Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective

Assistive technology (AT) is often required to facilitate the performance of occupations and promote inclusion and reduction of dependency among persons with spinal cord injury (SCI). However, only 5-15% of individuals in developing countries have access to AT. This study is aimed at exploring the e...

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Main Authors: Daryl Patrick G. Yao, Kaoru Inoue, Michael P. Sy, Peter Bontje, Natsuka Suyama, Chiyomi Yatsu, Dante A. Perez, Yuko Ito
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2020/6696296
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author Daryl Patrick G. Yao
Kaoru Inoue
Michael P. Sy
Peter Bontje
Natsuka Suyama
Chiyomi Yatsu
Dante A. Perez
Yuko Ito
author_facet Daryl Patrick G. Yao
Kaoru Inoue
Michael P. Sy
Peter Bontje
Natsuka Suyama
Chiyomi Yatsu
Dante A. Perez
Yuko Ito
author_sort Daryl Patrick G. Yao
collection DOAJ
description Assistive technology (AT) is often required to facilitate the performance of occupations and promote inclusion and reduction of dependency among persons with spinal cord injury (SCI). However, only 5-15% of individuals in developing countries have access to AT. This study is aimed at exploring the experience of Filipinos with SCI as they use AT and understand these from an occupational justice (OJ) perspective. This study utilised a hermeneutic phenomenological approach to explore the participants’ experiences with AT usage. Ten participants were recruited from a hospital and communities within Metro Manila, Philippines, and interviewed last January 2020. Hermeneutic analysis was done to interpret the shared meaning embedded within their experiences and was informed by an occupational justice perspective. Exploring the experience of the participants in using AT yielded four themes, namely, (1) engaging in occupations despite limited opportunities, (2) going to various locations amidst an inaccessible environment, (3) striving towards inclusion in spite of attitudinal barriers, and (4) securing needs in light of unfavourable life conditions. Filipinos with SCI deal with numerous structural and contextual factors in daily life. There has been partial enablement of OJ as they incorporate AT in their daily lives as occupational rights are far from being recognised and respected. In infusing an OJ perspective to understanding AT use, OT practitioners are bound to identify problems and courses of action that go beyond traditional service delivery.
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spelling doaj-art-36dad831854443ce911eefc9c928b6af2025-02-03T01:04:02ZengWileyOccupational Therapy International0966-79031557-07032020-01-01202010.1155/2020/66962966696296Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice PerspectiveDaryl Patrick G. Yao0Kaoru Inoue1Michael P. Sy2Peter Bontje3Natsuka Suyama4Chiyomi Yatsu5Dante A. Perez6Yuko Ito7Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanOccupational Therapy Section, Department of Rehabilitation Medicine, Philippine Orthopaedic Centre, Quezon City, PhilippinesDepartment of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JapanAssistive technology (AT) is often required to facilitate the performance of occupations and promote inclusion and reduction of dependency among persons with spinal cord injury (SCI). However, only 5-15% of individuals in developing countries have access to AT. This study is aimed at exploring the experience of Filipinos with SCI as they use AT and understand these from an occupational justice (OJ) perspective. This study utilised a hermeneutic phenomenological approach to explore the participants’ experiences with AT usage. Ten participants were recruited from a hospital and communities within Metro Manila, Philippines, and interviewed last January 2020. Hermeneutic analysis was done to interpret the shared meaning embedded within their experiences and was informed by an occupational justice perspective. Exploring the experience of the participants in using AT yielded four themes, namely, (1) engaging in occupations despite limited opportunities, (2) going to various locations amidst an inaccessible environment, (3) striving towards inclusion in spite of attitudinal barriers, and (4) securing needs in light of unfavourable life conditions. Filipinos with SCI deal with numerous structural and contextual factors in daily life. There has been partial enablement of OJ as they incorporate AT in their daily lives as occupational rights are far from being recognised and respected. In infusing an OJ perspective to understanding AT use, OT practitioners are bound to identify problems and courses of action that go beyond traditional service delivery.http://dx.doi.org/10.1155/2020/6696296
spellingShingle Daryl Patrick G. Yao
Kaoru Inoue
Michael P. Sy
Peter Bontje
Natsuka Suyama
Chiyomi Yatsu
Dante A. Perez
Yuko Ito
Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
Occupational Therapy International
title Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
title_full Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
title_fullStr Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
title_full_unstemmed Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
title_short Experience of Filipinos with Spinal Cord Injury in the Use of Assistive Technology: An Occupational Justice Perspective
title_sort experience of filipinos with spinal cord injury in the use of assistive technology an occupational justice perspective
url http://dx.doi.org/10.1155/2020/6696296
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