Work

Evaluating the role of simple assistive devices in promoting motivation and self-care in chronic disease management

Year: 2025

Type: article

Abstract: This study evaluates the development and distribution of simple assistive devices designed to support individuals in managing their health conditions at home. The focus is on older adults from lower socio-economic groups in Stoke-on-Trent and Newcastle-under-Lyme, UK. Assistive kits were distributed to participants between December 2021 and April 2022, addressing weight management, diabetic foot care, mental wellbeing, and daily living independence. Each kit contained affordable and accessible assistive devices, including portion plates, exercise bands, and remote-operated plugs, alongside educational materials to promote self-care. Feedback was collected between March and June 2022 to assess user satisfaction and engagement. A qualitative analysis, informed by self-determination theory, explored how these kits supported autonomy, competence, and relatedness in self-management. Over 90 % of recipients reported using the kits more than once weekly and an increased confidence in managing their health conditions independently. Qualitative analysis indicated that the kits facilitated motivation towards self-management by enhancing users' autonomy, competence, and social connectedness. However, barriers such as cost, availability, and lack of support were identified as limiting factors for broader adoption. This study highlights the potential of affordable, simple assistive devices to empower individuals in managing their health and wellbeing. The initiative demonstrates a promising approach to addressing health management challenges in lower socio-economic groups. Further research is needed to expand access and refine interventions to maximise impact and improve quality of life. • Assistive devices help older adults manage chronic conditions independently. • Socioeconomic factors impact access to assistive technology for self-care. • Over 90 % of users reported regular kit use and improved confidence in health management. • Kits promote autonomy, competence, and motivation per self-determination theory. • Further research is needed to assess long-term impact and expand accessibility.

Source: Preventive Medicine

DOI: 10.1016/j.ypmed.2025.108256