Abstract
Objective
(1) To identify significant changes in disability and quality of life (QOL) across
3 time points (t1: admission to rehabilitation; t2: 6wk postdischarge; t3: 6mo postdischarge)
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 persons (N=64) aged ≥18 years with major lower limb amputation.
Interventions
Not applicable.
Main Outcome Measures
World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and World
Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF).
Results
Mean WHODAS 2.0 scores were in the 95th percentile at each time point. Scores on the
WHODAS 2.0 and the physical, psychological, and social relations 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
toward goal pursuit at t1 was predictive of higher physical and psychological QOL
at t3, whereas having a stronger disposition toward 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
6 months postdischarge. QOL in the physical, psychological, and social relations domains
remained stable over the study period. Stronger goal pursuit and goal adjustment tendencies
on admission predicted lower disability and higher QOL 6 months postdischarge.
Keywords
List of abbreviations:
ANOVA (analysis of variance), FGA (flexible goal adjustment), ICF (International Classification of Functioning, Disability and Health), LLA (lower limb amputation), QOL (quality of life), TGP (tenacious goal pursuit), WHODAS 2.0 (World Health Organization Disability Assessment Schedule 2.0), WHOQOL-BREF (World Health Organization Quality of Life Scale Brief Version)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 03, 2013
Footnotes
Supported by the Irish Research Council for Humanities and Social Sciences.
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 authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
