{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:47:56Z","timestamp":1790142476523,"version":"4.0.1"},"reference-count":93,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD065340"],"award-info":[{"award-number":["R01HD065340"]}],"id":[{"id":"10.13039\/100009633","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":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Achieving mobility with a prosthesis is a common post\u2010amputation rehabilitation goal and primary outcome in prosthetic research studies. Patient\u2010reported outcome measures (PROMs) available to measure prosthetic mobility have practical and psychometric limitations that inhibit their use in clinical care and research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a brief, clinically meaningful, and psychometrically robust PROM to measure prosthetic mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted to administer previously developed candidate items to a national sample of lower limb prosthesis users. Items were calibrated to an item response theory model and two fixed\u2010length short forms were created. Instruments were assessed for readability, effective range of measurement, agreement with the full item bank, ceiling and floor effects, convergent validity, and known groups validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Participants were recruited using flyers posted in hospitals and prosthetics clinics across the United States, magazine advertisements, notices posted to consumer websites, and direct mailings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adult prosthesis users (N\u00a0=\u00a01091) with unilateral lower limb amputation due to traumatic or dysvascular causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/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>Candidate items (N\u00a0=\u00a0105) were administered along with the Patient Reported Outcome Measurement Information System Brief Profile, Prosthesis Evaluation Questionnaire \u2013 Mobility Subscale, and Activities\u2010Specific Balance Confidence Scale, and questions created to characterize respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A bank of 44 calibrated self\u2010report items, termed the Prosthetic Limb Users Survey of Mobility (PLUS\u2010M), was produced. Clinical and statistical criteria were used to select items for 7\u2010 and 12\u2010item short forms. PLUS\u2010M instruments had an 8th grade reading level, measured with precision across a wide range of respondents, exhibited little\u2010to\u2010no ceiling or floor effects, correlated expectedly with scores from existing PROMs, and differentiated between groups of respondents expected to have different levels of mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The\u00a0PLUS\u2010M appears\u00a0to\u00a0be well suited to measuring prosthetic mobility in people with lower limb amputation. PLUS\u2010M instruments are recommended for use in clinical and research settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.12962","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T11:49:07Z","timestamp":1676375347000},"page":"456-473","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Development of an item bank for measuring prosthetic mobility in people with lower limb amputation: The Prosthetic Limb Users Survey of Mobility (\n                    <scp>PLUS\u2010M<\/scp>\n                    )"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6175-1869","authenticated-orcid":false,"given":"Brian J.","family":"Hafner","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1142-9729","authenticated-orcid":false,"given":"Dagmar","family":"Amtmann","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8059-3659","authenticated-orcid":false,"given":"Sara J.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA USA"},{"name":"Research Department Gillette Children's Specialty Healthcare  Saint Paul MN USA"},{"name":"Department of Rehabilitation Medicine University of Minnesota  Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel C.","family":"Abrahamson","sequence":"additional","affiliation":[{"name":"Mobile Prosthetic and Orthotic Care Veterans Integrated Service Network 20 VA NW Health Network  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-2279","authenticated-orcid":false,"given":"Robert L.","family":"Askew","sequence":"additional","affiliation":[{"name":"Department of Psychology Stetson University  Deland FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1550-9603","authenticated-orcid":false,"given":"Alyssa M.","family":"Bamer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9697-9385","authenticated-orcid":false,"given":"Rana","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-0684","authenticated-orcid":false,"given":"Ignacio A.","family":"Gaunaurd","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy University of Miami Miller School of Medicine  Coral Gables FL USA"},{"name":"Research Service, Bruce W. 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