What is the role of assistive technology in OT evaluation?

• A. To replace all hands-on assessment.
• B. To be used only for communication devices.
• C. To enhance independence and task performance; selection includes user fit, training needs, and compatibility with tasks.
• D. To be avoided in most assessments.

Answer: (C)

Assistive technology in OT evaluation is about helping a person perform daily activities more independently and more effectively. It’s not about replacing hands-on assessment; instead, AT is evaluated as a tool that can support participation in meaningful tasks, tested within real-life contexts to see how it affects performance, safety, and satisfaction. The most useful AT choices come from looking at three things together: how well the device fits the user (including preferences, dexterity, and cognitive load), what training and support are needed to use it well, and how well the technology matches the specific tasks the person wants to accomplish. For example, a user who struggles with writing might benefit from a voice-to-text option or an adaptive keyboard, while someone else might need environmental controls or mobility aids tailored to their home or work setup. Practical factors like durability, maintenance, and cost are also considered so the chosen AT genuinely enhances independence and fits into the person’s routines.