TY - JOUR
T1 - Environmental barriers experienced by amputees
T2 - The craig hospital inventory of environmental factors-short form
AU - Ephraim, Patti L.
AU - MacKenzie, Ellen J.
AU - Wegener, Stephen T.
AU - Dillingham, Timothy R.
AU - Pezzin, Liliana E.
N1 - Funding Information:
Supported by the National Center for Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention (CDC) (grant no. U59/CCU416733). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of CDC.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006/3
Y1 - 2006/3
N2 - Objectives: To describe the prevalence of perceived environmental barriers in a population of amputees; to compare and contrast those barriers reported by amputees with reported barriers of a sample of disabled and nondisabled persons; and to identify the correlates of barriers among amputees. Design: Cross-sectional survey. Setting: A community sample who were interviewed by telephone. Participants: A stratified sample by etiology of 914 community-dwelling persons with limb loss. Intervention: Telephone interview. Main Outcome Measures: Frequency (never, less than monthly, monthly, weekly, daily) and magnitude (little problem, big problem) of perceived environmental barriers in 5 domains as measured by the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), characteristics of the amputation, prosthetic use, and sociodemographic characteristics of the amputee. Results: The majority (87%) of persons surveyed reported barriers in 1 or more areas with 57% reporting barriers in 4 or more of the 5 domains (policies, physical/structural, work/school, attitudes/support, and services/assistance subscales). Mean frequency-magnitude scores were lower for amputees with cancer-related amputation across all subscales, while traumatic amputees reported the greatest perceived barriers, except in the area of services/assistance. Across all domains, poverty level and comorbidity were significant predictors of significant barriers (CHIEF-SF score <3; range, 0-8). When compared with a general population sample of disabled and nondisabled Americans, amputees were more likely to perceive barrier in all areas except work/school. Conclusions: Perceived environmental barriers among persons with limb loss are highly prevalent. Reduction of environmental barriers may lead to reduction of disability and improvement of overall quality of life for amputees.
AB - Objectives: To describe the prevalence of perceived environmental barriers in a population of amputees; to compare and contrast those barriers reported by amputees with reported barriers of a sample of disabled and nondisabled persons; and to identify the correlates of barriers among amputees. Design: Cross-sectional survey. Setting: A community sample who were interviewed by telephone. Participants: A stratified sample by etiology of 914 community-dwelling persons with limb loss. Intervention: Telephone interview. Main Outcome Measures: Frequency (never, less than monthly, monthly, weekly, daily) and magnitude (little problem, big problem) of perceived environmental barriers in 5 domains as measured by the Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), characteristics of the amputation, prosthetic use, and sociodemographic characteristics of the amputee. Results: The majority (87%) of persons surveyed reported barriers in 1 or more areas with 57% reporting barriers in 4 or more of the 5 domains (policies, physical/structural, work/school, attitudes/support, and services/assistance subscales). Mean frequency-magnitude scores were lower for amputees with cancer-related amputation across all subscales, while traumatic amputees reported the greatest perceived barriers, except in the area of services/assistance. Across all domains, poverty level and comorbidity were significant predictors of significant barriers (CHIEF-SF score <3; range, 0-8). When compared with a general population sample of disabled and nondisabled Americans, amputees were more likely to perceive barrier in all areas except work/school. Conclusions: Perceived environmental barriers among persons with limb loss are highly prevalent. Reduction of environmental barriers may lead to reduction of disability and improvement of overall quality of life for amputees.
KW - Amputees
KW - Disabled persons
KW - Environment
KW - Rehabilitation
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U2 - 10.1016/j.apmr.2005.11.010
DO - 10.1016/j.apmr.2005.11.010
M3 - Article
C2 - 16500165
AN - SCOPUS:33344471433
SN - 0003-9993
VL - 87
SP - 328
EP - 333
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
IS - 3
ER -