# Global availability of guidelines related to assistive technology: a scoping review

## TL;DR

This review maps existing assistive technology guidelines, highlighting gaps and the need for more inclusive and globally applicable standards.

## Contribution

The study identifies a lack of guidelines for assistive products related to cognition and communication, especially in low-income regions.

## Key findings

- 24 guidelines were identified, mostly from high-income countries and focused on mobility, hearing, vision, and self-care.
- There is a significant gap in guidelines for assistive products related to cognition and communication.
- Most guidelines involved users in development and used evidence-based methodologies.

## Abstract

Given the rising global demand for assistive technology, predicted to encompass 3.5 billion people by 2050, understanding the availability of guidelines governing its use and identifying potential gaps is paramount.

This scoping review mapped existing guidelines related to assistive technology. The review aimed to inform future research and guideline development to accelerate access to assistive technology within universal health coverage.

Following the JBI methodology, a systematic search of guidelines published between January 2008 and March 2024 was conducted across CINAHL, Google Scholar, PubMed, TRIP and WHO IRIS. Included guidelines related to specific assistive technology, including product types and services for users and their caregivers. Guidelines targeting system-level interventions were excluded.

The search identified 291 records, of which 24 guidelines were included. They focus on improving health outcomes for diverse populations across different healthcare settings. Most guidelines originated from high-income countries and predominantly addressed commonly known assistive products for mobility, hearing, vision, and self-care. There is a gap in guidelines for assistive products for cognition and communication. The identified guidelines primarily followed evidence-based methodologies and involved assistive technology users in their development.

This review provides a crucial overview of the existing landscape of assistive technology guidelines. It calls for further action to harmonize standards, leverage innovation in evidence generation, and enhance guideline development to better serve the global population in need of assistive technology.