Exploring the experience of clients with tetraplegia utilizing assistive technology for computer access.
OBJECTIVE
Assistive technology for computer access can be used to facilitate people with a spinal cord injury to utilize mainstream computer applications, thereby enabling participation in a variety of meaningful occupations. The aim of this study was to gain an understanding of the experiences of clients with tetraplegia trialing assistive technologies for computer access during different stages in a public rehabilitation service.


METHODS
In order to explore the experiences of clients with tetraplegia trialing assistive technologies for computer use, qualitative methodology was selected. Data were collected from seven participants using semi-structured interviews, which were audio-taped, transcribed and analyzed thematically.


RESULTS
Three main themes were identified. These were: getting back into life, assisting in adjusting to injury and learning new skills.


CONCLUSIONS
The findings from this study demonstrated that people with tetraplegia can be assisted to return to previous life roles or engage in new roles, through developing skills in the use of assistive technology for computer access. Being able to use computers for meaningful activities contributed to the participants gaining an enhanced sense of self-efficacy, and thereby quality of life. Implications for Rehabilitation Findings from this pilot study indicate that people with tetraplegia can be assisted to return to previous life roles, and develop new roles that have meaning to them through the use of assistive technologies for computer use. Being able to use the internet to socialize, and complete daily tasks, contributed to the participants gaining a sense of control over their lives. Early introduction to assistive technology is important to ensure sufficient time for newly injured people to feel comfortable enough with the assistive technology to use the computers productively by the time of discharge. Further research into this important and expanding area is indicated.
Department of Occupational Therapy, Monash University , Frankston, Victoria , Australia .
Alyce
A
Folan
Linda
L
Barclay
Cathy
C
Cooper
Merren
M
Robinson
D000223:Adaptation, Psychological; D000328:Adult; D003201:Computers; D006801:Humans; D020407:Internet; D007858:Learning; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D010865:Pilot Projects; D011782:Quadriplegia / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation*; D011788:Quality of Life; D012656:Self-Help Devices; D013119:Spinal Cord Injuries / Q000150:complications
Assistive technology; computers; participation; rehabilitation; spinal cord injury; tetraplegia