From multiple studies conducted through the FCDO AT2030 Programme, as well as key literature, we examine whether Assistive Technology (AT) provision models could look towards more sustainable approaches, and by doing this benefit not only the environment, but also address the problems that the current provision systems have. We show the intrinsic links between disability inclusion and the climate crisis, and the particular vulnerability people with disabilities face in its wake. In particular, we discuss how localised circular models of production could be beneficial, facilitating context driven solutions and much needed service elements such as repair and maintenance. Key discussion areas include systems approaches, digital fabrication, repair and reuse, and material recovery. Finally, we look at what needs be done in order to enable these approaches to be implemented. In conclusion, we find that there are distinct parallels between what AT provision models require to improve equitable reliable access, and strategies that could reduce environmental impact and bring economic benefit to local communities. This could allow future AT ecosystems to be key demonstrators of circular models, however further exploration of these ideas is required to make sense of the correct next steps. What is key in all respects, moving forward, is aligning AT provision with sustainability interventions.

Elastomeric liners are commonly worn between the prosthetic socket and the limb. A number of improvements to the state of the art of liner technology are required to address outstanding problems. A liner that conforms to the residuum more accurately, may improve the skin health at the stump-socket interface. Previous work has shown that for effective thermal management of the socket environment, an active heat removal system is required, yet this is not available. Volume tracking of the stump could be used as a diagnostic tool for looking at the changes that occur across the day for all users, which depend on activity level, position, and the interaction forces of the prosthetic socket with the limb. We believe that it would be advantageous to embed these devices into a smart liner, which could be replaced and repaired more easily than the highly costly and labour-intensive custom-made socket. This paper presents the work to develop these capabilities in soft material technology, with: the development of a printable nanocomposite stretch sensor system; a low-cost digital method for casting bespoke prosthetic liners; a liner with an embedded stretch sensor for growth / volume tracking; a model liner with an embedded active cooling system.

We introduce ShapeBand, a new shape-changing wristband designed for exploring multisensory and interactive anxiety regulation with soft materials and physiological sensing. Our approach takes a core principle of self-help psychotherapeutic intervention, aiming to help users to recognize anxiety triggers and engage in regulation with attentional distraction. We conducted user-centered design activities to iteratively refine our design requirements and delve into users’ rich experiences, preferences, and feelings. With ShapeBand, we explored bidirectional and dynamic interaction flow in anxiety regulation and subjective factors influencing its use. Our findings suggest that integrating both active and passive modulations can significantly enhance user engagement for effective anxiety intervention. Further, different interactions, characterized by dynamic alterations in bubbles and water flow in the ShapeBand, can provide users with a gamified experience and convey more potent effects. This study provides valuable insights into the future design of tangible anxiety regulation interfaces that can be tailored to subjective feelings and individual needs.

We introduce ShapeBand, a new shape-changing wristband designed for exploring multisensory and interactive anxiety regulation with soft materials and physiological sensing. Our approach takes a core principle of self-help psychotherapeutic intervention, aiming to help users to recognize anxiety triggers and engage in regulation with attentional distraction. We conducted user-centered design activities to iteratively refine our design requirements and delve into users’ rich experiences, preferences and feelings. With ShapeBand, we explored bidirectional and dynamic interaction flow in anxiety regulation and subjective factors influencing its use. Our findings suggest that integrating both active and passive modulations can significantly enhance user engagement for effective anxiety intervention. This study provides valuable insights into the future design of tangible anxiety-regulation interfaces that can be tailored to subjective feelings and individual needs.