Current approaches for generating high-quality research evidence for technology-based interventions in the field of disability and rehabilitation are inappropriate. Prevailing approaches often focus on randomized controlled trials as standard and apply clinical trial practices designed for pharmaceuticals; such approaches are unsuitable for technology-based interventions and are counterproductive to the goals of supporting people with disabilities and creating benefits for society. This communication is designed to: (1) advocate for the use of alternative approaches to generating evidence in the development and evaluation of technology-based interventions; (2) propose an alternative framework and guiding principles; and (3) stimulate action by multiple disciplines and sectors to discuss, adopt, and promote alternative approaches. Our Framework for Accelerated and Systematic Technology-based intervention development and Evaluation Research (FASTER) is informed by established innovation design processes, complex intervention development, evaluation, and implementation concepts as well as our collective experiences in technology-based interventions research and clinical rehabilitation practice. FASTER is intended to be meaningful, timely, and practical for researchers, technology developers, clinicians, and others who develop these interventions and seek evidence. We incorporate research methods and designs that better align with creating technology-based interventions and evidence for integration into practice. We propose future activities to improve the generation of research evidence, enable the selection of research methods and designs, and create standards for evidence evaluation to support rigor and applicability for technology-based interventions. With this communication we aim to improve and advance technology-based intervention integration from conception to use, thus responsibly accelerating innovation to have greater positive benefit for people and society.

当前为残疾和康复领域基于技术的干预措施生成高质量研究证据的方法是不合适的。流行的方法通常以随机对照试验为标准，并应用专为药物设计的临床试验实践；这种方法不适合基于技术的干预措施，而且对支持残疾人和为社会创造利益的目标适得其反。本次交流旨在：(1) 提倡使用替代方法在基于技术的干预措施的开发和评估中生成证据；(2) 提出替代框架和指导原则；(3) 鼓励多个学科和部门采取行动，讨论、采用和推广替代方法。我们的加速和系统的基于技术的干预开发和评估研究框架 (FASTER) 以既定的创新设计流程、复杂的干预开发、评估和实施概念以及我们在基于技术的干预研究和临床康复实践方面的集体经验为基础. FASTER 旨在为研究人员、技术开发人员、临床医生和其他开发这些干预措施并寻求证据的人提供有意义、及时和实用的信息。我们将研究方法和设计与创建基于技术的干预措施和证据更好地结合起来，以整合到实践中。我们提出未来的活动，以改进研究证据的生成，使研究方法和设计的选择成为可能，并制定证据评估标准，以支持基于技术的干预措施的严谨性和适用性。通过这种交流，我们旨在改进和推进从概念到使用的基于技术的干预整合，从而负责任地加速创新，为人类和社会带来更大的积极利益。