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Self-Management for Amputee Rehabilitation Using Technology.

Behavior | Amputation | Lower Limb Amputation Knee | Lower Limb Amputation Above Knee...

Lower Limb Amputations (LLAs) are a substantial burden on the Canadian health services with nearly 50,000 cases reported between 2006 and 2011. To address the challenging nature of a LLA (e.g., decreased mobility, pain, depression), patients need to go through extensive rehabilitation programs. Effective self-management programs can help those with LLA to monitor their own condition and improve their quality of life. However, a lack of self-management programs, a limited healthcare budget, and a decrease in quality of services (e.g. shorter lengths of stay for inpatients and rapid movement to outpatient services) pose further challenges for patients with LLA. Self-management programs can be provided to clients through online mobile technologies (e.g., tablet) and offer accessible, low-cost, and potentially augmentative rehabilitation after discharge, in both urban and rural areas. To address these needs, an online educational and training platform for individuals with LLA called, Self-Management for Amputee Rehabilitation using Technology (SMART) was designed and developed. SMART focuses on LLA education, prosthetic limb management, and weekly support of peers. It is monitored by a trainer through a website. SMART will be evaluated in men and women with LLA aged 50 years and over, admitted to prosthetic rehabilitation throughout BC and ON. SMART has the potential to influence a client's post-LLA needs with direct (e.g., individual's health) and indirect (e.g., healthcare utilization) benefits. The purpose of this randomized controlled trial is to evaluate the effect of SMART in community dwelling older adults with unilateral, above or below, knee amputation.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    50 and up

Participation Criteria

Inclusion Criteria:

* Has a unilateral LLA (transtibial or transfemoral) due to diabetes or vascular disease
* Received initial casting of their prosthesis within the past 2 years
* Be aged ≥ 50 years (85% of adults with LLA)
* Self-identifies as being able to speak and read English.
* Has access to computer or tablet and internet.
* Individuals living in British Columbia or Ontario, Canada.

Exclusion Criteria:

* Substantial health conditions (e.g., congestive heart failure, diagnosed dementia)
* Those anticipating further surgery (e.g. LLA revision) as identified by our study sites' physiatrists
* an inability to use a tablet (e.g. using hands for typing).

Study Location

GF Strong Rehabilitation Centre
GF Strong Rehabilitation Centre
Vancouver, British Columbia
Canada

Contact Study Team

Primary Contact

William C Miller, PhD

[email protected]
(604) 312-5245
Study Sponsored By
University of British Columbia
Participants Required
More Information
Study ID: NCT04953364