Predictors of retention and attrition in a study of an advanced upper limb prosthesis: implications for adoption of the DEKA Arm.

Purpose:The purpose was to identify factors associated with completion of the VA home study of the DEKA Arm. Design and methodological procedures used:Differences between groups were examined using chi-square andt-tests. A multivariable logistic regression model predicting completion was generated a...

Descripción completa

Detalles Bibliográficos
Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 13; no. 2; pp. 206 - 211
Autores principales: Resnik, Linda, Cancio, Jill, Klinger, Shana, Latlief, Gail, Sasson, Nicole, Smurr-Walters, Lisa
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2018
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126756853&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 126756853
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        17483107
        1X04
      jtl: Disability & Rehabilitation: Assistive Technology
      issn: 17483107
      maglogo: Y
    pubinfo:
      dt: 2018
      vid: 13
      iid: 2
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        126756853
        126756853
        126756853
        10.1080/17483107.2017.1304585
        126756853
      ppf: 206
      ppct: 5
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Predictors of retention and attrition in a study of an advanced upper limb prosthesis: implications for adoption of the DEKA Arm.
      aug:
        au:
          Resnik, Linda
          Cancio, Jill
          Klinger, Shana
          Latlief, Gail
          Sasson, Nicole
          Smurr-Walters, Lisa
        affil: Providence VA Medical Center, Providence, RI, USA
      sug:
        subj:
          Upper Extremity Physiopathology
          Limb Prosthesis
          Home Environment
          Research Dropouts
          Research Subject Retention
          Human
          Funding Source
          Amputees
          Chi Square Test
          T-Tests
          Multiple Logistic Regression
          Odds Ratio
          Post Hoc Analysis
          ROC Curve
          Research Subjects Psychosocial Factors
          Convenience Sample
          Adolescence
          Aged
          Middle Age
          Aged, 80 and Over
          Life Experiences
          Adolescent: 13-18 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Aged, 80 & over
      ab: Purpose:The purpose was to identify factors associated with completion of the VA home study of the DEKA Arm. Design and methodological procedures used:Differences between groups were examined using chi-square andt-tests. A multivariable logistic regression model predicting completion was generated and odds ratios (OR) for significant variables calculated. Post-hoc analysis was performed to plot the receiver operating characteristics (ROC) curve. Results:Participants who completed were more likely to be prosthesis users at study onset (p = .03), and less likely to have a history of musculoskeletal problems (p = .047). There were no statistically significant differences between groups who completed and those who did not in gender, race, veteran status, age, body mass index (BMI), weight, height, musculoskeletal pain at baseline, satisfaction with current prosthesis, type of prosthesis, or months of prosthesis use. Two variables, prosthesis use and history of musculoskeletal problems were significant atp < .10. The area under the curve (AUC) accuracy index was 0.78. Conclusions:We considered completion of the home use study a reasonable proxy for participant willingness to adopt the device; and believe that findings can be extrapolated to guide DEKA Arm prescription recommendations. Participants most likely to complete the study were already using a personal prosthesis, and without pre-existing musculoskeletal problems.Implications for rehabilitationData from the VA Study of the DEKA Arm were analysed to determine which factors were associated with likely successful adoption of the DEKA Arm.Participants most likely to complete the study were those who already using a personal prosthesis, and those without pre-existing chronic or re-occurring musculoskeletal problems.This information may be useful when attempting to identify and target the most appropriate candidates for DEKA Arm prescription.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N