Assistive technology use by Kentucky students with visual impairments.

Introduction For practicing teachers of students with visual impairments, assistive technology has assumed an important role in the education of their students’ assessment and learning of content. Little research has addressed this area; therefore, the purpose of the study presented here was to identify the teachers’ self-reported possession of knowledge of and skills in assistive technology. Method The participants completed an online survey rating their level of expertise in assistive technology. The researchers used descriptive statistics and Pearson r correlation coefficients. Results In total, 840 teachers of students with visual impairments in the United States, Palau, and the Virgin Islands completed an online survey to identify their perceived level of mastery of assistive technology competencies. Regarding the participants’ confidence in teaching and supporting the use of assistive technology for students with visual impairments, 40.7% of the participants were confident or very confident, whereas 59.3% reported no to some confidence. In addition, the younger teachers were relatively more confident in teaching assistive technology than were the older teachers. Specifically, the participants felt the least confident with the foundations domain of assistive technology and the most confident with collaboration. Discussion The results describe teachers’ self-perceptions and pinpoint areas for further intervention and dialogue. Personnel preparation programs and in-service training programs can concentrate on these specific areas of assistive technology to improve teachers’ levels of confidence with assistive technology domains. Collaborating to create systemic, national interventions is crucial for improving educational and vocational outcomes for all individuals with visual impairments. Implications for practitioners First, given the findings of the study, it is recommended that all university programs develop a course on assistive technology, as well as embed assistive technology competencies in their training curricula. Second, research is needed to explore further what universities are currently doing to address assistive technology in their curricula. Finally, professional organizations should provide ongoing in-service training in assistive technology for practicing teachers of students with visual impairments.

Associations Between Insurance Provider and Assistive Technology Use for Computer and Electronic Devices 1 Year After Tetraplegia: Findings From the Spinal Cord Injury Model Systems National Database

This study aims to examine the relationship between self-advocacy skills, assistive technology use, and self-esteem among adults with physical disabilities. A cross-sectional design was employed, with data collected from 244 adults with physical disabilities. Participants completed validated self-report measures assessing self-esteem, self-advocacy skills, and assistive technology use. Pearson correlation coefficients were calculated to explore the relationships between the variables. A linear regression analysis was conducted to determine the extent to which self-advocacy skills and assistive technology use predict self-esteem. All analyses were performed using SPSS version 27. The results indicated significant positive correlations between self-esteem and both self-advocacy skills (r = .62, p < .01) and assistive technology use (r = .58, p < .01). Self-advocacy skills and assistive technology use were found to be significant predictors of self-esteem, accounting for 49% of the variance (R² = .49, F(2, 241) = 115.63, p < .001). The regression analysis revealed that self-advocacy skills (B = 0.34, β = .42, p < .001) and assistive technology use (B = 0.28, β = .36, p < .001) both positively influence self-esteem. The study concludes that self-advocacy skills and assistive technology use are crucial determinants of self-esteem in adults with physical disabilities. These findings highlight the importance of providing support and training in self-advocacy and access to appropriate assistive technology to enhance psychological well-being and autonomy in this population. Future research should explore these relationships longitudinally and across diverse disability groups.

This article strives to provide research findings and implications for the use of assistive technologies (AT) for students with visual and hearing impairments. First, the common challenges associated with visual and hearing impairments in students while learning languages, and the process of fitting AT to this category of students have been discussed. The research was focused on AT for language learning, reading, writing. Assistive technology items have been grouped according to whether they enhances the visual or hearing capabilities of students with disabilities. Assistive technologies for students with visual impairments and blindness have been united in assistive technologies for reading (technologies that enhance sight capabilities, technologies that engage senses and abilities other than sight literature), assistive technologies for writing (technologies that enhance sight capabilities, technologies that engage senses and abilities other than sight); assistive technologies for students with hearing impairments (amplification devices, telecommunication device for the deaf, frequency-modulated amplification systems. Based on principles of organization of language education in the system of language policy in the USA, the importance of English learning for students with visual and hearing disabilities in the USA has been grounded. Areas for future research of assistive technologies for students with visual and hearing impairments and the value of research findings to optimizing the education and development of students have been shown as a great need for continued work in these areas.

To understand the role of early intervention (EI) practitioner confidence in the use and application of assistive technology (AT), a 24-item Assistive Technology Confidence Scale (ATCS) was developed and distributed to EI personnel. This article reports on the development and psychometric properties of the ATCS and the relation between scores on the ATCS, years of experience, education, and overall practitioner self-efficacy. Analyses revealed that the ATCS is a reliable measure of AT confidence in three service domains: application and use of AT, AT assessment, and accessing information about AT and AT resources. EI practitioners with more than 10 years of experience were more confident in AT service provision than EI practitioners with less experience. The ATCS was positively related to overall EI practitioner self-efficacy. Implications for the application of the ATCS for EI research and training are discussed.

The increase in the frequency and quality of educational technology use is notable. However, studies are needed to analyze scientific production regarding the use of assistive technologies in inclusive education in Latin America. This work aims to contribute to the consolidation of educational innovations for students with visual impairments by reviewing scientific publications that address assistive technology. This study uses hermeneutics and bibliometrics to identify contributions to assistive technology. The PRISMA methodology was used to select the corpus. Eighty-six scientific articles published in English or Spanish between 2015 and 2025 and available in the Scopus, Web of Science, and Scielo databases were reviewed. The review concludes that screen readers, Braille, artificial intelligence, and augmented reality are the most commonly used assistive technologies for students with visual impairments.

BACKGROUND: Different types of assistive technologies can support participation for people with disability; nonetheless, technology can break with peoples self-image, sometimes resulting in technology abandonment. OBJECTIVE: This article focuses on how assistive activity technology can be used as symbolic expressions of identity among people with physical disability. METHODS: Qualitative, semistructured, in-depth interviews with people with physical disability using assistive activity technology. RESULTS: The use of assistive activity technology is most often voluntary and based on personal interest. The use of assistive activity technology affects how the informants experience themselves and their social surroundings, and how they act in social activities. Assistive activity technology provides people with disability the opportunity to show themselves from a positive perspective in recognisable and commonly valued activities in society. This phenomenon is changing how other people see and understand people with disability. CONCLUSIONS: Assistive activity technology has the potential to contribute as symbolic expressions of identity for people with physical disability. The technology contributes through positively changing how individuals experience themselves and how other people perceive them. A new finding is that assistive activity technology differs from other assistive technology because the choice of using assistive activity technology is normally based on individual preferences and interests.

This chapter provides an overview of studies that have evaluated the use of assistive technology to improve the communication functioning of individuals with specific types of communication disorders. The studies are divided into three groups based on the nature of the presenting communication disorder. The first group concerns studies that targeted individuals with cerebral palsy. The second group concerns studies on using assistive technology for people with other motor speech disorders, such as apraxia, dysarthria, and amyotrophic lateral sclerosis (ALS). The third group consists of studies focused on the use of assistive communication technologies to improve spoken and written language expression in people with aphasia. The final part of this chapter analyzes the overall outcomes of the three groups of studies reviewed, considers the implications of these findings for overall communication and social functioning, and highlights directions for future research.

The use of assistive technology in education has been shown to enhance academic performance, increase educational engagement, and improve both academic self-efficacy and the social and psychological well-being of students with disabilities. Despite these proven benefits, assistive technology is not always utilized systematically or effectively. Many educators report feeling insufficiently competent in using assistive technology in the classroom, with their knowledge often being limited. This study aimed to assess higher education teaching staff’s knowledge of the features of both assistive and mainstream technology (including devices, software, and apps), as well as their experience in using them. A total of 131 teaching staff members from Italy, Germany, Spain, and Greece participated in the study by completing a questionnaire that included items related to both types of technology. The results indicated that staff members were far more familiar with mainstream technology than with assistive technology, and their knowledge and experience with the latter were limited. Age and prior training emerged as significant predictors of both knowledge and use of assistive technology. Notably, the study highlighted specific types of assistive technology that were more familiar to higher education teaching staff.

Abstract: Introduction: Assistive technologies (AT) are products, equipment, devices, resources, methodologies and strategies that can be used in education to promote autonomous learning and academic success for students who have some type of disability. Objective: The objective was to analyze the AT available in medical courses in Brazil to support medical students with hearing and/or visual impairment. Methods: This is a descriptive study that used data from undergraduate medical courses participating in the Higher Education Census coordinated by Anísio Teixeira National Institute of Educational Studies and Research (Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira, INEP), in 2018. AT for students with hearing and/or visual impairment that were available in medical courses were evaluated considering the characteristics of the institution, such as the type of administration (public versus private), location (capital versus interior) and the year the course started (from the year 2000 versus before year 2000). Results: In 2018, there were 323 active medical courses in Brazil. Most of them (90%) confirmed the offer of at least one type of AT. The discipline of Brazilian Sign Language (LIBRAS, Linguagem Brasileira de Sinais) was the most frequently offered AT (80%) and tactile material was the least offered AT (32%). There was greater comprehensiveness of AT supply for medical students in courses with a private administration, compared to the public ones. The location and the year the course started did not influence the provision of AT in Brazil. The courses showed better AT comprehensiveness to support students with hearing impairment than those with visual impairment. Conclusion: Most medical courses supply AT for people with visual and/or hearing impairments who are medical students, but incompletely. Although the location of the course and the length of time that the course has been active did not influence AT provision, the study revealed inequalities. Medical students with visual and/or hearing impairments have access to assistive technologies especially in courses with private administration, adding more barriers to their financial possibilities, which are already sufficiently affected by the fact that they have to meet the essential needs common to people living with disabilities.

Abstract: Introduction: Assistive technologies (AT) are products, equipment, devices, resources, methodologies and strategies that can be used in education to promote autonomous learning and academic success for students who have some type of disability. Objective: The objective was to analyze the AT available in medical courses in Brazil to support medical students with hearing and/or visual impairment. Methods: This is a descriptive study that used data from undergraduate medical courses participating in the Higher Education Census coordinated by Anísio Teixeira National Institute of Educational Studies and Research (Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira, INEP), in 2018. AT for students with hearing and/or visual impairment that were available in medical courses were evaluated considering the characteristics of the institution, such as the type of administration (public versus private), location (capital versus interior) and the year the course started (from the year 2000 versus before year 2000). Results: In 2018, there were 323 active medical courses in Brazil. Most of them (90%) confirmed the offer of at least one type of AT. The discipline of Brazilian Sign Language (LIBRAS, Linguagem Brasileira de Sinais) was the most frequently offered AT (80%) and tactile material was the least offered AT (32%). There was greater comprehensiveness of AT supply for medical students in courses with a private administration, compared to the public ones. The location and the year the course started did not influence the provision of AT in Brazil. The courses showed better AT comprehensiveness to support students with hearing impairment than those with visual impairment. Conclusion: Most medical courses supply AT for people with visual and/or hearing impairments who are medical students, but incompletely. Although the location of the course and the length of time that the course has been active did not influence AT provision, the study revealed inequalities. Medical students with visual and/or hearing impairments have access to assistive technologies especially in courses with private administration, adding more barriers to their financial possibilities, which are already sufficiently affected by the fact that they have to meet the essential needs common to people living with disabilities.

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Purpose Assistive technologies (AT) perform an important social role, interacting with cultural systems to produce or hinder accessibility to biosocial environments. This interaction profoundly shapes not only how an individual body can be experienced by users but also produce and hinder accessibility to biosocial environments. AT users have historically been viewed through a medical model, which deems them disabled by their impairments and by dominant ableist narratives. Therefore, this paper serves to provide an insight into the importance of ageing with and into AT. This paper aims to investigate polio survivors’ and diabetic amputees’ experiences of assistive technologies in order to better understand impacts upon narrative and identity. By applying an anthropological and sociological lens, a holistic view of the experiences of polio survivor and amputee AT users is developed. Method This paper draws on 16 in-depth interviews with polio survivors and diabetic amputees in the United States (US) and Australia, which were analysed using an experience-centered narrative approach. Both projects were approved by ethics boards. All participants provided written consent. Results Five themes were identified: a) disruption to biographies, which reflected AT impact on how narratives become altered; b) impacts to autonomy, which reflected the importance of regaining previous daily activities; c) re-engaging with community life, which highlighted how AT supported participation in valued activities; d) self-perceptions of assistive technologies, which act in opposition to external perspectives and challenge ableist narratives; and e) an intergenerational comparison of new and older AT users highlights the importance of temporalities. Conclusion This paper offers new perspectives on ageing with assistive technologies, with a focus on identity and narrative. The importance of this paper is to contribute to the existing literature that demonstrates the cultural implications that arise through embodiment and assistive technologies. IMPLICATIONS FOR REHABILITATION The use of assistive technology can help individuals regain function, but the individual circumstances require consideration The use of assistive technology is a complex entanglement of bodies, environments, biographies, and imagined futures. The use of assistive technology can provide participants autonomy over their narratives and assist with maintaining their identities

Although assistive technologies have the potential to bridge the gap between personal capabilities and environmental demands, they may not always fully accommodate disability. This study examined the implications of change in the extent of accommodation provided by assistive technology for well-being in older adulthood. Data from 5 waves (2015-2019) of the National Health and Aging Trends Study provided information on disability and assistive technology use among older adults aged 65 and older in the United States (n = 7,057). An eight-level index that jointly characterized the spectrum of disability and assistive technology use was applied to 7 activities of daily living (ADLs). Fixed-effects panel model assessed within-person associations between well-being and the extent of assistive technology accommodation along different levels of the disability spectrum. At baseline, bathing (28.7%; 95% confidence interval [CI]: 27.6, 29.8) and toileting (37.9%; 95% CI: 36.2, 39.6) were the 2 activities in which most older adults successfully accommodated their limitations with assistive technologies. Longitudinally, the level of support provided by assistive technology changed widely across activities and over time. Within-person analyses showed that for all ADLs except for eating, there was a significant decline in well-being when the adopted assistive technology no longer supported users' needs and successfully resolved their disabilities. Our findings highlight the utility of technology-based interventions and underscore the imperative that assistive technologies attend to the specific needs of older adults and support independence in everyday activities.

The wide use of e-technologies represents a great opportunity for underserved segments of the population, especially with the aim of reintegrating excluded individuals back into society through education. This is particularly true for people with different types of disabilities who may have difficulties while attending traditional on-site learning programs that are typically based on printed learning resources. The creation and provision of accessible e-learning contents may therefore become a key factor in enabling people with different access needs to enjoy quality learning experiences and services. Another e-learning challenge is represented by m-learning (which stands for mobile learning), which is emerging as a consequence of mobile terminals diffusion and provides the opportunity to browse didactical materials everywhere, outside places that are traditionally devoted to education. Both such situations share the need to access materials in limited conditions and collide with the growing use of rich media in didactical contents, which are designed to be enjoyed without any restriction. Nowadays, Web-based teaching makes great use of multimedia technologies, ranging from Flash animations to prerecorded video-lectures. Rich media in e-learning can offer significant potential in enhancing the learning environment, through helping to increase access to education, enhance the learning experience and support multiple learning styles. Moreover, they can often be used to improve the structure of Web-based courses. These highly variegated and structured contents may significantly improve the quality and the effectiveness of educational activities for learners. For example, rich media contents allow us to describe complex concepts and process flows. Audio and video elements may be utilized to add a “human touch” to distance-learning courses. Finally, real lectures may be recorded and distributed to integrate or enrich on line materials. A confirmation of the advantages of these approaches can be seen in the exponential growth of video-lecture availability on the net, due to the ease of recording and delivering activities which take place in a traditional classroom. Furthermore, the wide use of assistive technologies for learners with disabilities injects new life into e-learning systems. E-learning allows distance and flexible educational activities, thus helping disabled learners to access resources which would otherwise present significant barriers for them. For instance, students with visual impairments have difficulties in reading traditional visual materials, deaf learners have trouble in following traditional (spoken) lectures, people with motion disabilities have problems in attending on-site programs. As already mentioned, the use of wireless technologies and pervasive computing may really enhance the educational learner experience by offering mobile e-learning services that can be accessed by handheld devices. This new paradigm of educational content distribution maximizes the benefits for learners since it enables users to overcome constraints imposed by the surrounding environment. While certainly helpful for users without disabilities, we believe that the use of newmobile technologies may also become a fundamental tool for impaired learners, since it frees them from sitting in front of a PC. In this way, educational activities can be enjoyed by all the users, without hindrance, thus increasing the social inclusion of non-typical learners. While the provision of fully accessible and portable video-lectures may be extremely useful for students, it is widely recognized that structuring and managing rich media contents for mobile learning services are complex and expensive tasks. Indeed, major difficulties originate from the basic need to provide a textual equivalent for each media resource composing a rich media Learning Object (LO). Moreover, tests need to be carried out to establish whether a given LO is fully accessible to all kinds of learners. Unfortunately, both these tasks are truly time-consuming processes, depending on the type of contents the teacher is writing and on the authoring tool he/she is using. Due to these difficulties, online LOs are often distributed as partially accessible or totally inaccessible content. Bearing this in mind, this thesis aims to discuss the key issues of a system we have developed to deliver accessible, customized or nomadic learning experiences to learners with different access needs and skills. To reduce the risk of excluding users with particular access capabilities, our system exploits Learning Objects (LOs) which are dynamically adapted and transcoded based on the specific needs of non-typical users and on the barriers that they can encounter in the environment. The basic idea is to dynamically adapt contents, by selecting them from a set of media resources packaged in SCORM-compliant LOs and stored in a self-adapting format. The system schedules and orchestrates a set of transcoding processes based on specific learner needs, so as to produce a customized LO that can be fully enjoyed by any (impaired or mobile) student.