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Andrich R, Gower V, Milo A,
Albert, age 23: autonomy in writing and communicating
Portale SIVA Fondazione Don Gnocchi - Banca Dati dei Casi di Studio
Alberto is a young man with a complex clinical situation. During the rehabilitation program at our center we worked at meeting his main needs related to mobility, writing, communication and environmental control. In the course of the prgram, thanks to the assistive products available in our Assistive Technology Unit (which were properly configured according to his motor and cognitive impairments), Alberto gradually developed the skills needed to effectively use them. In the meanwhile his life situation changed due to external circumstances. He had the possibility to start attending a Day Centre (sheltered workshop) and thus spend the majority of his time away from home. At the end of the occupational therapy programme we suggested a list of assistive products, which the family agreed to but and place in the Day Centre. After a while we visited the Day Centre and had the opportunity to check the equipment and fix a number of mistakes that had been done in the installation stage. We could also discuss with the family and the Centre staff how to best exploit the potential of the assistive technology provided to Alberto. In the final assessment all the actors involved (Alberto, family, educators) expressed satisfaction with the work done and the choices made.
Year of publication: 2015
Type of document: Case studies/experiences
Last update: March 2016
Baroni K
Marisa, 76 years old. Autonomy in daily life for a person with an outcome of cerebral ischemia
Portale SIVA Fondazione Don Carlo Gnocchi
Marisa is 76 years old, she is retired, widow and lived alone before the disease. After an ischemic brain injury affecting the right middle cerebral artery area, she has an emisyndrome with an important impairment of the left upper limb. Son and grandchildren do not understand her need of autonomy as they are willing to take the full burden of care , thus not letting Marisa return to her beloved house on the hills where she would like to live alone. Despite this situation, Marisa decided to recover her independence, demonstrating she can live alone. Actually the solutions adopted were aimed at organising her living environment, personal care and daily life activities that require manual manipulations. In particular, replacement strategies have been adopted, as well as low-tech aids (ergonomic comb, nail file with fitted handle...). Moreover a partial adaptation of the house was carried out by changing the kitchen equipment (to create an environment as ergonomic as possible) and making minor changes to the bathroom. The project also aims to highlight how fundamental the psychological individual motivation is during rehabilitation.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: May 2013
Beltrami L
Nataly, age 56, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Comprehensive intervention to maintain the independence of a woman with severe progressive disability by means of assistive aids for mobility and seating, for the bathroom and for the interpersonal communication.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: April 2003
Betto A
Francesco, age 9, motor disability: improving independence at home and school integration
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
(text automatically translated from Italian) Francesco is a child like many, its one family like many. I have chosen like protagonist of this work because in spite of the heavy diagnosis that accompanies it and that it could make to think next to the uselessness of whichever objective, he demonstrates as it is important in its comparisons that all the been involved persons continue to think next to the realization of participations that help the family in the daily fatigues and that they favor in he emerging of the residual abilities to interact with the surrounding environment and the others. Through the reconstruction of the which trod route ***dalla the family and you give many operating ones been involved, through the directory of the solutions that have been adopted, catches a glimpse itself as it is possible to influence positively on the personal lived ones and the motivations that help to search with stubborness of the result that for how many small can change the own vision of the future life. A postural wheelchair that beyond to ***offrirgli a comfortable position allow it to explore with the look and to observe the surrounding space, a walker that facilitates it in the exploration of the environment, a studied project in order to eliminate the architectural barriers of the room, a chair from shower that renders to the mother the treatment of its person less hard, a chair and a table that allows it to be seated to school like the other companions are assistive devices of simple ***reperibilità tu that are found important in order to catch up common objectives of life to all we.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: May 2013
Castellano G
Alessio, 33 years old. Autonomy in daily life for a person with spastic quadriplegia.
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Alessio is a young man aged 33 with severe spastic quadriplegia, expressive aphasia, nystagmus, as results of a perinatal damage. This study aims to document the path of Alessio and of team of professionals who followed him: this experience involved Alessio’s parents, his caregiver and the whole team of the Centre. Considering the severity of the clinical situation, a multiprofessional approach was needed, in order to improve Alessio situation and to make him more independent, in particular as far as communication was concerned. Alessio has maintained a good level of symbolic cognitive ability, slightly below the norm: although he can’t use verbal language, he has a high understanding and an overall good cognitive functioning. Thanks to his character, his availability and his will, he was able to self determine not only the choice of technological solutions, but his future in general.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: July 2011
Ciot C
Pietro, age 7, motor disability: improving independence in communication
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Pietro is 6 years old and he is affected by dystonic quadriplegia and impaired upper limb functionality; he can articulate just a few words, but shows a good level of comprehension. This paper describes the way towards autonomy that the child, his family and the caregivers experienced together. At the beginning, parting from the mother was a great effort for the children, who expressed his discomfort rejecting unknown people and environments. Later, the emotional instability gradually decreased; Pietro became conscious of his abilities, he found fulfilment in them and his interests increased. Therefore it was possible to start a project aiming to the evaluation of assistive devices allowing Pietro to interact with the environment and actively take part in educational activities. An orthosis, keeping the thumb and the wrist aligned, was prescribed for the less impaired arm. In this way Pietro, who was already able to use a device with automatic scansion, could use a communication aid whose vocal output was activated by the pressure of a button. Besides, a multimedia "open" software for the creation of customized educational unities was chosen. Finally, Pietro was given a postural wheelchair allowing the carriage of the communicator and the use of the computer without tiring transfers from the push-chair to the wheelchair.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
De Lauso L
Alberto, age 72, motor disability: improving independence at home
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Evaluation of suitable assistive devices for home reintegration with a good level of independence in daily activities and in social relations.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: May 2003
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
Festi C
Roberta, 43 years old. Autonomy in daily life for a person with Multiple Sclerosis
Portale SIVA Fondazione Don Carlo Gnocchi
Roberta is a young woman suffering from multiple sclerosis, characterized by hypertension, with tetraparesis, dysarthria and dysphagia. Roberta can’t express herself well and family members considered the proposal for a possible program aimed at improving communication: we have thus undertaken in collaboration with the Regional Centre for Assistive for AT a project aimed at evaluating a system of alternative communication. In parallel, the area of intervention has gradually expanded to include mobility and posture, in order to find solutions designed to lighten the load of assistive care and to improve comfort. Roberta is currently dependent in all activities of daily life and is no longer able to cooperate during transfers, thus totally charging her husband and the personal assistant. The seating system is no longer appropriate and Roberta prefers to remain lying on the sofa for most of the day: in this regard we have proposed a wheelchair with postural system in order to allow her to stay seated for several hours. The aim of this paper is to illustrate the path taken with Roberta to enhance her social participation and, if possible, prevent the risk of isolation. Through the integration of different skills and the service network, we would like to propose a global approach, not only oriented to the provision of services, but to the maximum autonomy as possible.
Year of publication: 2008
Type of document: Case studies/experiences
Last update: May 2013
Lazzarich C
Emanuele, 10 years old. Autonomy in daily life for a person with Duchenne Muscular Dystrophy
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Emanuele is a child, aged 10, suffering from progressive muscular dystrophy type Duchenne. He lives with his mother, a physiotherapist, that until now has coordinated on her own all professional interventions (physicians, pediatric neurology, pulmonologist, cardiologist, orthopedic technicians, etc..), as a response to the needs of her son. Now Emanuele’s mother is no more able to manage the situation by herself, as it has turned more difficult. We intervened in order to try to support her, focusing on five major issues concerning the autonomy of her son: the power wheelchair, the renovation of the bathroom, the accessibility of the home garden, the environment control and accessibility to personal computer. For each topic a specific project was formulated, each identifying needs, objectives and expected results.
Year of publication: 2006
Type of document: Case studies/experiences
Last update: May 2016
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
Bruno, 52 years old. Adaptation of the workplace for an English teacher, with myelopathy
Portale SIVA Fondazione Don Carlo Gnocchi
Bruno is a man aged 52 suffering from myelopathy with a disability recognized by 100%. Bruno uses a manual wheelchair, and is Professor of English, working at a major international language institute, but now gives English lessons at home, as the disease forces him to stay home for a long time. The type of task he has to carry out in itself is not characterized by a high level of risk but the case highlights some typical aspects of the home adaptation when having a disability. In this short presentation risks and inadequacies for home accessibility 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
Porcella B
Gabriele, age 56, motor disability: improving independence in communication by means of eye-gaze
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Gabriele: a clear and subtle mind trapped in a body that doesn't respond to commands. An ictus relegated him to the immobility and to a persistent silence from which he would like to escape, satisfying his fundamental needs: communication, interaction with the world, expression of feelings and thoughts. Gabriele can only communicate through his eyelids: looking up means yes, half-opening the eyes means no. With a 21 yellow and green letters table, he becomes a marksman of the alphabet. Yet his disease has been finally defeated by the patient's will and motivation and by the intelligence of the carers who believed in new technologies. This experience presents the experimentation results of a new eye-blink driven sensor for PC.
Year of publication: 2005
Type of document: Case studies/experiences
Last update: February 2005
Restano Magazzini L
Nazzareno, 52 years old. Autonomy in daily life for a person with ALS
Portale SIVA FondazioneDon Carlo Gnocchi
Nazzareno is a man aged 52 that in 2004 was diagnosed with Amyotrophic Lateral Sclerosis. In 2006 he started using a PEG, and since 2007 is tracheostomized and has undergone invasive mechanical ventilation (VMI). He and his family are supported by local services, and Nazzareno is highly motivated to maintain communication skills with family, friends and professionals. Since May 2005 he’s followed by a multidisciplinary staff of the Communication Aids Centre Laboratory: according to the progression of the disease, many software and hardware solutions were found and implemented.
Year of publication: 2009
Type of document: Case studies/experiences
Last update: July 2011
Tovo B
Roberta, age 61, motor disability: improving mobility and seating
Portale SIVA Fondazione Don Carlo Gnocchi Onlus
Despite the severe motor problems of the patient, the use of suitable assistive devices allowed a good level of autonomy and pressure sore prevention. A less demanding level of assistance was also possible.
Year of publication: 2003
Type of document: Case studies/experiences
Last update: July 2003
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
Communication devices for people with disabilities
Portale SIVA Fondazione Don Carlo Gnocchi
The article contains a detailed introduction to communication aids and describes the main types of assistive devices that allow communication, writing and environmental control.
Year of publication: 2006
Type of document: Not published
Last update: May 2013
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, Bucciarelli P, Liverani G, Occhipinti E, Pigini L
Disability and work: a possible combination. Methods and experiences in worksites and work-processes design for people with mobility impairment
Milano, Fondazione Don Carlo Gnocchi
(text automatically translated from Italian) It is not enough to ensure access to the workplace and adapt spaces and equipment to ensure that the worker with disabilities can exercise its tasks independently, comfortable and productive. It 'also important to ensure that the worker can maintain their ability to work in the long term. Some tasks, in fact, can expose the worker movements and efforts that lead to a gradual worsening of their functional limitations, resulting in worsening of disability both at work and in other activities of daily living. Much can be done to prevent such risks through reasonable accommodation (reasonable accommodation). The concept of adaptation incorporates the issues of overall working environment, individualized redesign of the workplace, the adoption of technical aids useful to facilitate work tasks, the reorganization of processes and workflows and 'possible support for personal assistance. The concept of sustainability evokes the principle of "do not force the employer to disproportionate investment." This report represents the first systematic analysis of the work of matter, and therefore provides information and insights useful in various areas: 1) the operators in the field of disabilities, particularly those engaged in rehabilitation, counseling and technical aids in the insertion working, and 2) to occupational physicians, as sheds new light on the issues of risk analysis and highlights the potential for solutions - today often overlooked - technical adaptation of the work environment, and 3) to employers and their safety technicians, highlighting new aspects of safety in the workplace and new possibilities for solving them.
Year of publication: 2009
Type of document: Not published
Last update: June 2016
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
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
Andrich R (a cura di)
Course “Assistive Technologies for independent living and participation”
Dispense Corso "Tecnologie per l'autonomia e la partecipazione delle Persone con Disabilità"
This postgraguate Course provides a comprehensive knowledge on assistive technologies for persons with disabilities, related to all major areas of life such as independence at home, mobility, communication, relationships, participation in society, school and work. The educational programme includes both theoretical and hands-on laboratory sessions. The intended audience mainly includes rehabilitation (physicians, physiotherapists, occupational therapists, prosthetists/orthotists, etc.), education and social professionals.
Year of publication: 2018
Type of document: Lectures
Last update: September 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
Gower V
Environmental control, domotics and intelligent environments
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
Lecture that presents the basic concepts of home automation and environmental control. The lesson introduces the concepts of simple environmental contol functions and complex automation scenarios. Different interfaces for automation control are also presented.
Year of publication: 2013
Type of document: Lectures
Last update: March 2015
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
Pigini L
Assistive technology products and accessibility solutions for mobile devices
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 lesson presents the solutions available on the market to allow people with disabilities to use so-called "mobile devices" (ie smart phones and tablets). Are treated in particular the accessibility options and assistive solutions, both hardware and software for devices running iOS (iPhone, iPad, ...) and those based on Android operating system. The lesson also presents a broad overview of the software applications that allow you to use these devices as tools to improve the autonomy in activities of daily living.
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
Redazione Portale SIVA
Sebinars of the SIVA Portal 2005
Portale SIVA Fondazione Don Carlo Gnocchi
These 7 webinars scheduled for 2004 focus on the latest assistive devices, and are addressed mainly to rehabilitation professionals. The recordings of all the webinars are available at the following links.
Year of publication: 2005
Type of document: Lectures
Last update: January 2014
Romanò M
Independence in daily life activities
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
Starting from the analysis of the various domains of activity of the person, the lesson reviews the assistive products and the tricks that can help solve the most common problems of daily living at home.
Year of publication: 2013
Type of document: Lectures
Last update: February 2018
Salatino C
Fundamentals of e-accessibility
Dispense Corso di Alta Formazione "Tecnologie per l'Autonomia". Fondazione Don Carlo Gnocchi Onlus
The lesson, after having introduced the concept of accessibility and ICT assistive devices, and having presented the main standards and regulations in this field, presents a broad overview of eAccessibility and Assistive Technology solutions, focusing in particular to motor impairment.
Year of publication: 2018
Type of document: Lectures
Last update: March 2018
Salatino C
Smart homes and environmental control technologies
Dispense Corso di Alta Formazione "Ausili per l'Autonomia e la Partecipazione". Associazione La Nostra Famiglia IRCCS E.Medea
...
Year of publication: 2019
Type of document: Lectures
Last update: September 2019
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
Eustat Consortium
Go for it: a user manual on Assistive Technology
Milano: European Commission, 1999
This book is a basic educational package to be used directly by end-users of Assistive Technology or as a textbook for educational initiatives. It is written in plain, easy-to-understand language. It is divided into eight chapters that progressively lead the reader from a basic understanding of Assistive Technology (AT), how to choose it and how to seek advice to a deeper insight into the implications of AT at both individual and social level. In this way, the manual is helpful to novice and expert users alike. It can also assist readers in their personal growth towards more in-depth knowledge, which can be used not only for improving personal autonomy, but also for helping others by acting as peer counsellors. After some introductory considerations, three chapters (Be prepared for the process of getting AT; Choosing and getting AT; and The service delivery system) offer methods for analysing one's own daily life activities in order to identify areas where AT can be useful; they also highlight aspects the user should be aware of when seeking external advice or accessing a public service delivery system. Concrete examples are offered by the chapter People and AT: some stories of success, that illustrate how AT could solve problems in real life for five persons with disabilities. A comprehensive description follows (chapter Knowing AT) of existing AT products and services, together with many practical examples and pictures. Chapter Information resources and personal advice on AT describes information tools, information sites, and other possible sources of advice that can be sought when choosing AT. In the chapter For you who want to know more the focus shifts from an individual perspective to a social one, so as to understand the impact of AT on society, to communicate better with professionals and other stakeholders, and to be ready to keep pace with future developments. The final chapter (The next challenge: from user to peer counsellor) offers ideas, methods and tips for those expert users who wish to make their experience available to novice users.
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
Avi U H
L’importanza dell’ausilio nella vita sociale di una persona: analisi con gli strumenti QUEST e PIADS
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) The introduction of two instruments of measurement of outcome (the QUEST – ***Quebec User Evaluation of Satisfaction with Assistive Technologies – and the PIADS – ***Psychosocial Assistive ***Impact of ***Devices is proposed Stairs) in an Assistive technology assessment center, situated in the Province Upper Adige and managed ***dalla the social cooperative ***independent L. After little more than an activity year the team sees the necessity to introduce in just the process of assessment on the technological and computer based assistive devices an instrument that gives the just weight to the opinion of the own customers, and that consequently it will carry to an improvement of the activity of the center. The work pursues therefore the scope in the first place translate the instruments also in the German language, in order to guarantee an administration to the entire user bilinguist of the cooperative, to then insert the instruments in the processes of the assessment activity and a precise moment in which the questionnaires subordinates to the user come. At last the two instruments will come proposals to the already existing customers of year 2003 and the work will expose the obtained result.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
Beltrami L
Nataly: a better quality of life, in spite of everything
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2001-2002
(text automatically translated from Italian) In 1997 to Nataly, to the age 57 years old, Amyothrophic lateral sclerosis (ALS comes diagnosed one); the disease chases, to year-end Nataly is already not more in a position to communicating orally and in 1998 it more does not succeed to walk. Nataly is widow, the daughters is found ***catapultate in a truth much difficult one without warning to manage and they do not receive ***dalle the institutions that aid, those indications, those advices useful in order to face the situation. They come acquired a bed, a mattress, an antidecubitus sheepskin, a wheelchair, a reducer for WC… they come prescribed and authorized an hoist electrical worker (than the patient it does not have never intentional to use because it is felt “to suffocate”) and a stairclimber for being able to catch up the garden ***dall' the alive apartment where Nataly to the Association of Bologna. In May 2001 one of the daughters is addressed to our service for knowing if assistive devices exist in order to communicate (.***.ha felt something for television.) and from it begins a path that will at domicile carry to a rehabilitation program physiokinesitherapic and to the prescription and supply of assistive devices here (a communicator, one suitable wheelchair for Nataly, one turning chair for bathtub). And for Nataly it improves the quality of life. in spite of everything.
Year of publication: 2002
Type of document: Thesis
Last update: May 2003
Ciot C
Quando si può fare di più che parlare con gli occhi: a piccoli passi verso l’autonomia. Il caso di Pietro
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Pietro has six years and means and a diagnosis of dystonic and ***anartria tetraparesis, a functionality reduced to the upper limbs and succeed to articulating only some words, tu demonstrate good ability to understanding. The who drew up present reconstructs the route towards the which paced independence ***dal the child, with to its relatives and the operating ones of the rehabilitation center that has it in load. A experience marked initially ***dalla the fatigue to separate ***dalla the mother who expressed with refusing every not familiar person and environment. Then, slowly, the emotional instability has been reduced, Pietro has begun to perceive itself like able making, has known the gratification that derives some, its interests is widens to you. From it has taken to start the finalized project here to define modality and to characterize assistive devices that allowed Pietro to interact with the surrounding environment and to participate actively to the didactic activity. Once verified that, also compromise, the skillful upper limb was the more functional body segment, to Pietro it has been prescribed ortheses in order to maintain to the alignment of the wrist and the finger index. In this way it, than already was in a position to managing a device to automatic scansion, can use a communicator with output in adjustable voice by means of the direct selection of the keys. Moreover for the realization of didactic unit personalized has been characterized multimedia “an open” software. At last it has been proposed a postural wheelchair that, between the other things, will allow it to carry with himself the communicator let alone to carry out the activity to the computer avoiding wearying movements ***dal the pram to the chair as it happened previously.
Year of publication: 2004
Type of document: Thesis
Last update: December 2004
De Lauso L
Single ad ogni costo! Il caso di Alberto
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 1999-2000
(text automatically translated from Italian) Alberto, engineer 72 years old, lives on the second floor of one alone mansion without elevator. Retired from some years, he still maintains an activity of support to the preparation of young engineers and external collaboration with foreigner companies; he cultivates moreover cultural interests which classic music and exhibitions of art that carry it abroad also. As a result of the hip prosthesis operation arrives in the rehabilitative structure in reduced functional condition a lot. The rehabilitative participation is addressed to the restoration of the greater independence and possible emergency of the patient in the domestic within, in the activities of the daily life, in the deambulation, the transfers in external environment, the overcoming of architectural barriers, the interaction with the external world, in the transports
Year of publication: 2000
Type of document: Thesis
Last update: May 2003
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
Fileni G.
Re-discovering quality of life: Salvatore
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Lando M.
Aids for computer accessibility
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2010-2011
Year of publication: 2011
Type of document: Thesis
Last update: December 2011
Leonzio M
Augmentative and alternative communication in autism
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2011-2012
Autism is characterized by impaired communication: appropriate AAC interventions, based on visual and technological aids, can strongly improve functional abilities and social interaction.
Year of publication: 2012
Type of document: Thesis
Last update: December 2012
Porcella B
In un batter d’occhio...quando per parlare basta una palpebra. Il caso di Gabriele
Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica Milano e Fondazione Don Gnocchi, a.a. 2003-2004
(text automatically translated from Italian) Looking towards the? Top to communicate assent, closed semi eyelids to express a no, shiny and sharp mind trapped in a body that does not respond to his commands, a card table with 21 yellow and green letters and Gabriel becomes ? marksman of? alphabet ?. A stroke l? Hit relegating him in? Immobility? and in a stubborn silence from which want to get out to repossess least the possibility to meet the basic need for the? human being to communicate, interact with the world, to express feelings, ideas, thoughts and anger. Pu? do so only with his eyes, the only part of the body, passing all? mutiny after injury. Eventually l? Oxymoron, paradoxically created by a syndrome that has stolen the name to the classical metric but which has the effect of silence, is defeated by the force of will ?, the great motivation of Gabriel and from? Ingenuity of those who believe in new technologies computer. L? Drafted presents the results of the trial? performed on Gabriel? a new sensor for personal computers to be used with the movement of the eyelid.
Year of publication: 2004
Type of document: Thesis
Last update: May 2016
Tovo B
Storia di "ordinaria" sclerosi multipla: il caso di Roberta
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 case study regards Roberta, 61 years, that it has introduced first disturbs motor and sensory to 31 years and that ***dall' the age 43 years old is moved exclusively in wheelchair. It has conserved a discreet one I use functional of the left upper limb. It has a lively and sensitive spirit and has faced its disability with courage and good sense. In the last years, also later on to a disease of the husband beyond that to just the motor aggravation, it has lost enthusiasm and it has given up little for time to the activities that involve fatigue for she and for who it assists it. The project is proposed to improve the station seated in wheelchair, to improve the transfers, to improve accessibility to the bath, to improve external accessibility. In order to reduce the load charitable and to use the energies saved for more rewarding activities
Year of publication: 2000
Type of document: Thesis
Last update: May 2013
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
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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