JMIR Publications

ABSTRACT

Background:

The United Nations' third Sustainable Development Goal aims to ensure healthy lives and promote well-being (WB) for all, which requires effective assistive technology (AT) for persons with disabilities (PwD). However, access to AT is limited in low- and middle-income countries (LMICs), and high abandonment rates indicate that current solutions often fail to meet users' needs. Understanding the true needs of users and the impact of AT on their WB is crucial to improving its design and effectiveness.

Objective:

This study aimed to explore the role of technology in creating opportunities and barriers in the daily lives of PwVD in LMICs, and how technology affects their WB.

Methods:

Nineteen adults with visual disability participated voluntarily. The study used qualitative methods, including semi-structured interviews and focus group. Data were audio-recorded, transcribed, and analyzed applying Deductive qualitative analysis (DQA) in the light of Capability Approach and Disadvantage Theory (DT) frameworks.

Results:

We identified the key functionings participants value in a good life, noting that many of these remain insecure, with some even constituting corrosive disadvantages (e.g., affiliation, employment, and mobility). Additionally, we found fertile functionings such as sport and work. Technology plays a role in enhancing participants' WB by enabling natural, human, and fluid interactions.

Conclusions:

While participants' lives may not fully align with their ideal WB, technology offers potential to help bridge this gap. In-depth studies of disability experiences and the application of social justice frameworks can provide valuable insights for developing more effective, inclusive, and contextually relevant technologies.