The main objective of this study was demonstrating the clinical effectiveness of the Home Care Activity Desk (HCAD) system in a home setting. The study was partly a randomized control trial study in which HCAD is compared to usual care. The patients using the HCAD system show during the month of treatment significant improvements on the individual tasks measured by the execution time. The overall results of the HCAD system concerning clinical effectiveness are positive. The HCAD system for chronic Stroke, TBI and MS patients is shown to be at least as effective as usual care.

Background: Over the last 15 years, inclusive education has been formally established in Serbia as a mandatory approach for all students, ensuring equal rights and access to education without discrimination on any grounds. In addition to mainstream schools, Serbia also has special schools for students with developmental challenges and disabilities. Although some special schools in Serbia have been functioning as resource centers (RCs) for a long time now, 13 RCs have only recently been officially established, aiming to support inclusive education through assistive technology (AT) among other things. Objective: The research reported in this study was conducted within a project that aims to address challenges in implementing and improving inclusive education in the Republic of Serbia, focusing on the existing capacities and difficulties in how RCs provide AT services to mainstream schools to offer a set of recommendations to inform the development of RCs in the country. Method: A SWOT analysis involving 80 respondents was conducted. Fifty-three respondents completed a questionnaire online, while further 27 respondents participated in five focus groups. Groups involved experts working in the RCs, suppliers and manufacturers of AT, parents of persons with disabilities, and expert associates from mainstream schools. The data was analyzed using a SWOT framework. Results: The respondents reported that human capacities (e.g., motivation and experience) were the main strength. Weaknesses included lack of specific and modern knowledge about working with children with different conditions, as well as specific knowledge about the AT itself. Intersectoral cooperation was pointed out as the main opportunity, while obstacles were recognized in almost all work segments (lack of finances, lack of staff, lack of adequate legal regulations and communication and cooperation). Conclusion: Based on the results achieved, potential solutions for overcoming the existing obstacles in resource centers were proposed.

Population-level evidence on how different phases of assistive technology service delivery contribute to user satisfaction with assistive products remains limited, despite its importance for strengthening provision systems. This study investigates how different aspects of assistive technology service delivery influence user satisfaction with assistive products and their perceived usefulness. Drawing on data from 992 Italian respondents to the WHO rapid Assistive Technology Assessment (rATA) survey, hierarchical regression and mediation analyses were conducted to examine the relative contribution of pre- and post-delivery services (i.e., assessment and training, and maintenance and follow-up) to overall product satisfaction. Results showed that satisfaction with pre-delivery services (β = 0.571, p < 0.001) was the strongest predictor of product satisfaction, followed by post-delivery services (β = 0.280, p < 0.001). Together, both service dimensions explained nearly 60% of the variance in product satisfaction (R² = 0.595). Mediation analysis further revealed that satisfaction with pre-delivery services partially mediated the relationship between product satisfaction and perceived usefulness (β = 0.147, p < 0.001), accounting for 29% of the total effect. These findings suggest a complementary pattern, in which pre-delivery services may provide a foundation for positive user experiences, while post-delivery services contribute meaningfully to sustaining satisfaction and perceived usefulness. The results provide population-level insights that may support national reflections on how to strengthen assistive technology service delivery, while recognizing that both early- and later-stage service components play important and interdependent roles.