{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:25:32Z","timestamp":1793121932597,"version":"4.5.0"},"reference-count":71,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"unspecified","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,5,2]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There is strong evidence that mobility-assistive technologies improve occupational performance, social participation, educational and employment access and overall quality of life in people with disabilities. However, people with disabilities still face barriers in accessing mobility products and related services. This review aims to summarise and synthesise: (1) theories, models and frameworks that have been used to understand mobility-assistive technology access, (2) determinants of access and (3) gaps in knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A scoping review using the five-step framework by Arksey and O\u2019Malley.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>We searched the MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature and SCOPUS databases for publications published between 2000 and 2024. We searched for articles published up to 20 March 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>We included English-published literature in peer-reviewed journals that reported (a) barriers to the provision of mobility-assistive technologies, (b) including at least one theory, model or framework and (c) between 2000 and 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>We extracted the study characteristics, theories, models, framework usage, research recommendations, key findings on mobility-assistive technology barriers and theoretical propositions. We conduct a theoretical synthesis guided by Turner\u2019s approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 18 articles that used 8 theories, models and frameworks, synthesised into 9 propositions. The synthesised theory emphasises that mobility is essential for human flourishing, and that certain health conditions may impose restrictions on mobility. This impact can be alleviated by two direct determinants: (1) the provision of suitable services and (2) their comprehensive provision. Policies and costs influence these services indirectly. Environmental and personal factors also affect the use of these services. Ineffectively addressing these determinants can limit access to mobility-assistive technologies and subsequent disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our synthetic model describes the logic of providing evidence-based mobility-assistive technologies, and we identify the determinants of access that can act as targets for future work to improve the provision of mobility-assistive technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080633","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T13:26:50Z","timestamp":1715779610000},"page":"e080633","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Theories, models and frameworks to understand barriers to the provision of mobility-assistive technologies: a scoping review"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4670-4348","authenticated-orcid":false,"given":"Asma","family":"Aldawood","sequence":"first","affiliation":[{"name":"School of Medicine and Population Health, The University of Sheffield, Sheffield, UK"},{"name":"College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6409-4793","authenticated-orcid":false,"given":"Daniel","family":"Hind","sequence":"additional","affiliation":[{"name":"School of Medicine and Population Health, The University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1055-9871","authenticated-orcid":false,"given":"Simon","family":"Rushton","sequence":"additional","affiliation":[{"name":"Department of Politics and International Relations, University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3502-2691","authenticated-orcid":false,"given":"Becky","family":"Field","sequence":"additional","affiliation":[{"name":"School of Medicine and Population Health, The University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"2025121512260048000_14.5.e080633.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0182920","article-title":"The association between observed mobility and quality of life in the near elderly","volume":"12","author":"Shafrin","year":"2017","journal-title":"PLoS One"},{"key":"2025121512260048000_14.5.e080633.2","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182111515","article-title":"Let\u2019s walk it: mobility and the perceived quality of life in older adults","volume":"18","author":"Bechtold","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025121512260048000_14.5.e080633.3","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.gerinurse.2017.08.002","article-title":"The impact of mobility limitations on health outcomes among older adults","volume":"39","author":"Musich","year":"2018","journal-title":"Geriatr Nurs"},{"key":"2025121512260048000_14.5.e080633.4","unstructured":"World Health Organization and World Bank . World Report on Disability. Geneva: World Health Organization, 2011. Available: https:\/\/www.who.int\/publications\/i\/item\/9789241564182"},{"key":"2025121512260048000_14.5.e080633.5","doi-asserted-by":"crossref","unstructured":"van Hees SGM , van den Borne BHP , Menting J , et al . Patterns of social participation among older adults with disabilities and the relationship with well-being: A latent class analysis. Arch Gerontol Geriatr 2020;86. doi:10.1016\/j.archger.2019.103933","DOI":"10.1016\/j.archger.2019.103933"},{"key":"2025121512260048000_14.5.e080633.6","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1097\/JNN.0000000000000552","article-title":"Caregiver burden and associated factors among informal Caregivers of stroke survivors","volume":"52","author":"Achilike","year":"2020","journal-title":"J Neurosci Nurs"},{"key":"2025121512260048000_14.5.e080633.7","unstructured":"World Health Organization . Global Report on Assistive Technology. Geneva: World Health Organization, 2022. Available: https:\/\/www.who.int\/publications\/i\/item\/9789240049451"},{"key":"2025121512260048000_14.5.e080633.8","unstructured":"International Organization for Standardization . ISO 9999:2022; International Organization for Standardization Assistive Products\u2014Classification and Terminology. Geneva, Switzerland: ISO, 2022."},{"key":"2025121512260048000_14.5.e080633.9","doi-asserted-by":"crossref","first-page":"115","DOI":"10.3109\/17483107.2014.1002540","article-title":"Cost-effectiveness of powered mobility devices for elderly people with disability","volume":"12","author":"Hagberg","year":"2017","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.10","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/JPO.0000000000000372","article-title":"Cost-effectiveness of Transtibial bone-anchored Prostheses using Osseointegrated fixation: from challenges to preliminary data","volume":"33","author":"Frossard","year":"2021","journal-title":"J Prosthet Orthot"},{"key":"2025121512260048000_14.5.e080633.11","unstructured":"United Nations . United Nations convention on the rights of persons with disabilities. 2007."},{"key":"2025121512260048000_14.5.e080633.12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-007662","article-title":"Estimating need and coverage for five priority Assistive products: a systematic review of global population-based research","volume":"7","author":"Danemayer","year":"2022","journal-title":"BMJ Glob Health"},{"key":"2025121512260048000_14.5.e080633.13","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-015-0242-0","article-title":"Making sense of implementation theories, models and frameworks","volume":"10","author":"Nilsen","year":"2015","journal-title":"Implement Sci"},{"key":"2025121512260048000_14.5.e080633.14","doi-asserted-by":"crossref","first-page":"R13","DOI":"10.1016\/j.cub.2021.11.027","article-title":"Building better theories","volume":"32","author":"Press","year":"2022","journal-title":"Curr Biol"},{"key":"2025121512260048000_14.5.e080633.15","doi-asserted-by":"crossref","DOI":"10.1186\/1475-9276-12-18","article-title":"Patient-centred access to health care: Conceptualising access at the interface of health systems and populations","volume":"12","author":"Levesque","year":"2013","journal-title":"Int J Equity Health"},{"key":"2025121512260048000_14.5.e080633.16","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/PXR.0000000000000256","article-title":"Barriers and Facilitators of receiving prosthetic services in people with lower limb amputation during COVID-19 pandemic: A qualitative study in a developing country","volume":"48","author":"Nabizadeh","year":"2024","journal-title":"Prosthet Orthot Int"},{"key":"2025121512260048000_14.5.e080633.17","unstructured":"World Health Organization . International Classification of Functioning, Disability and Health: ICF. Geneva: WHO, 2001."},{"key":"2025121512260048000_14.5.e080633.18","unstructured":"Fawcett J . An overview of conceptual models, theories, and research. In: Fawcett J , ed. The Relationship of Theory and Research. 3rd edn. Philadelphia: F.A. Davis Company, 1999: 1\u201325."},{"key":"2025121512260048000_14.5.e080633.19","doi-asserted-by":"crossref","unstructured":"Passey D . Theories, theoretical and conceptual frameworks, models and Constructs: limiting research outcomes through misconceptions and misunderstandings. Studies in Technology Enhanced Learning 2020. doi:10.21428\/8c225f6e.56810a1a","DOI":"10.21428\/8c225f6e.56810a1a"},{"key":"2025121512260048000_14.5.e080633.20","doi-asserted-by":"crossref","unstructured":"Cook A , Polgar J . Activity, human, and context: the human doing an activity in context. In: Cook A , Polgar J , eds. Assistive Technologies: Principles and Practice. 4th edn. Louis (MO): Mosby, 2015: 40\u201367.","DOI":"10.1016\/B978-0-323-09631-7.00003-X"},{"key":"2025121512260048000_14.5.e080633.21","unstructured":"Smith RO . Impact2 model. Rehabilitation research design and disability center. 2005. Available: https:\/\/uwm.edu\/r2d2\/methods\/impact2-model"},{"key":"2025121512260048000_14.5.e080633.22","doi-asserted-by":"crossref","first-page":"191","DOI":"10.3233\/TAD-2011-0316","article-title":"Prescribers\u2019 experience of active wheelchair provisioning in Sweden: analysis of a postal questionnaire","volume":"23","author":"Krantz","year":"2011","journal-title":"TAD"},{"key":"2025121512260048000_14.5.e080633.23","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18073338","article-title":"Understanding the global challenges to Accessing appropriate Wheelchairs: position paper","volume":"18","author":"Gowran","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025121512260048000_14.5.e080633.24","doi-asserted-by":"crossref","first-page":"611","DOI":"10.2307\/25148742","article-title":"The nature of theory in information systems","volume":"30","author":"Gregor","year":"2006","journal-title":"MIS Quarterly"},{"key":"2025121512260048000_14.5.e080633.25","doi-asserted-by":"crossref","unstructured":"Gibson JJ . The ecological approach to visual perception. In: The ecological approach to visual perception. New York and London: Psychology Press, 2014. Available: https:\/\/www.taylorfrancis.com\/books\/9781315740218","DOI":"10.4324\/9781315740218"},{"key":"2025121512260048000_14.5.e080633.26","unstructured":"Denzin NK . Chapter 12, strategies of multiple Triangulation. In: The research act: A theoretical introduction to sociological methods. New York: Transaction publishers, 2009: 234\u201347."},{"key":"2025121512260048000_14.5.e080633.27","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.jclinepi.2022.05.012","article-title":"Differentiating between mapping reviews and Scoping reviews in the evidence synthesis Ecosystem","volume":"149","author":"Khalil","year":"2022","journal-title":"J Clin Epidemiol"},{"key":"2025121512260048000_14.5.e080633.28","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"2025121512260048000_14.5.e080633.29","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"2025121512260048000_14.5.e080633.30","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/hir.12108","article-title":"Systematic searching for theory to inform systematic reviews: is it feasible? is it desirable","volume":"32","author":"Booth","year":"2015","journal-title":"Health Info Libr J"},{"key":"2025121512260048000_14.5.e080633.31","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"2025121512260048000_14.5.e080633.32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated framework for implementation research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implementation Sci"},{"key":"2025121512260048000_14.5.e080633.33","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-017-0550-7","article-title":"Using the Consolidated framework for implementation research (CFIR) to produce actionable findings: a rapid-cycle evaluation approach to improving implementation","volume":"12","author":"Keith","year":"2017","journal-title":"Implement Sci"},{"key":"2025121512260048000_14.5.e080633.34","article-title":"Guidance on the conduct of narrative synthesis in systematic reviews","volume":"1","author":"Popay","year":"2006","journal-title":"Prod ESRC Methods Programme Version"},{"key":"2025121512260048000_14.5.e080633.35","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.socscimed.2014.11.029","article-title":"Exploring the feasibility of theory synthesis: A worked example in the field of health related risk-taking","volume":"124","author":"Pound","year":"2015","journal-title":"Soc Sci Med"},{"key":"2025121512260048000_14.5.e080633.36","doi-asserted-by":"publisher","DOI":"10.2307\/1389510"},{"key":"2025121512260048000_14.5.e080633.37","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"2025121512260048000_14.5.e080633.38","article-title":"Barriers and Facilitators to community mobility for Assistive technology users","volume":"2012","author":"Layton","year":"2012","journal-title":"Rehabil Res Pract"},{"key":"2025121512260048000_14.5.e080633.39","doi-asserted-by":"crossref","first-page":"294","DOI":"10.3109\/17483107.2012.735745","article-title":"Evaluating use and outcomes of mobility technology: a multiple Stakeholder analysis","volume":"8","author":"Hammel","year":"2013","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.40","doi-asserted-by":"crossref","first-page":"75","DOI":"10.15619\/NZJP\/43.3.02","article-title":"Community reintegration following spinal cord injury: insights for health professionals in community rehabilitation services in New Zealand","volume":"43","author":"Dwyer","year":"2015","journal-title":"NZJP"},{"key":"2025121512260048000_14.5.e080633.41","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1111\/1440-1630.12293","article-title":"Assistive technology in Australia: integrating theory and evidence into action","volume":"63","author":"Steel","year":"2016","journal-title":"Aust Occup Ther J"},{"key":"2025121512260048000_14.5.e080633.42","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1080\/17483107.2016.1265015","article-title":"A survey of Assistive technology service providers in the USA","volume":"12","author":"Arthanat","year":"2017","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.43","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1590\/1980-5918.030.001.ao10","article-title":"Portraying the amputation of lower limbs: an approach using ICF","volume":"30","author":"Gon\u00e7alves Junior","year":"2017","journal-title":"Fisioter Mov"},{"key":"2025121512260048000_14.5.e080633.44","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1080\/17483107.2017.1369586","article-title":"Adaptive invention: independence and mobility through modifications","volume":"13","author":"Mairami","year":"2018","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.45","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1080\/11038128.2019.1573918","article-title":"Attitudes is the most important environmental factor for use of powered mobility devices\u2013users\u2019 perspectives","volume":"27","author":"Widehammar","year":"2020","journal-title":"Scand J Occup Ther"},{"key":"2025121512260048000_14.5.e080633.46","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1080\/09638288.2017.1356383","article-title":"Perspectives on rehabilitation of children with cerebral palsy: exploring a cross-cultural view of parents from India and Canada using the International classification of functioning, disability and health","volume":"40","author":"Jindal","year":"2018","journal-title":"Disabil Rehabil"},{"key":"2025121512260048000_14.5.e080633.47","doi-asserted-by":"crossref","first-page":"2226","DOI":"10.4102\/ajod.v8i0.432","article-title":"Community-based rehabilitation workers\u2019 perspectives of wheelchair provision in Uganda: A qualitative study","volume":"8","author":"Seymour","year":"2019","journal-title":"Afr J Disabil"},{"key":"2025121512260048000_14.5.e080633.48","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1080\/10790268.2019.1565707","article-title":"Living with spinal cord injury in Mongolia: A qualitative study on perceived environmental barriers","volume":"43","author":"Dorjbal","year":"2020","journal-title":"J Spinal Cord Med"},{"key":"2025121512260048000_14.5.e080633.49","first-page":"5855","article-title":"Access to Wheelchairs by persons with mobility impairment in a remote rural District of Kwazulu-natal, South Africa: therapists\u2019 perspectives","volume":"21","author":"McIntyre","year":"2021","journal-title":"RRH"},{"key":"2025121512260048000_14.5.e080633.50","doi-asserted-by":"crossref","first-page":"120197","DOI":"10.1016\/j.jns.2022.120197","article-title":"Improving functional disability in patients with tremor: A clinical perspective of the efficacies, considerations, and challenges of Assistive technology","volume":"435","author":"Bhidayasiri","year":"2022","journal-title":"Journal of the Neurological Sciences"},{"key":"2025121512260048000_14.5.e080633.51","doi-asserted-by":"crossref","DOI":"10.4102\/ajod.v12i0.975","article-title":"Social participation of individuals with spinal injury using Wheelchairs in rural Tanzania after peer training and entrepreneurial skills training","volume":"12","author":"de Serres-Lafontaine","year":"2023","journal-title":"Afr J Disabil"},{"key":"2025121512260048000_14.5.e080633.52","doi-asserted-by":"crossref","first-page":"361","DOI":"10.3109\/17483107.2014.989420","article-title":"A review of factors influencing participation in social and community activities for wheelchair users","volume":"11","author":"Smith","year":"2016","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.53","unstructured":"World Engagement Institute . Sustainable Capacity\u2014Systemic Development Model, 2012. Available: http:\/\/www.weinstitute.org\/methods.html"},{"key":"2025121512260048000_14.5.e080633.54","doi-asserted-by":"publisher","DOI":"10.1080\/10400435.2003.10131885"},{"key":"2025121512260048000_14.5.e080633.55","first-page":"591","article-title":"Theoretic models for recommendation and implementation of Assistive technology 1","volume":"24","author":"de Jesus Alves","year":"2016","journal-title":"Cadernos de Terapia Ocupacional Da UFSCar"},{"key":"2025121512260048000_14.5.e080633.56","doi-asserted-by":"crossref","unstructured":"Lakatos I . Falsification and the methodology of scientific research programmes. In: Lakatos I , Musgrave A , eds. Criticism and the Growth of Knowledge. Cambridge: Cambridge University Press, 1970: 91\u2013196.","DOI":"10.1017\/CBO9781139171434.009"},{"key":"2025121512260048000_14.5.e080633.57","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jcbs.2013.09.003","article-title":"Pragmatism, realism, and psychology: understanding theory selection criteria","volume":"2","author":"Long","year":"2013","journal-title":"J Context Behav Sci"},{"key":"2025121512260048000_14.5.e080633.58","doi-asserted-by":"crossref","DOI":"10.1016\/j.neulet.2021.136207","article-title":"Mini-review: rehabilitation engineering: research priorities and trends","volume":"764","author":"Satpute","year":"2021","journal-title":"Neurosci Lett"},{"key":"2025121512260048000_14.5.e080633.59","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1080\/10400435.2021.1956638","article-title":"International research priorities on the role of cognition in power mobility device use: in pursuit of informed clinical practices and knowledge translation","volume":"35","author":"Best","year":"2023","journal-title":"Assist Technol"},{"key":"2025121512260048000_14.5.e080633.60","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1080\/17483107.2019.1650300","article-title":"Stakeholder perspectives on research and development priorities for mobility Assistive-technology: a literature review","volume":"16","author":"Alqahtani","year":"2021","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.61","unstructured":"Fawcett J . Evaluating conceptual-theoretical-empirical structures for research. In: Fawcett J , ed. The Relationship of Theory and Research. 3rd edn. Philadelphia: F.A. Davis Company, 1999: 85\u2013117."},{"key":"2025121512260048000_14.5.e080633.62","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.11124\/JBIES-20-00361","article-title":"Language bias in systematic reviews: you only get out what you put in","volume":"18","author":"Stern","year":"2020","journal-title":"JBI Evid Synth"},{"key":"2025121512260048000_14.5.e080633.63","unstructured":"Zabala J . The SETT framework: critical areas to consider when making informed Assistive technology decisions. paper presented at: 4TH Florida Assistive technology impact conference and technology and media division of Council for exceptional children; 1995 mar 2-4; Orlando, FL. ERIC number: Ed381962. Available: https:\/\/eric.ed.gov\/?id=ED381962"},{"key":"2025121512260048000_14.5.e080633.64","unstructured":"Wisconsin Assistive Technology Initiatives . Assistive technology consideration. 2003. Available: https:\/\/www.wati.org\/"},{"key":"2025121512260048000_14.5.e080633.65","unstructured":"Lauer A , Longenecker Rust K , Smith RO . \u201cATOMS project technical report: factors in Assistive technology device abandonment: replacing \u201cabandonment\u201d with \u201cdiscontinuance\". ATOMS project\u201d. 2006. Available: http:\/\/www.r2d2.uwm.edu\/atoms\/archive\/technicalreports\/tr-discontinuance.html#fig1"},{"key":"2025121512260048000_14.5.e080633.66","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1080\/17483107.2018.1425748","article-title":"Abandonment of Assistive products: assessing abandonment levels and factors that impact on it","volume":"13","author":"Sugawara","year":"2018","journal-title":"Disabil Rehabil Assist Technol"},{"key":"2025121512260048000_14.5.e080633.67","doi-asserted-by":"crossref","unstructured":"Cruz DM , Emmel MLG , Manzini MG , et al . Assistive technology accessibility and abandonment: challenges for occupational therapists. Open J Occupat Ther 2016;4. doi:10.15453\/2168-6408.1166","DOI":"10.15453\/2168-6408.1166"},{"key":"2025121512260048000_14.5.e080633.68","doi-asserted-by":"publisher","DOI":"10.1177\/1077558711430690"},{"key":"2025121512260048000_14.5.e080633.69","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-015-0209-1","article-title":"A refined compilation of implementation strategies: results from the expert recommendations for implementing change (ERIC) project","volume":"10","author":"Powell","year":"2015","journal-title":"Implement Sci"},{"key":"2025121512260048000_14.5.e080633.70","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2019.00003","article-title":"Enhancing the impact of implementation strategies in Healthcare: A research agenda","volume":"7","author":"Powell","year":"2019","journal-title":"Front Public Health"},{"key":"2025121512260048000_14.5.e080633.71","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-019-0892-4","article-title":"Choosing implementation strategies to address Contextual barriers: diversity in recommendations and future directions","volume":"14","author":"Waltz","year":"2019","journal-title":"Implement Sci"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2023-080633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T20:26:14Z","timestamp":1765830374000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2023-080633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":71,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,15]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bmjopen-2023-080633"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2023-080633","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}