Assistive Technology The Historical Foundation of Assistive Technology
Assistive Technology The Historical Foundation of Assistive Technology
Assistive Technology The Historical Foundation of Assistive Technology
Ms. Weber
12 March 2021
Assistive Technology
The origin of assistive technology dates back to 1808. Countess Carolina Fantoni da
Fivizzono had a visual impairment, which made it difficult for her to write. Pellegrino Turri, her
friend, built a manual typewriter to help her write legibly. This manual typewriter was the first
ever manual typewriter (Dell et al., 2017). Because of Pellegrino Turri’s development, people
with disabilities were given a tool to communicate effectively through writing. According to Dell
et al. (2017), “In more recent times, Bob Williams, a disability rights advocate who has physical
disabilities and cannot speak, identifies a typewriter as his first piece of technology” (p.9). This
piece of technology enhanced his abilities in reading, reading comprehension, and writing. The
In the 1980s, the first computer was invented and made available to the public. According
to Dell et al. (2017), “Peripherals that turned PCs into talking machines for people who could not
speak quickly followed” (p.9). Contrary to the typewriter, the computer gave people the ability to
delete and insert text without having to retype the entire page. Since the 1980s, technology has
advanced significantly. Not only are computers updated, but there are also now laptops, tablets,
cell phones, and smart devices. These products, along with many others, are constantly updated
to meet the changing wants and needs of our society. While many people believe that technology
consumes our society in a negative way, it can be a useful and powerful tool for people with
disabilities. Technology “has the potential to empower people with disabilities with opportunities
to participate in their communities and achieve more than ever before” (Dell et al., 2017, p.13).
Technology that supports people with disabilities is referred to as assistive technology. Assistive
Individuals with Disabilities Act of 1988 (Tech Act). The Tech Act defined assistive technology
in terms of supplementary aids and services and limited the consideration of assistive technology
to students with severe disabilities. The IDEA 1997 reauthorization adopted the definition found
in the Tech Act. It provided a clear definition of assistive technology, as well as required the
consideration of the assistive technology needs of every student in preschool to twelfth grade (P-
12) settings. The Individuals with Disabilities Education Act (IDEA 2004), a federal special
IDEA 2004
In IDEA 2004, there are two parts in the definition of assistive technology – assistive
technology devices and assistive technology services. Dell et al. (2017) provides the following
definition of an assistive technology device versus an assistive technology service from IDEA
2004:
The above definition is included in IDEA 2004 because the law requires that assistive technology
devices and services be provided to students with disabilities only if the assistive technology is
essential for accessing education and education-related resources. Assistive technology must be
considered in the individualized education program (IEP) development process (Dell et al.,
2017). In addition to IDEA 2004, there are two other federal laws that have great significance to
assistive technology.
Section 504 of the Rehabilitation Act of 1973 (Section 504) states that no individual with
a disability in the United States of America be excluded from participation in and be denied the
benefits of any federally funded programs or activities solely because of his or her disability. The
law prohibits discrimination against an individual with a disability, which makes it a civil rights
provision. Because school districts are funded by the government, they all must comply with
Section 504. According to Dell et al. (2017), Section 504 does not just apply to students with
disabilities under the 13 categories of disabilities identified in IDEA 2004. Section 504:
applies to all students with disabilities, even those who are not eligible for special
education. Students with medical conditions, such as heart malfunctions, blood disorders,
considered to have a disability and are entitled to accommodations under Section 504 if
and without disabilities. Students who are considered to have a disability under the law may be
The Americans with Disabilities Act (ADA) is considered a civil rights law. ADA is
aimed at preventing discrimination against individuals with disabilities in all settings regardless
of if they do or do not receive federal funds. The law extends past the school. However, the law
is still important for the school – “especially for students pursuing postsecondary education
because these students are no longer covered by IDEA” (Dell et al., 2017, p.8). While ADA does
not specifically mention assistive technology, it is typically associated with the “auxiliary aids
and services” that must be provided to make programs accessible for all.
According to Dell et al. (2017), “The Quality Indicators for Assistive Technology (QIAT)
identify best practices in selecting and implementing assistive technology for individuals with
all areas of QIAT. It is “essential that all AT services developed and delivered by states or
districts are legally correct according to the mandates and expectations of federal and state laws
and are aligned to district policies” (QIAT, 2021). It is also essential that all assistive technology
(AT) efforts involve a collaborative team of families and professionals. All members of the team
must adhere to their specific profession’s code of ethics. QIAT includes eight Quality Indicators
The first Quality Indicator is Consideration of AT Needs. This indicator is “an integral
part of the educational process contained in IDEA for referral, evaluation, and IEP development”
(QIAT, 2021). Assistive technology is considered at all stages of the IEP process. The
technology in the IEP process as mandated by the special education federal law, IDEA 2004.
Assistive technology should be considered for all students with disabilities. Assistive technology
During the IEP process, the IEP team should use a collaborative decision making process.
By using this process, it provides a platform for all members of the IEP team. Teachers can share
their professional knowledge, knowledge of the student, and beliefs concerning the student,
while families also voice their knowledge of and concerns for the student. Teachers can provide
data from assessments, while parents can paint a picture of how the student is at home. By
hearing from an “outsider” (professionals) and an “insider” (families), it ensures that decisions
about the need for assistive technology devices and services are made in the best interest of the
student. The decisions about the need for assistive technology devices and services should be
“based on the student’s IEP goals and objectives, access to curricular and extracurricular
activities, and progress in the general education curriculum” as well (QIAT, 2021). If the IEP
team concludes that assistive technology is needed, the IEP explores all devices and services that
process conducted by the IEP team to identify assistive technology devices, services, and
strategies that meet a student’s specific needs. The IEP team members should share their
knowledge and skills to “determine possible assistive technology solutions that address the needs
and abilities of the student, demands of the customary environments, educational goals, and
related activities” (QIAT, 2021). The decisions that the IEP team make regarding the student
should be evidence-based. Assessment data can be collected from summative assessments, direct
observation, anecdotal records, interviews, and results of experimental trials. Assessments must
be implemented with fidelity to ensure that the data collected is representative of the student’s
The third Quality Indicator is AT in the IEP. According to IDEA 2004, the IEP team
must consider the assistive technology needs in the development of every IEP. The IEP team
“illustrates that assistive technology is a tool to support achievement of goals and progress in the
general education curriculum by establishing a clear relationship between student needs, assistive
technology devices and services, and the student’s goals and objectives” (QIAT, 2021). As it is
with all IEP goals, the assistive technology goals should be measurable and observable.
The fourth Quality Indicator is AT Implementation. This Quality Indicator pertains to the
ways that assistive technology devices and services are provided to the student. In order for the
implementation of AT to be successful and effective, the IEP team and other main figures in the
student’s personal and academic life must work together to support the student in using assistive
technology to participate in school and home activities. As demonstrated by the last three Quality
Indicators discussed above, collaboration is key to the success of the student. It is important that
the student is taught how to use the assistive technology prior to the student using the assistive
technology independently. It is also important that the student’s assistive technology is not used
in isolation – used only in the school environment or used only in the home environment. This
would not allow for generalization. Instead, the assistive technology should be integrated into all
The fifth Quality Indicator is Evaluation of the Effectiveness of AT, which addresses the
effectiveness of the assistive technology devices and/or services provided to the student. The
evaluation “includes data collection, documentation, and analysis to monitor changes in the
student performance resulting from the implementation of assistive technology” (QIAT, 2021).
The evaluation data should be related to one or more IEP goals and demonstrate the qualitative
and quantitative measurement of changes in the student’s performance and achievement (QIAT,
2021). Based on the evaluation data, the IEP team can make evidence-based decisions regarding
the effectiveness of assistive technology devices and services in the student’s life.
The sixth Quality Indicator is AT in Transition. Transition plans “for students who use
assistive technology address the ways the student’s use of assistive technology devices and
services are transferred from one setting to another” (QIAT, 2021). Transition planning begins
when the student is fourteen years of age. By this point, the student can be an active member of
the IEP team. The IEP team asks the student where he/she sees him/herself after graduating high
school. Some students might want to go to a trade school, while others might want to attend a
four year college. The IEP team makes efforts to guide the student towards that vision.
and other supports necessary to improve the quality of services and sustain effective assistive
technology programs” (QIAT, 2021). Administration should have procedural guidelines for
school personnel to follow when developing, implementing, and evaluating assistive technology
devices and services. This ensures that students with disabilities receive equal access to assistive
technology devices and services for the provision of a free, appropriate public education (FAPE)
(QIAT, 2021). It is also administration’s responsibility to employ personnel with the necessary
knowledge and skills to support the use of assistive technology devices and services by students
with disabilities.
The eighth and final Quality Indicator is AT Professional Development, which explains
quality professional development and training in assistive technology. The goal of professional
development and training in assistive technology is to “increase educators’ knowledge and skills
in…collaborative processes; a continuum of tools, strategies, and services; resource; legal issues;
action planning; data collection and analysis” (QIAT, 2021). Many people associate professional
development with early dismissal for students and full days for teachers. However, professional
development can be for more than just teachers. Parents, administrators, teacher aides, and others
involved with students can attend professional development and training sessions. The more
knowledge and skills that those involved with students possess, the more effective the selection,
disabilities, as well as exposes the challenges faced in assistive technology during the COVID-19
pandemic. In short, assistive technology can be defined as a device or service that supports a
There are currently over one billion people in the world who need access to assistive
technology, with over two billion expected by 2050. This includes persons with
disabilities, older…adults, and individuals with health conditions to lead fulfilled and
In addition to the above mentioned populations, many nondisabled and young people use
Smith et al. (2020) states that assistive technology is a “critical component of maintaining
health, wellbeing, and the realization of rights for persons with disabilities…paramount to
ensuring individuals with functional limitations have access to important health and social
service information” (p.151). This is especially crucial during the COVID-19 pandemic. People
with disabilities have been disproportionately affected by the restrictions, access to care, and the
ability to exercise their rights. Some of the challenges normally faced in assistive technology are
lack of supply, demand mismatches of products, and inadequate numbers of trained personnel to
assist those with disabilities in the selection and use of their assistive technology. These issues
Assistive technology devices and services can range from low-tech to high-tech. Low-
tech devices, such as pencil grips, do not have electronic components. Other examples of low-
tech devices are raised line paper, tactile letters, post-it notes, and slanted clipboards. These
devices are inexpensive and easy to learn to use. High-tech devices, such as augmentative
devices include alternative keyboards, voice recognition software, and word processing. These
devices are typically expensive and require training to use. There are also mid-tech devices,
which are happy mediums between low-tech and high-tech devices. Mid-tech devices, such as a
digital recorder, are electronic in nature, but are much less expensive and require less training to
use than high-tech devices. Other examples of mid-tech devices are calculators, spell checkers,
and audio books. (Dell et al., 2017). The range of assistive technology is vast.
Exchange Communication System (PECS). This is considered a high-tech device. A student who
has Autism uses an iPad with PECS to communicate. Because this student is completely
nonverbal, PECS is his main avenue for communicating his needs. I have seen pictures of PECS
in my special education courses, but I never saw it in context until I met this student. While the
student is only in kindergarten, he is getting used to using PECS with ease. Assistive technology
is a necessary and valuable tool for this student. I am interested to see how this student’s use of
PECS develops through the rest of the school year as he becomes more used to the device.
References
Dell, A.G., Newton, D.A., & Petroff, J.G. (2017). Assistive technology in the classroom:
Enhancing the school experiences of students with disabilities (3rd edition). Allyn &
Quality Indicators for Assistive Technology Services (QIAT). (2021, March 11). Indicators and
matrices. https://qiat.org/indicators/
Smith, E.M., MacLachlan, M., Ebuenyi, I.D., Holloway, C., & Austin, V. (2020). Developing
inclusive and resilient systems: COVID-19 and assistive technology, 36(1), 151-154. doi:
10.1080/09687599.2020.1829558