AB0891 PROOF OF CONCEPT OF THE USE OF CO-DESIGNED 3D PRINTED ASSISTIVE DEVICES WITHIN AN OCCUPATIONAL THERAPY INTERVENTION IN SYSTEMIC SCLEROSIS
Notice bibliographique
Résumé
Background Despite the positive impact of assistive devices (ADs) on the daily lives of people with disabilities, many of them are initially adopted and then regrettably abandoned. Even though the AD of an individual patient might fit his/her needs, up to 7 out of 10 people stop using it. On the one hand this may be linked to an improvement in their health, on the other, the devices may not be ergonomically suitable for long-term use. Previous studies have highlighted the possibility that co-designed and customised 3D printed assistive devices can benefit patients with rheumatic diseases which impair daily activities, especially manual ones. Among the 29 patients with Systemic Sclerosis who took part in the joint prevention clinic workshop at the University-Hospital of Modena (Italy), in 2019 4 patients actively joined the 3D printing project for the co-designing of ADs. Objectives This work has two main goals: firstly, to check whether in the short term the co-design approach is able to guarantee better acceptance of ADs and a lower abandonment rate. Secondly, to check during follow-ups, if the patients are satisfied and regularly use their ADs and if their daily activities remain unchanged. Methods The development of the ADs begins with co-design sessions which involve the patient, an Occupational Therapist and a designer. The AD is digitally modelled and 3D printed. Subsequently it is delivered to the patient following a number of training sessions. Using standardized tests such as PIADS (Psychosocial Impact of Assistive Devices Scale) and QUEST (Quebec User Evaluation of Satisfaction with assistive Technology) at the time of delivery of the ADs, then after 3 years, we assessed the level of satisfaction of the 4 patients enrolled, the condition of the ADs and their actual use. Results In 2019 each of the 4 patients received at least one AD, which they used on a regular daily basis [i.e. a device to open a moka pot (an Italian coffee machine); a token for a shopping trolley; a pen grip handle; a multiple key turner]. The results of the PIADS following delivery and in the 3-years follow-up were positive. The QUEST results were also positive. After 3 years the ADs were still being used regularly. Moreover, in 2022, 2 patients co-designed and 3D printed new ADs in response to new or altered needs. Conclusion In both the long and short term, ADs are still being used regularly and patients are still enjoying the benefits. After 3 years none of the ADs displayed any significant wear or breakage, thus their effectiveness was not compromised. Finally, the satisfaction of the patients with the co-designed ADs remained unaltered over time. Co-design 3D printed devices have therefore proven to effectively reduce the AD abandonment rate. REFERENCES: NIL. Acknowledgements: NIL. Disclosure of Interests None Declared.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,002 | 0,001 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,013 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».