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Patients’ satisfaction with lower-limb prosthetic and orthotic devices and service delivery in Sierra Leone and Malawi

Magnusson, Lina LU and Ahlström, Gerd LU (2017) NNDR 14th Research Conference
Abstract (Swedish)
Background: People with disabilities have the right to personal mobility and available and affordable assistive technology. 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. Methods: Surveys, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: 86% 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... (More)
Background: People with disabilities have the right to personal mobility and available and affordable assistive technology. 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. Methods: Surveys, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: 86% 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. 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 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. (Less)
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author
organization
publishing date
type
Contribution to conference
publication status
published
subject
keywords
lower-limb prosthetic, orthotic devices , Sierra Leone
conference name
NNDR 14th Research Conference
language
English
LU publication?
yes
id
944a39a6-eb0d-4524-9dae-fe38f4c133b5
alternative location
https://www.oru.se/english/schools/law-psychology-and-social-work/conferences/nndr-14th-research-conference/program/session-2/
date added to LUP
2017-06-12 14:40:16
date last changed
2017-12-25 04:00:05
@misc{944a39a6-eb0d-4524-9dae-fe38f4c133b5,
  abstract     = {Background: People with disabilities have the right to personal mobility and available and affordable assistive technology. 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. Methods: Surveys, including QUEST, were answered by 222 patients in Sierra Leone and Malawi. Results: 86% 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&lt;.001). Access to repairs and servicing of their assistive device was considered the most important item. 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 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.},
  author       = {Magnusson, Lina and Ahlström, Gerd},
  keyword      = {lower-limb prosthetic,orthotic devices ,Sierra Leone},
  language     = {eng},
  month        = {05},
  title        = {Patients’ satisfaction with lower-limb prosthetic and orthotic devices and service delivery in Sierra Leone and Malawi},
  year         = {2017},
}