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Trinity Amputation and Prosthesis Experience ..

The Trinity amputation and prosthesis experience scales and quality of life in people with lower-limb amputation 1 ☆

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The Trinity amputation and prosthesis experience …

Given the cost of increasingly sophisticated prosthetic technology, and the need to allocate scarce resources in an effective, ethical and evidence-based manner, it is important to establish the attributes of users who are likely to derive most benefit form ‘high-tech’ prosthetics, and to distinguish them from those who are likely to benefit equally well from other and less expensive types of prostheses.
This study sought to explore the experiences of users of the C-Leg prosthesis; through qualitative interviews, physical measures (the Six Minute Walking Test, Hours of Use of the prosthesis and the Socket Comfort Score) and a battery of psychometric measures: these included the Trinity Amputation and Prosthetic Experience Scales (TAPES), Coping Strategy Indicator (CSI), Cognitive Failures Questionnaire (CFQ), General Health Questionnaire (GHQ) and the Amputee Body Image Scale - Revised (ABIS-R).
Our 18 participants were 17 men and one woman, with an average age of 52. They were on average 23 years post unilateral above knee amputation and had on average used a C-Leg for almost 4 years. In six minutes participants walked a mean distance of 426 meters; and they reported wearing their prosthesis for an average of 12.38 hours (ranging from 6- 12.5 hours) per day. Their mean Socket Comfort Score was over 7, out of a possible maximum comfort of 10; and their Overall Satisfaction with the prosthesis was over 8, out of a possible maximum satisfaction of 10.

The Trinity Amputation and Prosthesis Experience Scales and quality of life in ..

My work has impacted practice and policy. For instance the Problem Portrait Technique, which analyses cultural influences on health, is used in training aid workers in Europe; EquiFrame, which evaluates social inclusion and human rights in health policies, has been used in the revision of national health polices in Africa; the TAPES (Trinity Amputation and Prosthesis Experience Scales) is used in clinical practice world-wide and has been translated into 15 languages. My research has been presented to the world’s leading decisions makers, for instance, at the Global Ministerial Forum for Research on Health (Bamako), to the OECD’s Development Advisory Committee (Paris), to the African Union’s Social Welfare Ministers (Khartoum) and to the UN’s Commission on Social Development (New York).

Trinity Amputation & Prosthetic Experience ..

the Trinity Amputation and Prosthetic Experience ..

Main Outcome Measures Positive affect subscale of the Positive and Negative Affect Schedule; general adjustment subscale of the Trinity Amputation and Prosthesis Experience Scales-Revised; and World Health Organization Disability Assessment Schedule 2.0.

METHOD: One hundred and four participants completed the Trinity Amputation and Prosthesis Experience Scales (TAPES), which includes a section on each of, psychosocial issues, activity restriction, satisfaction with a prosthesis and pain (incidence, duration, level and extent of interference).

Trinity amputation and prosthesis experience scales

11/11/2014 · The Trinity Amputation and Prosthesis Experience Scales ..

Conclusions: Evaluation of employment status and measures to curb unemployment through vocational rehabilitation and providing assistance for placement should be intrinsic to the rehabilitation programme.

Face-to-face interviews were conducted using structured questionnaires including patient's background, amputation and the Trinity Amputation and Prosthesis Experience Scales.

Trinity Amputation and Prosthesis Experience Scale;
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    The Trinity Amputation and Prosthesis Experience Scales and quality of life in people with lower-limb amputation

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    Gallagher P, MacLachlan M

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Measuring Community Integration in Persons With …

Phantom limb pain was associated with older age, being female, above knee amputation, causes other than congenital causes, not receiving support prior to the amputation, the experience of other medical problems, low scores on Adjustment to Limitation and high scores on Aesthetic Satisfaction with the prosthesis.

outcomes with a prosthesis are ..

N2 - Gallagher P, Franchignoni F, Giordano A, MacLachlan M: Trinity Amputation and Prosthesis Experience Scales (TAPES): A psychometric assessment using classical test theory and Rasch analysis. OBJECTIVE: To perform a detailed psychometric analysis using both classical test theory and Rasch analysis of the three main scales of the Trinity Amputation and Prosthesis Experience Scales (TAPES) in people with a lower-limb amputation. DESIGN: A sample of 498 persons who were prosthesis users with a lower-limb amputation was retrospectively studied, pooled from a number of studies undertaken across the United Kingdom and Ireland in the past decade in which the TAPES had been completed as part of a postal survey. Both factor analysis techniques and Rasch analysis were performed on TAPES data. Dimensionality, item fit to the model, response category performance, and internal construct validity were assessed. Category collapsing and item removal were considered to improve the questionnaire. RESULTS: The analyses suggested to restructure the TAPES as follows: (a) three psychosocial adjustment subscales with a four-point rating scale (and a reworded item); (b) an activity restriction scale based on ten items with their original three-point rating scale; and (c) two satisfaction with the prosthesis subscales using a three-point rating scale. All scales and subscales showed acceptable internal consistency and ability to define a distinct hierarchy of persons along the measured construct. CONCLUSIONS: This study empirically identified a revised version of the TAPES (TAPES-R) with a simplified general structure and psychometrically suitable for assessing the complex experience of amputation and adjustment to a lower-limb prosthesis. Additional studies are needed to confirm and further explore its measurement properties in other samples, thereby adding clinical validity to the instrument.

Characteristics of Users who Benefit most from ..

Gallagher P, Franchignoni F, Giordano A, MacLachlan M: Trinity Amputation and Prosthesis Experience Scales (TAPES): A psychometric assessment using classical test theory and Rasch analysis. OBJECTIVE: To perform a detailed psychometric analysis using both classical test theory and Rasch analysis of the three main scales of the Trinity Amputation and Prosthesis Experience Scales (TAPES) in people with a lower-limb amputation. DESIGN: A sample of 498 persons who were prosthesis users with a lower-limb amputation was retrospectively studied, pooled from a number of studies undertaken across the United Kingdom and Ireland in the past decade in which the TAPES had been completed as part of a postal survey. Both factor analysis techniques and Rasch analysis were performed on TAPES data. Dimensionality, item fit to the model, response category performance, and internal construct validity were assessed. Category collapsing and item removal were considered to improve the questionnaire. RESULTS: The analyses suggested to restructure the TAPES as follows: (a) three psychosocial adjustment subscales with a four-point rating scale (and a reworded item); (b) an activity restriction scale based on ten items with their original three-point rating scale; and (c) two satisfaction with the prosthesis subscales using a three-point rating scale. All scales and subscales showed acceptable internal consistency and ability to define a distinct hierarchy of persons along the measured construct. CONCLUSIONS: This study empirically identified a revised version of the TAPES (TAPES-R) with a simplified general structure and psychometrically suitable for assessing the complex experience of amputation and adjustment to a lower-limb prosthesis. Additional studies are needed to confirm and further explore its measurement properties in other samples, thereby adding clinical validity to the instrument.

Phantom limb pain and residual limb pain following …

AB - Gallagher P, Franchignoni F, Giordano A, MacLachlan M: Trinity Amputation and Prosthesis Experience Scales (TAPES): A psychometric assessment using classical test theory and Rasch analysis. OBJECTIVE: To perform a detailed psychometric analysis using both classical test theory and Rasch analysis of the three main scales of the Trinity Amputation and Prosthesis Experience Scales (TAPES) in people with a lower-limb amputation. DESIGN: A sample of 498 persons who were prosthesis users with a lower-limb amputation was retrospectively studied, pooled from a number of studies undertaken across the United Kingdom and Ireland in the past decade in which the TAPES had been completed as part of a postal survey. Both factor analysis techniques and Rasch analysis were performed on TAPES data. Dimensionality, item fit to the model, response category performance, and internal construct validity were assessed. Category collapsing and item removal were considered to improve the questionnaire. RESULTS: The analyses suggested to restructure the TAPES as follows: (a) three psychosocial adjustment subscales with a four-point rating scale (and a reworded item); (b) an activity restriction scale based on ten items with their original three-point rating scale; and (c) two satisfaction with the prosthesis subscales using a three-point rating scale. All scales and subscales showed acceptable internal consistency and ability to define a distinct hierarchy of persons along the measured construct. CONCLUSIONS: This study empirically identified a revised version of the TAPES (TAPES-R) with a simplified general structure and psychometrically suitable for assessing the complex experience of amputation and adjustment to a lower-limb prosthesis. Additional studies are needed to confirm and further explore its measurement properties in other samples, thereby adding clinical validity to the instrument.

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