Evidence map›Paper›PMID 29580940›Full record

ArticlePM & R : the journal of injury, function, and rehabilitation2018

Relationships Among Perceived Functional Capacity, Self-Efficacy, and Disability After Dysvascular Amputation.

Matthew J Miller, Dawn M Magnusson, Guy Lev, Thomas T Fields, Paul F Cook, Jennifer E Stevens-Lapsley, Cory L Christiansen

Open access · greenAbstract read
In one paragraph

Article in PM & R : the journal of injury, function, and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Observational
  4. Article
  5. Observational
  6. Article
  7. Article
  8. "This New Chapter of Life": Content Analysis of Facebook Posts After Traumatic Brachial Plexus Injury.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2021
    Article
  9. Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 2 countries.

Matthew J MillerPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Anschutz Medical Campus, Mail Stop C244, 13121 East 17th Avenue, Aurora, CO 80045; Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, CO.
Dawn M MagnussonPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO.
Guy LevUniversity of Colorado Hospital, Aurora, CO.
Thomas T FieldsDenver VA Medical Center, VA Eastern Colorado Healthcare System, Denver, CO.
Paul F CookCollege of Nursing, University of Colorado, Aurora, CO.
Jennifer E Stevens-LapsleyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO; Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, CO.
Cory L ChristiansenPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO; Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, CO.
VA Eastern Colorado Health Care System · USDenver VA Medical Center · USGeriatric Research Education and Clinical Center · USKaiser Permanente · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Hospital · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR002535NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

backgroundProsthesis rehabilitation after dysvascular transtibial amputation (TTA) is focused on optimizing functional capacity with limited emphasis on promoting health self-efficacy. Self-efficacy interventions decrease disability for people living with chronic disease, but the influence of self-efficacy on disability is unknown for people with dysvascular TTA.

objectivesTo identify if self-efficacy mediates the relationship between self-reported functional capacity and disability after dysvascular TTA.

designCross-sectional, secondary data analysis.

settingOutpatient rehabilitation facilities.

participantsThirty-eight men (63.6 ± 9.1 years old) with dysvascular TTA.

methodsParticipants had been living with an amputation for less than 6 months and using walking as their primary form of locomotion using a prosthesis. The independent variable, functional capacity, was measured using the Prosthesis Evaluation Questionnaire-Mobility Scale (PEQ-MS). The proposed mediator, self-efficacy, was measured with the Self-Efficacy of Managing Chronic Disease questionnaire (SEMCD).

main outcome measureDisability was measured using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) questionnaire.

resultsThe relationship between self-reported functional capacity and disability is partially mediated by self-efficacy. Relationships between WHODAS 2.0 and PEQ-MS (r = -0.61), WHODAS 2.0 and SEMCD (r = -0.51), and PEQ-MS and SEMCD (r = 0.44) were significant (P < .01). Controlling for SEMCD (P = .04), the relationship between PEQ-MS and WHODAS 2.0 remained significant (P < .01). Statistically significant mediation was determined by a bootstrap method for the product of coefficients (95% confidence interval: -2.23, -7.39).

conclusionsThis study provides initial evidence that the relationship between self-reported functional capacity and disability is partially mediated by self-efficacy after dysvascular TTA. The longitudinal effect of self-efficacy should be further examined to identify causal pathways of disability after dysvascular amputation. Furthermore, additional factors contributing to the relationship between self-reported functional capacity and disability need to be identified. LEVEL OF EVIDENCE: III.

Indexed as

Disability EvaluationSelf EfficacyAgedAmbulatory CareAmputation, SurgicalAmputeesArtificial LimbsConfidence IntervalsCross-Sectional StudiesHumansMaleMiddle AgedMobility LimitationPerceptionSelf-AssessmentTibia

Identifiers

PMID29580940
PMCPMC6153084
OpenAlexW2791710970

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.