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Developing consensus on important factors associated with lower limb prosthetic prescription and use
Elisabeth Schaffalitzky1, Pamela Gallagher, Malcolm Maclachlan
1School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
Disability and Rehabilitation
|April 13, 2012
Summary
Expert consensus identified key factors influencing lower limb prosthesis use. Addressing psychosocial aspects in prosthetic rehabilitation can improve user satisfaction and technology adoption.
Area of Science:
- Rehabilitation Medicine
- Prosthetics and Orthotics
- Human Factors Engineering
Background:
- Underuse and nonuse of lower limb prosthetic technology are significant challenges in rehabilitation.
- Improving patient satisfaction with prosthetic devices is a long-term goal.
Purpose of the Study:
- To gather expert opinions on critical outcomes, predictors, and facilitators for lower limb prosthetic prescription and use.
- To inform strategies for enhancing prosthetic technology adoption and effectiveness.
Main Methods:
- An electronic Delphi study was employed.
- A diverse expert panel of 21 service providers and users participated over three iterations.
Main Results:
- The study identified 13 key outcomes related to prosthetic use.
- 19 predictor factors and 34 facilitator factors were established through expert consensus.
Conclusions:
- Psychosocial factors in prosthetic service provision and use are often overlooked in clinical practice.
- There is a need for standardized measures to incorporate these psychosocial elements into rehabilitation protocols.
- Enhanced understanding of psychosocial factors can improve prosthetic rehabilitation outcomes.
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