Skip to main content

Assistive Technology (AT) Usability and Adoption: Future Drivers

  • Chapter
  • First Online:
Design of Assistive Technology for Ageing Populations

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 167))

Abstract

The aim of this chapter is to demonstrate the importance of usability in the development, adoption and effectiveness of assistive technologies (AT). Usability engineering as well as related approaches, including human factors, inclusive design and acceptability are explained. The importance of considering device usability is highlighted through examples of adverse events that have resulted from issues associated with medical device design. The chapter goes on to introduce key medical device regulatory frameworks and standards. These have been produced to guide developers of medical devices (including applicable assistive technology) to improve user acceptance, device usability and safety. Usability engineering methods are listed with examples given of how these have been applied in the development of assistive technology devices within the Devices for Dignity portfolio of projects.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Antaki, J.F.: Insanity of left ventricular assist therapy doing the same thing and expecting different results. Circ. Heart Fail. 4(6), 680–681 (2011). https://doi.org/10.1161/CIRCHEARTFAILURE.111.964650

  2. Bayer, K., Mitchell L., Gardner S., Pine, R.: Engaging stakeholders in the home medical device market: Delivering personalized and integrated care. British Standards Institution (BSI) Presentation. https://www.bsigroup.com/LocalFiles/EN-AU/ISO%2013485%20Medical%20Devices/Whitepapers/WP5___BSI_md_home_medical_devices_whitepaper_UK_EN.pdf (2014). Accessed 31/12/2018

  3. British Standards Institution. Medical devices—part 1: application of usability engineering to medical devices. BS EN 62366-1:2015. https://shop.bsigroup.com/ProductDetail/?pid=000000000030331076 (2015). Accessed 02/01/2019

  4. Corrigan, J.M., Donaldson, M.S., Kohn, L.T. (eds.): To Err is Human: Building a Safer Health System. Institute of Medicine (US) Committee on Quality of Health Care in America. National Academies Press (US), Washington (DC). http://www.nap.edu/catalog/9728.html (2000). Accessed 31/12/2018. ISBN-10: 0-309-06837-1

  5. Department of Health: The NHS Long Term Plan, January 2019. https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf (2019). Accessed 11/01/2019

  6. Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13(3), 319–340 (1989)

    Article  Google Scholar 

  7. European Commission: Regulation (EU) 2017/745 of the European Parliament and of the Council. https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32017R0745&from=EN (2017, April 5). Accessed 10/01/2019

  8. Health & Safety Executive: Risks to Service users known to self-hoist and transfer using ceiling track hoists. Safety Notice: FOD WSW 2-2010. http://www.hse.gov.uk/safetybulletins/ceilingtrackhoists.htm (2010, February 3). Accessed 03/01/2019

  9. International Organization for Standardization: Medical devices—Part 2: Guidance on the application of usability engineering to medical devices. IEC/TR 62366-2:2016. https://www.iso.org/standard/69126.html (2016). Accessed 02/01/2019

  10. Judge, S., Townend, G.: Users’ Perceptions of Communication Aid Design. https://www.researchgate.net/profile/Simon_Judge/publication/264314439_Users’_Perceptions_of_Communication_Aid_Design_-_D4D_Project_Report/links/53d8ae4b0cf2e38c633188da/Users-Perceptions-of-Communication-Aid-Design-D4D-Project-Report.pdf (2010). Accessed 04/04/2019

  11. Kormos, R.L., McCall, M., Althouse, A., Lagazzi, L., Schaub, R., Kormos, M., Zaldonis, J.A., Sciortino, C., Lochard, K., Kuntz, N., Dunn, E., Teureberg, J.J.: Left ventricular assist device malfunctions: it is more than just the pump. Circulation 136, 1714–1725 (2017). https://doi.org/10.1161/circulationaha.117.027360

  12. Latimer, N., Dixon, S., McDermott, C.J., McCarthy, A.D., Tindale, W., Heron, N., Shaw, P.J.: Modelling the cost effectiveness of a potential new neck collar for patients with motor neurone disease. HEDS Discussion Paper 11/10, 2011, ScHARR. Available at http://www.shef.ac.uk/polopoly_fs/1.74441%21/file/HEDS-DP_11-10.pdf (2011). Accessed 18/01/2019

  13. Lamont, T., Evans, T., Ford A., Hanss, K.: Help at Home—Use of assistive technology for older people. Published by NIHR Dissemination Centre. http://www.dc.nihr.ac.uk/themed-reviews/Help-at-home-WEB.pdf/https://doi.org/10.3310/themedreview-03345 (2018, December). Accessed 03/01/2019

  14. McCreadie, C., Tinker, A.: The acceptability of assistive technology to older people. Aging Soc. 25, 91–110. https://doi.org/10.1017/s0144686x0400248x (2005)

  15. Medicines & Healthcare products Regulatory Agency (MHRA): Risk due to incorrect selection and delivery of bolus amount. (MDA/2014/019). https://www.gov.uk/drug-device-alerts/medical-device-alert-paradigm-ambulatory-insulin-infusion-pumps-risk-of-hypoglycaemia#problem (2014). Accessed 29/12/2018

  16. Medicines & Healthcare products Regulatory Agency (MHRA): Human Factors and Usability Engineering—Guidance for Medical Devices Including Drug-device Combination Products. Version 1.0. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/645862/HumanFactors_Medical-Devices_v1.0.pdf (2017, September). Accessed 31/12/2018

  17. Medicines & Healthcare products Regulatory Agency (MHRA): Medical Device Alert MDA/2019/004 Issued: 30 January 2019 at 11:00 Arjo Minstrel passive floor lift (portable hoist)—risk of spreader bar detachment from lifts WITHOUT a scale. https://assets.publishing.service.gov.uk/media/5c5081dced915d7d4877c01f/MDA-2019-004.pdf (2019). Accessed 01/03/2019

  18. Meyer, C., Grenness, C., Scarinci, N., Hickson, L.: What is the international classification of functioning, disability and health and why is it relevant to audiology? Semin. Hear. 37(3), 163–186 (2016, August). https://doi.org/10.1055/s-0036-1584412

  19. Moody, L., McCarthy, A.D.: Experiences of leg bag users and emerging design priorities. J. Wound Ostomy Cont. Nurs. 42(2), 176–182 (2015). PMID 25734462

    Google Scholar 

  20. National Institute for Health and Care Excellence: The remit of NICE Social Care Guidelines. https://www.nice.org.uk/Media/Default/About/what-we-do/NICE-guidance/NICE-guidelines/social-care-guidelines/Social%20Care%20Guidelines%20Remit.pdf (2013)

  21. NICE—National Institute for Health and Care Excellence: Older people with social care needs and multiple long-term conditions. NICE Guidance NG 22. Available at https://www.nice.org.uk/guidance/ng22/resources/older-people-with-social-care-needs-and-multiple-longterm-conditions-pdf-1837328537797 (2015, November 4). Accessed 10/01/2019

  22. NICE—National Institute for Health and Care Excellence: Draft for Consultation: Cerebral palsy in adults [D3] Interventions that improved functions and participation: electronic assistive technology. July 2018 (GID-NG10031 expected publication date 19/01/2019)

    Google Scholar 

  23. NICE—National Institute for Health and Care Excellence: Ekso exoskeleton for rehabilitation in people with neurological weakness or paralysis. Medtech innovation briefing. Published www.nice.org.uk/guidance/mib93 (2017, January 18). Accessed 19/01/2018

  24. NHS England: Patient Safety Alert: Stage One: Warning Risk of death and serious harm by falling from hoists. Reference NHS/PSA/W/2015/010. https://improvement.nhs.uk/documents/714/psa-falling-from-hoists-1015_UNQZYZO.pdf (2015a). Accessed 02/01/2019

  25. NHS England: Patient Safety Alert: Risk of severe harm and death from unintentional interruption of non-invasive ventilation. Reference Number NHS/PSA/W/2015/003. https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAttachment.aspx?Attachment_id=102109 (2015b). Accessed 10/01/2019

  26. NHS National Quality Board: Human Factors in Healthcare: A Concordat from the National Quality Board. https://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-hum-fact-concord.pdf (2016). Accessed 10/05/2019

  27. Nielsen, J.: Usability Engineering. Academic Press, 1–358 (1993). ISBN-13: 978-0125184052

    Google Scholar 

  28. Norman, D.A.: The Design of Everyday Things. Basic Books, 1–327 (2002). ISBN 978-0-465-05065-9

    Google Scholar 

  29. North, B.: The growing role of human factors and usability engineering for medical devices. What’s required in the new regulatory landscape. White Paper Series, Published online by British Standards Ltd. https://www.bsigroup.com/en-GB/medical-devices/resources/whitepapers/ (2016). Accessed 03/01/2018

  30. Petrie, H., Carmien, S., Lewis, A.: Assistive technology abandonment: research realities and potentials. In: Miesenberger, K., Kouroupetroglou, G. (eds.) Computers Helping People with Special Needs. ICCHP 2018. Lecture Notes in Computer Science, vol. 10897. Springer, Cham (2018). https://doi.org/10.1007/978-3-319-94274-2_77

  31. Ravneberg, B.: Usability and abandonment of assistive technology. J. Assistive Technol. 6(4), 259–269 (2012) https://doi.org/10.1108/17549451211285753

  32. Regdesk: List of Countries with NO Formal Regulatory Approval Process. https://www.regdesk.co/50-countries-with-no-medical-device-regulations/ (2017). Accessed 09/01/2019

  33. Stanton, N.A., Salmon, P.M., Rafferty, L.A., Walker, G.H., Baber, C., Jenkins, D.P.: Human factors methods: a practical guide for engineering and design. CRC Press (2017)

    Google Scholar 

  34. Stein, R.: Usability—Continuation and Update from 2016 Webinar. British Standards Institution (BSI) Presentation. Richard.Stein@BSIgroup.com: https://www.bsigroup.com/globalassets/meddev/localfiles/en-gb/webinars/bsi-md-usability-webinar-october-17-rs.pdf (2017, October 12). Accessed 31/12/2018

  35. UL: Comparison of IEC 62366-1:2015 and IEC 62366:2007 + AMD1:2014—The Major Differences. https://library.ul.com/wp-content/uploads/sites/40/2018/01/BNG-UL17-Comparison-of-IEC-WP-011118.pdf (2018). Accessed 31/12/2018

  36. University of Cambridge: Inclusive Design Toolkit. http://www.inclusivedesigntoolkit.com (2017). Accessed 10/01/2019

  37. Waller, S.D., Bradley, M.D., Langdon, P.M., Clarkson, P.J.: Visualising the number of people who cannot perform tasks related to product interactions. Universal Access in the Information Society 12, 263–278. https://www.repository.cam.ac.uk/bitstream/handle/1810/252706/Waller_et_al-2013-Universal_Access_In_The_Information_Age-AAM.pdf?sequence=5&isAllowed=y (2013). Accessed 10/01/2019

  38. World Health Organization (WHO): International Classification of Functioning, Disability and Health (ICF). https://www.who.int/classifications/icf/en/ (2001). Accessed 02/01/2019

  39. World Health Organization (WHO): Improving access to assistive technology: Report by the Director-General. EB142/21. http://apps.who.int/gb/ebwha/pdf_files/EB142/B142_21-en.pdf (2017). Accessed 02/01/2019

  40. World Health Organization (WHO): World report on disability. Geneva. http://www.who.int/disabilities/world_report/2011/en/ (2011). Accessed 4 Jan 2019

  41. World Health Organization (WHO): Assistive technology. https://www.who.int/news-room/fact-sheets/detail/assistive-technology (2018). Accessed 02/01/2019

  42. World Health Organization: How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF). Exposure draft for comment. WHO, Geneva. https://www.who.int/classifications/drafticfpracticalmanual2.pdf?ua=1 (2013). Accessed 02/01/2019

Download references

Acknowledgements

Drs McCarthy and Moody are Theme Leads for the National Institute for Health Research (NIHR) Devices for Dignity MedTech and In vitro Diagnostic Co-operative (MIC). The work of the Devices for Dignity MIC is funded by the National Institute for Health Research. The views expressed are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Avril D. McCarthy .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

McCarthy, A.D., Moody, L. (2020). Assistive Technology (AT) Usability and Adoption: Future Drivers. In: Woodcock, A., Moody, L., McDonagh, D., Jain, A., Jain, L. (eds) Design of Assistive Technology for Ageing Populations. Intelligent Systems Reference Library, vol 167. Springer, Cham. https://doi.org/10.1007/978-3-030-26292-1_6

Download citation

Publish with us

Policies and ethics