Amputation-specific and generic correlates of participation among Veterans with lower limb amputation

Christopher R Erbes, John E Ferguson, Kalia Yang, Sara Koehler-McNicholas, Melissa A. Polusny, Brian J. Hafner, Allen W. Heinemann, Jessica Hill, Tonya L Rich, Nicole Walker, Marilyn Weber, Andrew Hansen

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Participation in valued interpersonal and community activities is a key component of rehabilitation for Veterans with amputation. The purpose of this study was to identify specific factors that promote or inhibit participation to inform development of interventions that may facilitate participation in desired life activities. A convenience sample of 408 Veterans with at least one lower limb amputation and who had received outpatient care from the Regional Amputation Center (RAC) completed a mailed survey. Participation was measured using the Community Participation Indicators (CPI) Importance, Control, and Frequency scales and the Patient Reported Outcome Measurement Information System (PROMIS) Ability to Participate in Social Roles and Satisfaction with Social Participation scales. Multiple imputation procedures were used to address missing data. Correlates of participation were examined through multiple linear regression. A total of 235 participants completed the survey, a response rate of 58%. Levels of participation, measured with the PROMIS instruments, were 43.2 (SD = 8.1) for Ability and 46.4 (SD = 8.6) for Satisfaction. Regression analyses found robust amputation-specific correlates for participation, including body image and balance confidence. Generic (non-amputation specific) correlates for participation included depression and pain interference. Development of treatment approaches and devices that can address body image, balance confidence, pain, and mental health concerns such as depression have the potential to enhance the participation and rehabilitation of Veterans with lower limb amputation.

Original languageEnglish (US)
Article numbere0270753
JournalPloS one
Volume17
Issue number7
DOIs
StatePublished - Jul 2022

Bibliographical note

Publisher Copyright:
© 2022 Public Library of Science. All rights reserved.

Keywords

  • Amputation, Surgical/rehabilitation
  • Amputees/rehabilitation
  • Artificial Limbs
  • Humans
  • Lower Extremity/surgery
  • Pain
  • Veterans

PubMed: MeSH publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Journal Article

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