Department of Rehabilitation Medicine, University of Washington, Seattle, Washington; Research Department, Gillette Children's Specialty Healthcare, St Paul, Minnesota; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota.
Department of Rehabilitation Medicine, University of Washington, Seattle, Washington.
Arch Phys Med Rehabil. 2022 Sep;103(9):1786-1797. doi: 10.1016/j.apmr.2022.03.009. Epub 2022 Apr 6.
To assess the clinical resources available for the assessment of health outcomes in people with lower limb amputation and to understand barriers and facilitators associated with use of standardized outcome measures in clinical practice.
Cross-sectional survey.
General community (online).
A volunteer sample of prosthetic practitioners was recruited through national professional organizations. Eligible participants were practitioners certified by a professional prosthetics organization and currently practicing as a prosthetist, prosthetist-orthotist, or prosthetic assistant.
Not applicable.
A custom-designed online survey on clinical use of patient-reported and performance-based standardized outcome measures to assess patients with lower limb amputation.
A total of 375 participants completed the survey. Most participants (79%) reported that they are encouraged or required to administer standardized outcome measures in their clinic or facility. Most participants reported that use of patient-reported and performance-based outcome measures are within their scope of practice (88%) and that they have the knowledge required for outcomes measurement (84%). Few participants agreed that outcomes measurement is standardized across the profession (30%). Most participants had access to small spaces and equipment for outcomes measurement, such as short hallways (65%-94%), stairs (69%), and tablets with wireless internet connection (83%). Most participants reported that they would be willing to spend between 5 (36% of participants) and 10 (43% of participants) minutes on self-reported surveys, and between 10 (41% of participants) and 20 (28% of participants) minutes on performance-based tests.
Outcomes measurement is encouraged or expected in contemporary prosthetic practice. Strategies to improve standardization and efficiency of administration are needed to facilitate routine use of outcome measures in clinical care.
评估下肢截肢患者健康结局评估的可用临床资源，并了解临床实践中使用标准化结局测量工具的障碍和促进因素。
横断面调查。
一般社区（在线）。
通过国家专业组织招募了志愿样本的假肢从业者。合格的参与者是由专业假肢组织认证且目前作为假肢技师、假肢矫形技师或假肢助理执业的从业者。
不适用。
一项关于患者报告和基于表现的标准化结局测量工具在评估下肢截肢患者中的临床使用的定制在线调查。
共有 375 名参与者完成了调查。大多数参与者（79%）报告他们在诊所或机构中被鼓励或要求使用标准化结局测量工具。大多数参与者报告患者报告和基于表现的结局测量工具在其实践范围内（88%），并且他们具备所需的结局测量知识（84%）。少数参与者同意该专业内的结局测量是标准化的（30%）。大多数参与者可以获得用于结局测量的小空间和设备，例如短走廊（65%-94%）、楼梯（69%）和带无线互联网连接的平板电脑（83%）。大多数参与者报告说，他们愿意花 5 分钟（36%的参与者）到 10 分钟（43%的参与者）填写自我报告的调查问卷，以及 10 分钟（41%的参与者）到 20 分钟（28%的参与者）完成基于表现的测试。
在当代假肢实践中鼓励或期望进行结局测量。需要制定策略来提高管理的标准化和效率，以促进结局测量在临床护理中的常规使用。
