Measuring quality of life in prosthetic practice

Desmond, Deirdre

doi:10.1080/03093640600988633

Cited by 31 publications

(35 citation statements)

References 67 publications

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“…Quality of life (QOL) is often noted as an outcome of rehabilitation medicine [36]. However, there is difficulty in understanding how QOL is most appropriately operationalized within the prosthetic setting due to its multidimensional and subjective nature and the large amount of QOL measures that have been used in the literature [37]. In the absence of a consensual definition and gold standard measurement, it is advised that at a service level, the definition of QOL that is subscribed to is explicated and that at an individual level, there is the opportunity to identify domains of QOL of most relevance to the person.…”

Section: Discussionmentioning

confidence: 99%

Developing consensus on important factors associated with lower limb prosthetic prescription and use

Schaffalitzky¹,

MacLachlan²,

Wegener³

2012

Disability and Rehabilitation

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Section: Discussionmentioning

confidence: 99%

Developing consensus on important factors associated with lower limb prosthetic prescription and use

Schaffalitzky¹,

MacLachlan²,

Wegener³

2012

Disability and Rehabilitation

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“…Measures of QoL provide insight into the subjective experience of illness and disability, taking into account a broad range of areas including perceived health and physical functioning, social relationships, psychological well-being, and environmental support, and their inclusion in routine clinical assessment following amputation has been recommended (12). QoL is a complex issue, however, and research in this patient group has been hampered by methodological issues including heterogeneity of samples and measurement tools, and a surplus of cross-sectional designs (13,14).…”

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confidence: 99%

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Coffey

Desmond

2014

Archives of Physical Medicine and Rehabilitation

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Objective: (1) To identify significant changes in disability and quality of life (QoL) across three time points (T1 = admission to rehabilitation, T2 = six weeks post-discharge, T3 = six months post-discharge) in individuals with lower limb amputation, and (2) to examine whether goal pursuit and goal adjustment at T1 were predictive of these outcomes at T3.Design: Prospective cohort study. Setting: Inpatient rehabilitation.Participants: Consecutive sample of 64 persons aged 18 years and over with major lower limb amputation.Interventions: Not applicable. Main Outcome Measures: World Health Organisation Disability Assessment ScheduleVersion 2.0 (WHODAS 2.0); World Health Organisation Quality of Life Questionnaire-Brief Version (WHOQOL-BREF).Results: Mean WHODAS 2.0 scores were in the 95 th percentile at each time point. Scores on the WHODAS 2.0 and the physical, psychological and social relationships domains of the WHOQOL-BREF remained stable across the study period. Environmental QoL scores decreased from T1 to T2, but returned to near-baseline levels between T2 and T3. Having a greater tendency towards goal pursuit at T1 was predictive of higher physical and psychological QoL at T3, while having a stronger disposition towards goal adjustment at T1 predicted lower disability and higher environmental QoL at T3. Conclusions:High levels of disability were experienced from admission to rehabilitation up to six months post-discharge. QoL in the physical, psychological and social relationships domains remained stable over the study period. Stronger goal pursuit and goal adjustment 3 tendencies on admission predicted lower disability and higher QoL six months postdischarge. and health classification system that offers a generic framework for describing the consequences of illness and disability and the dynamic interplay of personal and environmental factors (5), and has been applied to a number of conditions, including LLA (5, 6). The ICF classifies functioning and disability into two components: (1) body functions and structures (at the level of the body or body part), which are interpreted through changes in physiological systems or anatomical structures; and (2) activities (at the level of the whole person) and participation (at the level of the whole person in a social context), which are interpreted through capacity and performance.The primary goal of rehabilitation is to achieve optimal functioning (as appropriate to the individual) at each of these levels (7). Recent reviews indicate that most rehabilitation outcomes research among persons with LLA has been at the level of body functions and structures (2) or specific activities such as mobility (6) Theories of self-regulation may help to increase understanding of adjustment to LLA (17, 18). According to this perspective, human behaviour is organised around the pursuit of goals, which energise activities and give structure and meaning to people's lives and are thus closely linked with their subjective well-being (19-21). Indeed, negative associations hav...

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“…As a result, there is a search for a theoretical concept to develop a (new) framework for measuring quality of care. [1][2][3][4][5] In the case of limb amputees, different questionnaires [6][7][8][9] have been used in order to assess the experiences of people wearing a prosthesis. These questionnaires focus on the quality of life or the satisfaction of the amputee with a certain prosthesis or with the quality of care.…”

Section: Introductionmentioning

confidence: 99%

Consumer Satisfaction with the Services of Prosthetics and Orthotics Facilities

Bosmans¹,

Geertzen

Dijkstra

2009

Prosthetics &Amp; Orthotics International

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Consumer satisfaction with the services provided in a prosthetics and orthotics (P&O) facility has seldom been studied. The aim of this study was to analyze consumer satisfaction regarding the services provided by 15 P&O facilities in The Netherlands. Consumers ( n = 1,364) of these P&O facilities who were fitted with a prosthesis, orthopaedic shoes, an orthosis, or another device, were asked to rate the overall services provided and whether they were satisfied with the device provided and its delivery time. Additionally, they filled in a modified SERVQUAL questionnaire (see Appendix). Consumers gave the service provided by P&O facilities a mean overall rating of 8.1. The highest ratings were given by consumers fitted with a prosthesis (mean overall rating of services: 8.4). In total, 78% of the consumers were satisfied with the device provided and 93% with the delivery time. The results of our study showed that, on the SERVQUAL, 50% of the statements fulfilled the criteria for a satisfactory quality of the services. The overall consumer rating of the service provided by P&O facilities is high and depends on the device provided. The outcomes on the SERVQUAL were moderate. In future, it is important to study consumer satisfaction more extensively in order to improve the quality of P&O services in daily practice. Additionally, specific questionnaires need to be developed to measure all aspects of prosthetic and orthotic care, with the aim to improve the services.

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Measuring quality of life in prosthetic practice

Cited by 31 publications

References 67 publications

Developing consensus on important factors associated with lower limb prosthetic prescription and use

Developing consensus on important factors associated with lower limb prosthetic prescription and use

Goal Pursuit and Goal Adjustment as Predictors of Disability and Quality of Life Among Individuals With a Lower Limb Amputation: A Prospective Study

Consumer Satisfaction with the Services of Prosthetics and Orthotics Facilities

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