Patients Satisfaction with Lower-limb Prosthetic

Full Title:

Patients Satisfaction with Lower-limb Prosthetic and Orthotic Devices and Service delivery in Sierra Leone and Malawi

Citation

Magnusson, L., & Ahlstrom, G. (2017). Patients satisfaction with lower-limb prosthetic and orthotic devices and service delivery in sierra leone and malawi. BMC Health Services Research, 17http://dx.doi.org/10.1186/s12913-017-2044-3

Abstract

Background

People with disabilities have the right to personal mobility and available and affordable assistive technology, according to the Convention of Rights of Persons with Disabilities. The aims were to investigate similarities and differences between Sierra Leone and Malawi concerning participants’ mobility and satisfaction with their lower-limb prosthetic or orthotic device and related service delivery, and to identify variables associated with patients’ satisfaction with assistive devices and associated services in the entire study group from these two low-income countries.

Methods

Questionnaires, including QUEST, were answered by 222 patients in Sierra Leone and Malawi.

Results

Eighty-six per cent of assistive devices were in use, but half needed repair. One third of participants reported pain when using their assistive device. A higher percentage (66%) of participants in Sierra Leone had difficulties or could not walk at all on uneven ground compared with 42% in Malawi. The majority in both countries had difficulties or could not walk at all up and down hills, or on stairs. Participants in both countries were quite satisfied (mean 3.7-3.9 of 5) with their assistive device. Participants were most dissatisfied with: comfort (46%), dimensions (39%), and safety (38%) of their assistive device. In Sierra Leone participants were less satisfied than in Malawi with service delivery (mean 3.7; 4.4, p < .001). Access to repairs and servicing of their assistive device was considered the most important item. In Sierra Leone patients were less satisfied with follow-up services (41%) than patients in Malawi were (22%). The strongest association with satisfaction with assistive device was pain, and for satisfaction with service, country. The general condition of devices and the ability to walk on uneven ground were associated with both satisfaction with assistive devices and service received.

Conclusions

Participants reported high levels of use and mobility with their assistive device, in spite of pain and difficulties walking on uneven ground, which were also associated with the level of satisfaction with the assistive device. Access to repairs and follow-up services were the most important to patients, and should be addressed. Country was associated with satisfaction with service, with participants in Sierra Leone significantly less satisfied.

Read the research paper here

AT-Info-Map Assistive Technology Taxonomy Descriptions

The  Assistive Technology Information Mapping project (AT-Info-Map) has grouped different types of assistive technology (AT) into the following main “AT Categories”:

  • Clocks Alarms And Memory
  • Communication
  • Eating And Drinking
  • Environmental Modifications
  • Eye And Skin Protection
  • Hearing
  • Mobile And Computer
  • Orientation And Navigation
  • Personal Mobility
  • Pressure Care
  • Prostheses And Orthoses
  • Reaching Grasping And Positioning
  • Reproduction And Sexuality
  • Standing Lying And Posture
  • Toileting And Bathing
  • Vision
  • Writing Reading And Braille

All information related to AT posted on this website will therefore be categorised into any one of the above mentioned categories, or it may belong to more than one categories. Depending on the nature of information posted, some information may also be uncategorised.

To understand what each of the AT categories listed above, an AT-Info-Map Assistive Technology Taxonomy Descriptions was prepared by the University of Washington, SAFOD‘s technical partner in the AT-Info-Map project. You can download the AT-Info-Map Assistive Technology Taxonomy Descriptions here.

In addition to AT categories,  all services related to AT provided by an organization or an individual have been categorised into four main “service categories” as follows:

  • Advocacy & Support
  • Rehabilitation
  • Education & Job Training
  • Accessibility Service

All information related to AT services posted on this website will therefore be categorised into any one of the above mentioned four categories, or in may belong to more than one service categories. Depending on the nature of information posted, it can also also be uncategorised.