{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:54:21Z","timestamp":1786978461414,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009713","name":"Foundation for Physical Therapy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009713","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1\u2010TR001082"],"award-info":[{"award-number":["UL1\u2010TR001082"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physical function is a common target of rehabilitation intervention to improve disability and physical activity after dysvascular lower\u2010limb amputation (LLA); yet, the influence of psychosocial factors on physical activity is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify psychosocial factors with potential to influence clinically relevant measures of physical activity, physical function, and disability in light of participants' narratives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Convergent mixed\u2010methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>General community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty participants with dysvascular LLA were enrolled if their most recent LLA was at least 1\u00a0year prior, they were ambulating independently with a prosthesis, and were between 45 and 88\u2009years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Quantitative data included physical activity (activPAL; steps\/d), physical function (Timed Up\u2010and\u2010Go; TUG), and disability (World Health Organization Disability Assessment Schedule 2.0; WHODAS 2.0). Qualitative data were collected via semistructured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher steps\/d was moderately correlated with better TUG time (r\u2009=\u2009\u2212.58,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u2009.01), but was not correlated with WHODAS 2.0 score (r\u2009=\u2009\u22120.18;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&gt;\u2009.10). Qualitative analysis of interviews, using an inductive, team\u2010based, phenomenological approach, identified four themes: (1) perceptions of their prosthesis, (2) fear during mobility, (3) influence of LLA on life activities, and (4) positive outlook within social interactions. Mixed\u2010methods analysis used an iterative approach to interpret and describe how psychosocial factors influence physical activity in four exemplar cases.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical activity in people with dysvascular LLA results from an interaction among perceptions of their prosthesis, fear during mobility, influence of LLA on life activities, and positive outlook within social interactions. The overlapping nature of these themes suggests that interventions targeting psychosocial factors may be associated with improved physical activity, physical function, and subsequent disability after dysvascular LLA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.12466","type":"journal-article","created":{"date-parts":[[2020,8,10]],"date-time":"2020-08-10T05:21:08Z","timestamp":1597036868000},"page":"737-745","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Psychosocial Factors Influence Physical Activity after Dysvascular Amputation: A Convergent Mixed\u2010Methods Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1301-7149","authenticated-orcid":false,"given":"Matthew J.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science University of California, San Francisco  San Francisco CA 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