(Georgia Institute of Technology, 2007)
Fuhrer, Marcus J.
PURPOSE: The aim of this paper is to highlight the contributions that complementary efficacy, effectiveness, and cost-effectiveness studies can make to assessing the outcomes of assistive technology interventions for enhancing mobility.
METHOD: The terms, 'assistive technology outcomes research' and 'assistive technology interventions', are defined. Several bases are examined for the shortage of outcomes research pertaining to mobility-related assistive technology interventions. Three presuppositions are described for the research strategy of interlocking studies being recommended. They are assigning priority to evaluating both recently developed assistive technologies and ones that have long been available, acknowledging the complexity of assistive technology as an intervention, and appreciating the trade-offs necessary for strengthening studies' internal and external validity. Some key study preparations are considered, including treatment theory, treatment specification, and the selection of outcome domains and measures. The essential features of efficacy, effectiveness, and cost-effectiveness studies are outlined, and their interdependence is stressed. RESULTS AND CONCLUSIONS: To assess the outcomes of assistive technology interventions for mobility in ways that are both methodologically sound and relevant to stakeholder needs, a research strategy is required involving mutually reinforcing efficacy, effectiveness, and cost-effectiveness studies. Collaborative arrangements and funding methods are discussed for fostering the needed research.
(Georgia Institute of Technology, 2007)
Sprigle, Stephen
The Wheeled Mobility State of the Science Conference, hosted by the mobilityRERC at the Georgia Institute of Technology, was a forum to identify and discuss important research topics. The Conference was configured around Breakout Groups which were assigned specific research topics. These topics were selected via dot-voting by Conference attendees. The charge to the Breakout Groups was simple, yet unattainable: “Configure your research topic into a research project”. They were provided with general guidelines to identify research questions, specific aims or hypotheses, significance, study design possibilities, recruitment considerations, measurement variables and tools, analysis considerations, and anticipated challenges.
This article summarizes the discussions from the Seating and Positioning Breakout Groups. The four research topics selected for discussion were: Impact of a seating and mobility intervention, Defining a systematic clinical approach to cushion selection, Functional impact of wheelchair cushions, and Long term impact of sitting. One member of each Group documented the discussion and a summary presentation was made to all Conference attendees. The following synopses were compiled from the Group notes and presentation. They are presented in sequence and reflect variability in discussion, presentation and content. Some research topics were more amenable to the suggested guidelines than others.