Journal of Rehabilitation and Assistive Technologies Engineering, 2024 · DOI: 10.1177/20556683241286517 · Published: January 1, 2024
Rehabilitation and assistive technologies are increasingly important for people with disabilities. However, end-users are often excluded from the development process, leading to unmet needs and abandonment of devices. It's crucial to include end-user stakeholders throughout the entire process. Traditional A-T development has focused on the medical model with a clinician identified as the expert; however PWD using these devices everyday will quickly surpass their knowledge level of use. The definition of 'end-user' should be broadened to include not only people with disabilities, but also family members, personal care attendants, providers, distributors, and funders.
Developers and providers should adopt inclusive design practices that actively involve end-users in all stages of A-T development, from initial design to testing and maintenance.
Funding organizations and regulatory bodies should promote and require multi-stakeholder involvement in A-T projects to ensure transparency and accessibility.
Implement and evolve practical frameworks and toolkits for co-development, incorporating lessons learned and addressing challenges such as building organizational structures and measuring performance.