Amputation Clinical Trial
Official title:
Effectiveness of a Peer Visitation Program to Improve Patient Activation and Functional Outcomes and Quality of Life During Amputation Rehabilitation
There is no known interventional clinical trial evidence for existing support and the reintegration strategy of a peer visitation program following amputation. The Amputee Coalition Peer Visitation Program is the only national and VA recognized program for amputees, however, it has not been rigorously tested for effectiveness. Therefore, the objective of this study is to demonstrate the Amputee Coalition Peer Visitation Program (AC PVP) will improve functional outcomes for Service Members, Veterans, and civilians during amputation rehabilitation.
In the fields of medicine and public health management, navigation and peer visitation
programs consider patients as are their own important resources, who should be actively
involved in the health care organization and throughout the process of care delivery and
rehabilitation. The importance of promoting a more active role of patients in the management
of their own health care is recognized by health care experts, managers, and policy makers.
Programs that engage patients in their own health care are reported as an important strategy
to improve adherence, outcomes, satisfaction toward the health care provider, and reduction
of health care costs. The emotional adjustment to an amputation is sometimes the most
challenging part. Peer visitation allows the patient to speak directly with another amputee
who has shared a similar experience, allowing them to relate feelings and concerns about the
loss of a limb to someone who has already endured the process and lives with the condition
daily.
There is increasing national and international interest in patient education programs. The
ultimate anticipated outcome for individuals attending these programs is improvement in
quality of life. Patient empowerment, self-efficacy, and self-management have also been found
to be key intermediate outcomes of acute amputation rehabilitation, but have been somewhat
difficult to operationalize, measure, and subsequently report in terms of patient impact.
There is no known interventional clinical trial evidence for existing support and the
reintegration strategy of a peer visitation program following amputation.
The Amputee Coalition Peer Visitation Program is the only national and VA recognized program
for amputees, however, it has not been rigorously tested for effectiveness. Therefore, the
objective of this study is to demonstrate the Amputee Coalition Peer Visitation Program (AC
PVP) will improve functional outcomes for Service Members, Veterans, and civilians during
amputation rehabilitation.
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