Developing an evidence-based instrument to guide transfemoral prosthetic prescription in South Africa
type: CreativeWork
description: Background: Prosthetic prescription is often based on experiential knowledge. Clinical competence can contribute to adequate prescription; however, choices are neither evidence-based nor transparent. Aim: To develop an evidence-based screening instrument to guide transfemoral prosthetic prescription in South Africa. Objectives: i) To determine evidence-based variables that can be used to guide screening for transfemoral prosthetic prescription through a scoping review of literature from the Global South. ii) To determine the variables used by transfemoral prosthetic service providers in South Africa to screen for transfemoral prosthetic prescription. iii) To collate variables from the two sources and the Guidelines: screening for prosthetic use and through a consensus survey identify variables to be included in a transfemoral prosthetic screening instrument for government services in South Africa. iv) To formulate a transfemoral prosthetic screening instrument for government services in South Africa. Methods: The study was conducted in three phases, starting with a scoping review. Six databases were searched. After screening four studies were included. Thematic analysis was done. In phase 2 qualitative data was collected from 21 service providers. Content analysis was done. Forty service providers completed a consensus survey, administered through Redcap, in phase 3. The survey included 67 statements that were scored on an eight-point Likert scale. Data was analyzed descriptively and mean deviations from the median were determined. Ethical considerations: Approval was granted by Stellenbosch University Health Research Ethics Committee. Permission was obtained from all gatekeepers. Ethical principles of autonomy, beneficence and justice were adhered to. Findings: The scoping review showed limited evidence from the Global South that can be used to develop contextually appropriate lower limb prosthetic prescription guidelines. It highlighted that systems level variable…
abstract: Background: Prosthetic prescription is often based on experiential knowledge. Clinical competence can contribute to adequate prescription; however, choices are neither evidence-based nor transparent. Aim: To develop an evidence-based screening instrument to guide transfemoral prosthetic prescription in South Africa. Objectives: i) To determine evidence-based variables that can be used to guide screening for transfemoral prosthetic prescription through a scoping review of literature from the Global South. ii) To determine the variables used by transfemoral prosthetic service providers in South Africa to screen for transfemoral prosthetic prescription. iii) To collate variables from the two sources and the Guidelines: screening for prosthetic use and through a consensus survey identify variables to be included in a transfemoral prosthetic screening instrument for government services in South Africa. iv) To formulate a transfemoral prosthetic screening instrument for government services in South Africa. Methods: The study was conducted in three phases, starting with a scoping review. Six databases were searched. After screening four studies were included. Thematic analysis was done. In phase 2 qualitative data was collected from 21 service providers. Content analysis was done. Forty service providers completed a consensus survey, administered through Redcap, in phase 3. The survey included 67 statements that were scored on an eight-point Likert scale. Data was analyzed descriptively and mean deviations from the median were determined. Ethical considerations: Approval was granted by Stellenbosch University Health Research Ethics Committee. Permission was obtained from all gatekeepers. Ethical principles of autonomy, beneficence and justice were adhered to. Findings: The scoping review showed limited evidence from the Global South that can be used to develop contextually appropriate lower limb prosthetic prescription guidelines. It highlighted that systems level variable…
author: Mduzana, Luphiwo Lakhanya
language: en
date published: 2026-03
date modified: 2026-07-24T04:40:09Z
provider: Stellenbosch University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Stellenbosch : Stellenbosch University