ArticlePM & R : the journal of injury, function, and rehabilitation2021
Self-Efficacy and Social Support are Associated with Disability for Ambulatory Prosthesis Users After Lower-Limb Amputation.
Article in PM & R : the journal of injury, function, and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Pooled it
- Effective Interventions in Restoring Mobility and Relieving Pain After Lower Limb Amputation.Journal of orthopaedics and sports medicine · 2026Article
- Perioperative Body Image Trajectories in Amputation Patients with Malignant Bone Tumors: A Latent Transition Analysis.Cancer management and research · 2026Article
- Mediating Effects of Health Literacy, Self-Efficacy, and Social Support on the Relationship Between Disease Knowledge and Patient Participation Behavior Among Chronic Ill Patients: A Cross-Sectional Study Based on the Capability-Opportunity-Motivation and Behavior (COM-B) Model.Patient preference and adherence · 2025Article
- Longitudinal Study of Quality of Life in Individuals with Lower Limb Amputation.Progress in rehabilitation medicine · 2025Article
- Machine Learning Model for Predicting Walking Ability in Lower Limb Amputees.Journal of clinical medicine · 2024Article
- Family concerns and relationship problems in anxious pregnant women and their associations with postnatal functional disability in Pakistan.Journal of psychosomatic research · 2024Article
- Dynamic gait stability and stability symmetry for people with transfemoral amputation: A case-series of 19 individuals with bone-anchored limbs.Journal of biomechanics · 2024Observational
- Relationships among disease knowledge, social support, anxiety and self-efficacy in patients after total knee arthroplasty: A chain mediating effect.Nursing open · 2023Article
- Article
- Postamputation Cognitive Impairment Is Related to Worse Perceived Physical Function Among Middle-Aged and Older Prosthesis Users.Archives of physical medicine and rehabilitation · 2022Observational
- Exploring links between Chinese military recruits' psychological stress and coping style from the person-environment fit perspective: The chain mediating effect of self-efficacy and social support.Frontiers in psychology · 2022Article
- Psychometric Assessment of the Connor-Davidson Resilience Scale for People With Lower-Limb Amputation.Physical therapy · 2021Article
- Patterns of Sitting, Standing, and Stepping After Lower Limb Amputation.Physical therapy · 2021Article
- Social Determinants of Health in Physiatry: Challenges and Opportunities for Clinical Decision Making and Improving Treatment Precision.Frontiers in public health · 2021Review
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundInterventions targeting psychosocial factors may improve rehabilitation outcomes for prosthesis users after lower-limb amputation (LLA), but there is a need to identify targeted factors for minimizing disability.
objectiveTo identify psychosocial factors related to disability for prosthesis users after LLA in middle age or later.
designCross-sectional study.
settingGeneral community.
participantsParticipants with LLA (N = 122) were included in this cross-sectional study if their most recent LLA was at least 1 year prior, they were ambulating independently with a prosthesis, and they were between 45 and 88 years old.
interventionsNot applicable.
main outcome measuresDisability, the primary outcome, was measured using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS). Candidate psychosocial variables included self-efficacy, social support, and motivation, measured using the Self-Efficacy of Managing Chronic Disease questionnaire (SEMCD), Multidimensional Scale of Perceived Social Support questionnaire (MSPSS), and modified contemplation ladder (mCL), respectively. The hypothesis was that greater self-efficacy, social support, and motivation would be associated with lower disability when controlling for covariates.
resultsThe covariate model, including etiology, age, sex, U.S. military veteran status, LLA characteristics, time since LLA, medical complexity, and perceived functional capacity, explained 66.1% of disability variability (WHODAS 2.0). Backward elimination of candidate psychosocial variables stopped after removal of motivation (P = .10), with self-efficacy (P < .001) and social support (P = .002) variables remaining in the final model. The final model fit was statistically improved (P < .001) and explained an additional 6.1% of disability variability when compared to the covariate model.
conclusionsGreater self-efficacy and social support are related to lower disability after LLA. Findings suggest there may be a role for interventions targeting increased physical function, self-efficacy, and social support for ambulatory prosthesis users after LLA in middle age or later, especially when complicated by multiple chronic conditions.
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