Acceptability and usability of assistive equipment and technology by individuals with multiple sclerosis: A qualitative study with occupational therapists

Introduction: Assistive equipment and technology (AE&T) is often part of occupational therapy practice for individuals with multiple sclerosis (MS). We aim to explore the acceptability and usability of AE&T by people with MS from the perspective of occupational therapists.Methods: Our study applied a qualitative descriptive design, using semi-structured interviews conducted with five qualified occupational therapists with at least 6 months of experience in providing occupational therapy to adults with MS. Reflexive thematic analysis was used for data analysis.Findings: Three developed themes describe the occupational therapists' experiences: 'The cognitive impact of the illness rather than the physical', 'There's a drive to not let the MS win' and 'They have to experience it by doing'. Therapists perceive cognitive changes, the meaning of technology and a person-centred approach as elements influencing the acceptability and usability of AE&T.Conclusion: Our findings highlight the importance of using core occupational therapy principles and approaches to best support people with MS in using AE&T effectively.