{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T08:03:29Z","timestamp":1792569809276,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T00:00:00Z","timestamp":1521849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010346","name":"University of Colorado Denver","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010346","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K12 HD055931"],"award-info":[{"award-number":["K12 HD055931"]}],"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":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prosthesis rehabilitation after dysvascular transtibial amputation (TTA) is focused on optimizing functional capacity with limited emphasis on promoting health self\u2010efficacy. Self\u2010efficacy interventions decrease disability for people living with chronic disease, but the influence of self\u2010efficacy on disability is unknown for people with dysvascular TTA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify if self\u2010efficacy mediates the relationship between self\u2010reported functional capacity and disability after dysvascular TTA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional, secondary data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Outpatient rehabilitation facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Thirty\u2010eight men (63.6 \u00b1 9.1 years old) with dysvascular TTA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants had been living with an amputation for less than 6 months and using walking as their primary form of locomotion using a prosthesis. The independent variable, functional capacity, was measured using the Prosthesis Evaluation Questionnaire\u2013Mobility Scale (PEQ\u2010MS). The proposed mediator, self\u2010efficacy, was measured with the Self\u2010Efficacy of Managing Chronic Disease questionnaire (SEMCD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Disability was measured using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The relationship between self\u2010reported functional capacity and disability is partially mediated by self\u2010efficacy. Relationships between WHODAS 2.0 and PEQ\u2010MS (\n                      <jats:italic>r<\/jats:italic>\n                      = \u20130.61), WHODAS 2.0 and SEMCD (\n                      <jats:italic>r<\/jats:italic>\n                      = \u20130.51), and PEQ\u2010MS and SEMCD (\n                      <jats:italic>r<\/jats:italic>\n                      = 0.44) were significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Controlling for SEMCD (\n                      <jats:italic>P<\/jats:italic>\n                      = .04), the relationship between PEQ\u2010MS and WHODAS 2.0 remained significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Statistically significant mediation was determined by a bootstrap method for the product of coefficients (95% confidence interval: \u20132.23, \u20137.39).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides initial evidence that the relationship between self\u2010reported functional capacity and disability is partially mediated by self\u2010efficacy after dysvascular TTA. The longitudinal effect of self\u2010efficacy should be further examined to identify causal pathways of disability after dysvascular amputation. Furthermore, additional factors contributing to the relationship between self\u2010reported functional capacity and disability need to be identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.pmrj.2018.03.014","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T21:00:04Z","timestamp":1521838804000},"page":"1056-1061","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Relationships Among Perceived Functional Capacity, Self\u2010Efficacy, and Disability After Dysvascular Amputation"],"prefix":"10.1002","volume":"10","author":[{"given":"Matthew J.","family":"Miller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn M.","family":"Magnusson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Lev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas T.","family":"Fields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul F.","family":"Cook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer E.","family":"Stevens\u2010Lapsley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cory L.","family":"Christiansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.11.005"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.08.011"},{"key":"e_1_2_6_4_2","first-page":"875","article-title":"Limb amputation and limb deficiency: Epidemiology and recent trends in the United States","volume":"95","author":"Dillingham T.R.","year":"2002","journal-title":"South Med J"},{"key":"e_1_2_6_5_2","unstructured":"Veterans Affairs\/Department of Defense.Clinical Practice Guideline for Rehabilitation of Lower Limb Amputation. 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