{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T22:37:28Z","timestamp":1788820648970,"version":"build-2803163510"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:p>The provision of upper limb prosthetic devices through the National Health Services (NHS) within the United Kingdom is driven by national policies. NHS England have recently published a new policy to provide multi-grip myoelectric hands. The policy highlighted that there was limited evidence to support its deployment and it will be reviewed should new information arise. The clear identification of the evidence gap provides an opportunity for the academic research community to conduct studies that will inform future iterations of this and other upper limb prosthetic related policies. This paper presents a summary of findings and recommendations based on two multi-stakeholder workshops held in June 2022 and July 2022, which explored the design requirements for policy-driven research studies. The workshops involved people from a broad range of stakeholder groups: policy, academia, NHS clinical and management, industry, and a person with upper limb absence. The workshop discussions focused on the research questions that NHS England identified in the policy evidence review: (1) Clinical Effectiveness; (2) Cost Effectiveness; (3) Safety; and (4) Patient Subgroups. The recommendations based on stakeholder discussions included the need to gather qualitative and quantitative research evidence, use goal-based outcome measures, and conduct longitudinal studies. Future research studies also need to address the complexities of conducting national and international policy-driven research, such as clinical resource capacity and participant involvement.<\/jats:p>","DOI":"10.3389\/frhs.2023.1213752","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T04:27:13Z","timestamp":1703132833000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evidencing the effectiveness of upper limb prostheses: a multi-stakeholder perspective on study requirements"],"prefix":"10.3389","volume":"3","author":[{"given":"Hannah","family":"Jones","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alix","family":"Chadwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Dyson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"B1","year":""},{"key":"B2","year":""},{"key":"B3","year":""},{"key":"B4","year":""},{"key":"B5","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/hec.3564","article-title":"Valuing health-related quality of life: an EQ-5D value set for England","volume":"27","author":"Devlin","year":"2017","journal-title":"Health Econ"},{"key":"B7","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1097\/PXR.0000000000000166","article-title":"Comparison of patient-reported and functional outcomes after transition from traditional upper limb prosthetics to multiarticulating hands in the user with a unilateral transradial amputation","volume":"47","author":"MacEachen","year":"2023","journal-title":"Prosthet Orthot Int"},{"key":"B8","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.jpsychores.2006.07.027","article-title":"Coping, affective distress, and psychosocial adjustment among people with traumatic upper limb amputations","volume":"62","author":"Desmond","year":"2007","journal-title":"J Psychosom Res"},{"key":"B9","year":""},{"key":"B10","doi-asserted-by":"publisher","first-page":"1726","DOI":"10.3109\/09638288.2012.751138","article-title":"Identifying successful outcomes and important factors to consider in upper limb amputation rehabilitation: an international web-based Delphi survey","volume":"35","author":"Nimhurchadha","year":"2013","journal-title":"Disabil Rehabil"},{"key":"B11","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1097\/PHM.0b013e3181b306ec","article-title":"Chronic pain associated with upper-limb loss","volume":"88","author":"Hanley","year":"2009","journal-title":"Am J Phys Med Rehabil"},{"key":"B12","doi-asserted-by":"publisher","first-page":"746","DOI":"10.1111\/bjhp.12360","article-title":"Psychological distress among persons with upper extremity limb loss","volume":"24","author":"Armstrong","year":"2019","journal-title":"Br J Health Psychol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"100773","DOI":"10.1016\/j.ijotn.2020.100773","article-title":"Upper limb amputation; care needs for reintegration to life: an integrative review","volume":"38","author":"Shahsavari","year":"2020","journal-title":"Int J Orthop Trauma Nurs"},{"key":"B14","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1136\/bmj.n178","article-title":"Effective engagement and involvement with community stakeholders in the co-production of global health research","volume":"372","author":"Tembo","year":"2021","journal-title":"Br Med J"},{"key":"B15","doi-asserted-by":"publisher","first-page":"776940","DOI":"10.3389\/fpubh.2021.776940","article-title":"What does \u201cgood\u201d community and public engagement look like? 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