Article

This study examined patterns of social participation among individuals
experiencing their first dysvascular lower extremity amputation. We identified
the types of social participation valued by this population and explored factors
that were associated with individuals' levels of participation and their
subjective satisfaction with participation. DESIGN: A prospective cohort was
recruited from four Veterans Administration Medical Centers and followed for 1 yr
after amputation. Social participation was measured with a modified version of
the Community Integration Questionnaire. Potential correlates included the
Patient Health Questionnaire-9, Modified Social Support Survey, Locomotor
Capability Index 5, Short Portable Mental Status Questionnaire, and self-rated
health. RESULTS: At 1-yr postamputation, participants indicated that the most
valued aspects of social participation were maintaining close friendships,
visiting loved ones, and managing finances. Levels of social participation and
satisfaction with participation were modest at 1-yr postamputation. Higher levels
of social participation at 1 yr were related to better baseline mental status,
better premorbid mobility, and lower amputation level. Higher satisfaction with
participation was related to greater baseline social support. CONCLUSIONS:
Individuals' social participation may be influenced by physical and cognitive
factors, whereas their satisfaction with participation may be influenced by
psychosocial factors. Rehabilitation specialists are encouraged to address both
aspects of social participation when formulating and pursuing rehabilitation
goals.

Langue : ANGLAIS