Document Type : Original Articles

Authors

1 Department of occupational therapy, Musculoskeletal Rehabilitation Research Center, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 Rehabilitation Management department, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Occupational therapy department, school of rehabilitation sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

4 Department of occupational therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran

5 Biostatistics department, school of health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

10.30476/jrsr.2021.91306.1166

Abstract

Background: Satisfaction with orthotic devices and services results in more significant orthotic usage. Evaluation of users’ satisfaction could enhance the quality of service delivery. This study aimed to identify the predictive value of demographic factors on users’ satisfaction with lower-limb orthoses and related services.
Methods: This study was a cross-sectional one. Ninety-seven users of lower-limb orthoses LLO participated in this cross-sectional study. Users’ satisfaction was evaluated with the Orthotic & Prosthetic Users’ Survey (OPUS). SPSS version 22 using linear regression test was used to identify which demographic variables explain variation in satisfaction with LLO and services.
Results: According to linear regression, the variance of satisfaction with the device was significantly explained by the income level and the type of orthosis (P <0.05). However, the predictive value of these variables was relatively low (Adjusted R2 = 0.118). The results also showed that the variance of satisfaction with services was significantly explained by none of the dependent demographic variables (P> 0.05), and the prediction of the independent variable by the demographic variables was very low (Adjusted R2 = 0.063).
Conclusion: Orthotists should focus more on clients with low-income to acquire their satisfaction with devices and services. To satisfy their users, they also need to be more careful when making long orthoses such as Knee Ankle Foot Orthosis or Hip Knee Ankle Foot Orthosis.

Keywords

  1. Organization WH. WHO global disability action plan 2014-2021: Better health for all people with disability: World Health Organization; 2015.
  2. Organization WH. World report on disability 2011: World Health Organization; 2011.
  3. Webster J, Murphy D. Atlas of Orthoses and Assistive Devices E-Book. Elsevier Health Sciences; 2017 Nov 24.
  4. Ghoseiri K, Bahramian H. User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disabil Rehabil. 2012;34(15):1328-32.
  5. Organization WH. Standards for prosthetics and Orthotics Part 1: standards. World Health organization, Geneva. 2017.
  6. Whiteside S, Allen M, Barringer W, Beiswenger W, Brncick M, Bulgarelli T, et al. Practice analysis of certified practitioners in the disciplines of orthotics and prosthetics. Alexandria (VA): American Board for Certification in Orthotics, Prosthetics, and Pedorthics. 2007.
  7. Morris C. A review of the efficacy of lower-limb orthoses used for cerebral palsy. Dev. Med. Child Neurol. 2002 Mar;44(3):205-11.
  8. El-Kafy A, Mohamed E. The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial. Clin Rehabil. 2014:1004-14.
  9. Kruse L, Gray B, Wright R. Rehabilitation after anterior cruciate ligament reconstruction: a systematic review. J Bone Joint Surg Am. 2012;94(19):1737.
  10. Swinnen E, Lafosse C, Van Nieuwenhoven J, Ilsbroukx S, Beckwée D, Kerckhofs E. Neurological patients and their lower limb orthotics: an observational pilot study about acceptance and satisfaction. Prosthet Orthot Int. 2017;41(1):41-50.
  11. Chen CL, Teng YL, Lou SZ, Lin CH, Chen FF, Yeung KT. User satisfaction with orthotic devices and service in Taiwan. PLoS One. 2014 Oct 22;9(10):e110661.
  12. Hadadi M, Ghoseiri K, Fardipour S, Kashani RV, Asadi F, Asghari A. The Persian version of satisfaction assessment module of Orthotics and Prosthetics Users' Survey. Disabil Health J. 2016;9(1):90-9.
  13. Federici S, Borsci S, editors. The use and non-use of assistive technology in Italy: Preliminary data. 11th AAATE Conference: Everyday technology for independence and care; 2011.
  14. Başaran S, Benlidayı İC, Yiğitoğlu PH, Gökçen N, Güzel R. Actual use and satisfaction of lower extremity orthoses in neurological disorders. Age (years). 2016;26:22.8.
  15. Jahanshahi AA, Gashti MAH, Mirdamadi SA, Nawaser K, Khaksar SMS. Study the effects of customer service and product quality on customer satisfaction and loyalty. Int. j. humanit. soc. sci. 2011;1(7):253-60.
  16. Hoerger TJ, Finkelstein EA, Bernard SL. Medicare beneficiary satisfaction with durable medical equipment suppliers. Health Care Financ. Rev. 2001;23(1):123.
  17. Mohammadi M, Akbari M, Saeedi H. Effect of rigid and soft foot orthoses on dynamic balance in female students with flat foot. J. Babol Univ. Medical Sci. 2007;9(2):25-30.
  18. Peaco A, Halsne E, Hafner BJ. Assessing satisfaction with orthotic devices and services: a systematic literature review. JPO: J Prosthet Orthot. 2011;23(2):95-105.
  19. Heinemann AW, Bode R, O'reilly C. Development and measurement properties of the Orthotics and Prosthetics Users’ Survey (OPUS): a comprehensive set of clinical outcome instruments. Prosthet Orthot Int. 2003;27(3):191-206.
  20. Magnusson L, Ahlström G. Patients’ satisfaction with lower-limb prosthetic and orthotic devices and service delivery in Sierra Leone and Malawi. BMC Health Serv. Res. 2017;17(1):102.
  21. Holtkamp F, Wouters E, Van Hoof J, van Zaalen Y, Verkerk M. Use of and satisfaction with ankle foot orthoses. J Clin Res Foot Ankle. 2015.
  22. Magnusson L, Ahlström G, Ramstrand N, Fransson EI. Malawian prosthetic and orthotic users' mobility and satisfaction with their lower limb assistive device. J Rehabil Med. 2013;45(4):385-91.
  23. Magnusson L, Ramstrand N, Fransson EI, Ahlström G. Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: a cross-sectional study. J Rehabil Med. 2014;46(5):438-46.
  24. Alsancak S. Splint satisfaction in the treatment of traumatic radial nerve injuries. Prosthet Orthot Int. 2003;27(2):139-45.
  25. Jahanbin P, Abdi K, Khanjani MS, Hosseini MA. Exploring Barriers of Teamwork in Providing Rehabilitation Services: A Qualitative Content Analysis. Arch. Phys. Med. Rehabil. 2019;20(3):210-21.
  26. Heidari J, Aminian GR, Bahramizadeh M. Satisfaction of Veterans with Trans-Radial Amputations from Myoelectric Prosthesis and Prosthetic Services Referring to Kowsar Orthotics and Prosthetics Center in Tehran. Iran. J. War Public Health. 2018;10(3):165-71.
  27. McKee PR, Rivard A. Biopsychosocial approach to orthotic intervention. Hand Ther. 2011;24(2):155-63.
  28. Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc. Sci. Med. 1990;30(7):811-8.
  29. McFerson HM. Women and post-conflict society in Sierra Leone. J. Int. Women's Stud. 2012;13(1):46-67.
  30. Owusu‐Frimpong N, Nwankwo S, Dason B. Measuring service quality and patient satisfaction with access to public and private healthcare delivery. Int. J. Public Sect. Manag. 2010.
  31. Tengilimoglu D, Kisa A, Dziegielewski SF. Patient satisfaction in Turkey: differences between public and private hospitals. J. Community Health. 1999;24(1):73-91.
  32. Zamil AM, Areiqat AY, Tailakh W. The impact of health service quality on patients' satisfaction over private and public hospitals in Jordan: a comparative study. Int. J. Mark. Stud. 2012;4(1):123.
  33. Rezaei B, jamali A, Rezaeian M, khalili P. Satisfaction Rate Regarding Services Provided in Health-Care Centers and Its Effective Factors in Rafsanjan, 2017: A Descriptive Study. J. Rafsanjan Univ. 2019;18(6):573-86.
  34. Sadeghi Fassaei S, Fatemi Nia MA. Disability, the Hidden Part of Society: A Sociological Study on the Status of Disability in Iran and the World. Social Welfare. 2015;15(58):159-94.
  35. Zahirinia M. An Survey of Personal and Social Consequences of Disability. Cultural Journal of Hormozgan. 2011;1(1):162-80.
  36. Ahmadi F. The effect of powered knee ankle foot orthosis on symmetry of walking in subjects with poliomyelitis: University of Social Welfare and Rehabilitation; 2015.
  37. Vahhab-Kashani R, Mousavi SME, Rahgozar M, Majdoleslami B. Evaluation of Long Leg Braces in Regard to Biomechanical, Clinival and Technical Orthopedic's Fundamentals. Arch. Phys. Med. Rehabil. 2006;6(4):7-13.