Assistive technology unmet needs of independent living older Hispanics with functional limitations.
To identify: (1) the most frequently used assistive technology (AT) by a sample of community-living older Hispanics; (2) their AT needs; (3) the AT that would not be used by the simple; and (4) the factors associated with the willingness to use AT.



We used a cross-sectional descriptive study design with a purposive sample of 60 individuals 70 years and older living in Puerto Rico. Data collection tools included a socio-demographic questionnaire and the Assistive Technology Card Assessment. We used descriptive statistics to identify the sample AT use and needs, χ2to determine the frequency distribution of the socio-demographic variables and the Spearman's rank correlation coefficient (rho) to describe the strength of the association between these variables and the willingness to use AT devices.



The sample had unmet needs for AT devices for cooking, home tasks and home safety. A higher number of health conditions as well as having low educational levels were associated with willingness to use AT devices.



Policy implications are discussed supporting the role of rehabilitation professionals, state government and community-based programmes, including the Area Agencies on Aging, in providing culturally relevant AT education and accessibility to assistive devices. Implications for rehabilitations Hispanic older adults with functional limitations living independently in Puerto Rico have unmet needs for AT devices to compensate for physical limitations and increase safety performance, predominantly in instrumental activities of daily living. New policies need to be developed to advocate for increased healthcare coverage of low tech AT devices that could be highly beneficial to older people with functional limitations. Community-based programs administered by the state government, the Area Agencies of Aging, or operated through Medicare need to be developed to provide education, training, loans, purchasing, and delivery of low AT devices that can compensate for older people functional limitations.
a Occupational Therapy Program, School of Health Professions , Medical Sciences Campus, University of Puerto Rico , San Juan , Puerto Rico.|b Puerto Rico Assistive Technology Program, Research and Technology Vice-Presidency , San Juan , Puerto Rico.
Elsa M
EM
Orellano-Colón
c School of Nursing, Medical Sciences Campus, University of Puerto Rico , San Juan , Puerto Rico.
Marta
M
Rivero-Méndez
b Puerto Rico Assistive Technology Program, Research and Technology Vice-Presidency , San Juan , Puerto Rico.
Mauricio
M
Lizama
d Faculty of Health Sciences , University of Ottawa , Ottawa , ON , Canada.
Jeffrey W
JW
Jutai
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D057187:Independent Living; D008297:Male; D020380:Needs Assessment; D011647:Puerto Rico; D012111:Residence Characteristics; D012656:Self-Help Devices / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors
Ageing; Hispanics; activities of daily living; assistive technology assessment; cultural relevance; low-cost assistive technology