The Trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation 1☆,
Section snippets
Participants
Of 169 potential respondents, 63 people (37% response rate) returned completed questionnaires and were included in this study. The characteristics of the sample are outlined in table 1. As can be seen, the sample was predominantly male, with the prevalent cause of amputation being trauma or accident. In addition, the most common level of amputation was below knee.
World Health Organization Quality of Life Questionnaire
The World Health Organization Quality of Life Questionnaire (Brief Version)37 (WHOQOL-BREF) considers QOL as a broad-ranging concept
Results
There were no significant relationships between age and each of the QOL domain scores. There was a significant relationship between length of time living with the prosthesis and each of physical health (r=.26, P<.05), social relationships (r=.29, P<.05), and the environment (r=.33, P<.01) scales on the WHOQOL. There was also a significant relationship between degree of prosthetic use and both the psychological domain (r=.29, P<.05) and the social relationships domain (r=.50, P<.001). There were
Discussion
The ability of the TAPES to predict a significant amount of variance for each of the 4 domains of QOL identified by the WHOQOL highlights the potential usefulness of the TAPES as a disorder-specific index of QOL for amputees. In particular, the ability of the TAPES to account for 84% of the variance in the physical domain of QOL is indicative of the usefulness of the general adjustment subscale, functional restriction subscale, physical capabilities rating, experience of residual limb pain,
Conclusions
We have undertaken an important analysis for the further validation of a recently developed disability-specific instrument and have shown its salience to a highly generic, multidimensional QOL assessment. These findings provide preliminary evidence that the TAPES can be used to evaluate changes in QOL during the rehabilitation process and to provide insights into the nature of the disability experienced, by assessing how it impairs the subjective well-being of the person across a series of
Acknowledgements
We thank the staff from Cappagh Orthopaedic Hospital, Dublin, Ireland who facilitated this research. The TAPES are available and may be downloaded at http://www.tcd.ie/psychoprosthetics.
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Supported by the National Disability Authority (formerly the National Rehabilitation Board) in Ireland and Trinity College Dublin.
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No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated.