title: The shaping of individual meanings assigned to assistive technology: a review of personal factors.
abstract: OBJECTIVE
  This review article examines the development of individualized meanings assigned to assistive technology and how these personal meanings influence the integration of assistive technology into daily activities.
  
  
  METHODS
  A review of the published literature regarding assistive technology use and abandonment was conducted by performing two independent searches using 26 search terms and three databases. Publications were reviewed for whether they addressed device use, device abandonment, coping, adjustment, adaptation, values, outcomes and/or cultural issues; 81 publications met these criteria.
  
  
  RESULTS
  The evidence suggests that psychosocial and cultural issues influence the shaping of individualized meanings assigned to assistive technology. Theoretical arguments suggest that the process of adapting to disability is another influential factor.
  
  
  CONCLUSIONS
  The synthesis of evidence and theories suggests that successful integration of assistive technology into daily lives requires potential device users to explore: (1) the meanings they assign to devices; (2) their expectations of assistive technology; (3) the anticipated social costs; and (4) ways to understand that disability is one, but not the defining, feature of one's identity.
authors.affiliation: The Department of Veterans Affairs, Edward Hines Jr, VAH, Midwest Center for Health Services and Policy Research, Hines, IL 60141, USA. t-pape@northwestern.edu
authors.forename: Pape T
authors.initials: PT
authors.lastname: Louise-Bender
authors.forename: J
authors.initials: J
authors.lastname: Kim
authors.forename: B
authors.initials: B
authors.lastname: Weiner
mesh_terms: D000223:Adaptation, Psychological; D002547:Cerebral Palsy; D003469:Culture; D006233:Persons with Disabilities; D006801:Humans; D012656:Self-Help Devices / Q000523:psychology*