities that have some difficulty - in what is exactly the problem. The second tab, then be completed for each of those activities that had been identified as problematic in the first tab, asks to further deepen the description of the problem, eg by stating the place, time and circumstances, what do you expect for the future , and if you already have some idea about how to solve it.
Year of publication: 2013
Type of document: Tools
Last update: May 2013
Ministero della Salute
List of Assistive Products eligible for provision by the Italian National Health Service (DPCM 12/01/2017)
Gazzetta Ufficiale 18/03/2017
The "Nomenclatore Tariffario" is the list of the assistive product categories that are eligible for provision by the Italian National Health Service, upon medical prescription. It is not a stand-alone document: it is part of a Governmental Decree (DPCM 12/01/2017) which establishes the basic levels of care (LEA) due to any citizen. The enclosed downloadable file collects all sections of the Decree related to prosthetic assistance. The first part (excerpt from Official Gazette 18/3/2017) reports the articles concerning the supply of single-use medical devices (article 10/11/12) and the provision of assistive products (Article 17/18/19). The following sections report Annex 2 of the DPCM (List of single-use devices), Directory 1 of Annex 5 (List of custom-made assistive Products), Directory 2a of Annex 5 (List of off-the-shelf assistive products that need to be fitted by qualified technicians), Directory 2b of Annex 5 (List of off-the-shelf assistive products that are ready for use), Annex 11 (Provision procedures for single-use medical devices) and Annex 12 (Provision procedures for assistive products).
Year of publication: 2017
Type of document: Tools
Last update: February 2020
Redazione Portale SIVA
Regulation for the access to the structures of the Don Gnocchi Foundation of companies selling assistive technology devices
Portale SIVA Fondazione Don Carlo Gnocchi
Purpose of the regulation is to appropriately regulate the access of the companies selling assistive technology devices (ATD) to the structures of the Don Gnocchi Foundation (FDG). Concerns both companies users in care at the FDG's facilities freely choose as their own suppliers, and companies occasionally invited by FDG professionals to collaborate in identifying the most appropriate AT sol ution, bringing in view aids and offering free advice of their technicians without committing the user or FDG to the purchase. The instruction applies to all the Don Gnocchi Foundation centers, in the services involved in providing user aids, defining responsibilities and roles in order to prevent possible disputes.
Year of publication: 2018
Type of document: Tools
Last update: September 2018
Wessels R,Persson J,Lorentsen O,Andrich R,Ferrario M,Oortwijn W,VanBeekum T, Brodin H, de Witte L
IPPA (Individual Prioritised Problems Assessment) instrument - Italian version
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) IPPA is an instrument of measure of the effectiveness of the assistive devices, in the sense that allows to estimate in that degree the assistive device has allowed to catch up determines established objectives to you previously to the supply of the same one. The handbook illustrates the modalities of uses of the instrument.
Year of publication: 2012
Type of document: Tools
Last update: May 2013
Benvenuti E
Analisi comparativa dell’efficacia delle ortesi caviglia-piede (AFO): guida alla scelta e alla prescrizione
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
(text automatically translated from Italian) Scope of this thesis is that one to currently on sale bring back the state of the art with regard to the ortheses for the ankle, the criteria to hold present for the prescription, the legal norm that the rule. Moreover they come brought back the data of one preliminary study inside lead of the Department of ***Geriatria INRCA “the ***Fraticini” that currency the percentage of prescription of ***AFO (***Ankle-Foot-Orthosis) in hemoplegic patients, stabilized, discharged ***dal the Day hospital in the 2001-July year the 2002 and percentage of abandonment of these ortheses. Of the 25 patients (selected from a champion of 207 subjects discharged in that period) to which it had been prescribed the ortheses for the ankle (equal to 11% of the population), very 21 to the telephone talk have reported to wear it (still equal to 84% of the studied population). Our data are discordant respect to other studies on the argument. In particular the percentage of prescription, in these studies, was gone around around to 20-25%; the percentage of abandonment of the ortheses around to 30-40%. That could make to think that the percentage of prescription in less in our study regarding the others, is those that later on would have lead to a abandonment of the ortheses.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
Clemente C
Modifiche ambientali ed ausili: complici di una migliore qualità di vita. Il caso di Andrea.
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2006-2007
(text automatically translated from Italian) Andrea and its family lives to the Association of Bologna of one house of property, in the city center of a great city of the south Italy. Andrea is a child 6 years old, that suffers from infantile cerebral paralysis and its mother is the parent whom more they give near takes treatment of he. The path of Andrea has been arduous, for years in fact the contact with a various figure from a relative provoked in he a reaction of plants, made - this - that has slowed down the rehabilitative path remarkablly. In 2007 frequentation of the asylum, ***seppur not assiduous begins one, for via of the remarkable difficulties of movement. At the moment of the caretaking, in fact, in order to move outside of its room, Andrea one completely entrusted its mother: she was she that in arm it transported it until the machine, in order then to load the necessary pram to the external movements and place in the ***androne in bottom to the scale. Inside of the room Andrea it used a small system of sitting by now decidedly too much (prescribed already from 2 years), while to the asylum it used the same pram used for the external movements, in how much the school did not possess some system of posture. Our job has been, therefore, focussed on the search of solutions times to the improvement of such situation, the aim to lighten the charitable load of the mother, to offer to Andrea one consequently better posture and ***aprirgli new perspectives.
Year of publication: 2008
Type of document: Thesis
Last update: February 2008
Ferraro M
Independence ToDay – prosthesis as an instrument for autonomy: the case study of Paolo
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
(text automatically translated from Italian) The work proposes the case of Paolo, young person of years 23, amputated bilateral to the third party tos be distant them of forearm. Desire to come true itself, of always giving the best of himself ignoring the prejudices of the others, it wants of living intensely and to socialize, has convinced it to apply, in our Center, the prostheses. Prosthesis with which he it has measured the own diversity, confronting the own abilities, the own performances, just the role, the own physical and behavioral characteristics with those of “the normal” individuals. A magical meeting, that one with the assistive devices, able of giving one new sport, university and working life to a boy who is itself uncovered able to prevail on its misadventures. In the job that follows the aspects are analyzed several and the several ones it is made that they have lead Paolo and who ***has relazionato itself with he, to a satisfactory level of gratification in seeing caught up the main which set objectives: treatment of the own person, independence of mobility, working re-introduction, continuation of the studies in the university, resumption of its sport: tennis.
Year of publication: 2000
Type of document: Thesis
Last update: May 2003
Martini De Lima C
Proposals for mobility of people suffering from myelomeningocele
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
Myelomeningocele is the most common disorder of the neural tube, and is a very complex disease. This paper provides some guidelines to choose the right orthesis to enhance independence.
Year of publication: 2012
Type of document: Thesis
Last update: December 2012
Vannini R
Una nuova vita a vent’anni: va tutto bene!!! Il caso di Nicoletta
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2000-2002
(text automatically translated from Italian) Nicoletta is 19 years old, from six months ago the ***assicuratrice, lives in family, she is fiancèe from three years and it has a life activates and flood of friends and interests. The 03/10/01, as a result of a street incident, becomes ***tetraplegica and later on the lower limbs come to them amputate both to you. He reaches in our center of rehabilitation after five months of resuscitation. The rehabilitative participation has like objectives the stabilization of the clinical conditions, the resumption of the position seated, the search of the greater possible independence and social integration through: 1) supply of a manual wheelchair with posture system and adaptations necessary in order to allow the ***autospinta; 2) ***tutorizzazione for the upper limbs in order to correct the retraction in bending of the elbows and the attitude in ***dorsiflessione of the wrists; 3) ***protesizzazione for the lower limbs; 4) search of strategies in order to allow the activities of the daily life (***a.d.l.); 5) search of strategies in order to allow the use of the computer and the writing; 6) adaptation of the room; 7) search of strategies for the control of the sphincters.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
New Editions Consulting
ABLEDATA
US Department of Health and Human Services (HHS), National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR)
Online database of assistive tecnology products available on the north-american market
Year of publication: 2017
Type of document: Web Sites
Last update: August 2017
Info updated 05/03/2021 | Fondazione Don Carlo Gnocchi Onlus - P.IVA 12520870150 | E-mail: portale@siva.it