Relationships between leisure participation, leisure constraints, and quality of life among individuals with lower-limb amputations in South Africa.

IF 1.5 Q4 HEALTH CARE SCIENCES & SERVICES

African Journal of Disability Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.4102/ajod.v14i0.1585

Adri I Visser, Mariette Swanepoel, Marike Cockeran, Cindy Kriel

{"title":"Relationships between leisure participation, leisure constraints, and quality of life among individuals with lower-limb amputations in South Africa.","authors":"Adri I Visser, Mariette Swanepoel, Marike Cockeran, Cindy Kriel","doi":"10.4102/ajod.v14i0.1585","DOIUrl":null,"url":null,"abstract":"Background: Individuals with lower-limb amputations (LLAs) face unique challenges that affect their leisure participation and overall quality of life (QoL).Objectives: This study examines the relationships between leisure participation, leisure constraints and QoL among South Africans with LLAs (N = 50, mean age 46.2 ± 11.63 years).Method: A cross-sectional quantitative design was used, collecting data via the Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R), Constraints to Participation, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the World Health Organization Quality of Life Disability Module (WHOQOL-DIS) questionnaires.Results: Weak to moderate relationships were found between leisure participation and constraints (interpersonal: τb = -0.01, p = 0.402; structural: τb = -0.21, p = 0.072). Moderate positive associations emerged between leisure participation and QoL in the disability module (τb = 0.21, p = 0.073), physical domain (τb = 0.20, p = 0.088) and environment domain (τb = 0.20, p = 0.091). Medium-negative correlations were observed between QoL and constraints in the physical domain (intrapersonal: r = -0.33, p = 0.021; interpersonal: r = -0.32, p = 0.021). Significant negative relationships were found between QoL (social domain) and both intrapersonal (r = -0.33, p = 0.020) and interpersonal constraints (r = -0.36, p = 0.010).Conclusion: This is the first study to explore these relationships in South Africans with LLAs. Intrapersonal and interpersonal constraints significantly impact physical and social QoL. Addressing these barriers may improve overall QoL in this population.Contribution: This study provides novel insights into the interplay between leisure participation, constraints, and QoL among South Africans with LLAs. By identifying the significant impact of intrapersonal and interpersonal constraints on physical and social QoL, these findings highlight the need for targeted interventions to reduce barriers and enhance leisure engagement.","PeriodicalId":45606,"journal":{"name":"African Journal of Disability","volume":"14 ","pages":"1585"},"PeriodicalIF":1.5000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067013/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"African Journal of Disability","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/ajod.v14i0.1585","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Individuals with lower-limb amputations (LLAs) face unique challenges that affect their leisure participation and overall quality of life (QoL).

Objectives: This study examines the relationships between leisure participation, leisure constraints and QoL among South Africans with LLAs (N = 50, mean age 46.2 ± 11.63 years).

Method: A cross-sectional quantitative design was used, collecting data via the Trinity Amputation and Prosthesis Experience Scale-Revised (TAPES-R), Constraints to Participation, the World Health Organization Quality of Life Brief (WHOQOL-BREF), and the World Health Organization Quality of Life Disability Module (WHOQOL-DIS) questionnaires.

Results: Weak to moderate relationships were found between leisure participation and constraints (interpersonal: τb = -0.01, p = 0.402; structural: τb = -0.21, p = 0.072). Moderate positive associations emerged between leisure participation and QoL in the disability module (τb = 0.21, p = 0.073), physical domain (τb = 0.20, p = 0.088) and environment domain (τb = 0.20, p = 0.091). Medium-negative correlations were observed between QoL and constraints in the physical domain (intrapersonal: r = -0.33, p = 0.021; interpersonal: r = -0.32, p = 0.021). Significant negative relationships were found between QoL (social domain) and both intrapersonal (r = -0.33, p = 0.020) and interpersonal constraints (r = -0.36, p = 0.010).

Conclusion: This is the first study to explore these relationships in South Africans with LLAs. Intrapersonal and interpersonal constraints significantly impact physical and social QoL. Addressing these barriers may improve overall QoL in this population.

Contribution: This study provides novel insights into the interplay between leisure participation, constraints, and QoL among South Africans with LLAs. By identifying the significant impact of intrapersonal and interpersonal constraints on physical and social QoL, these findings highlight the need for targeted interventions to reduce barriers and enhance leisure engagement.

查看原文本刊更多论文

南非下肢截肢患者的休闲参与、休闲限制与生活质量之间的关系

背景：下肢截肢患者（LLAs）面临着影响其休闲参与和整体生活质量（QoL）的独特挑战。目的：本研究探讨了50名南非LLAs患者（平均年龄46.2±11.63岁）的休闲参与、休闲约束与生活质量的关系。方法：采用横断面定量设计，通过三位一体截肢和假肢体验量表（磁带- r）、参与约束、世界卫生组织生活质量简介（WHOQOL-BREF）和世界卫生组织生活质量残疾模块（WHOQOL-DIS）问卷收集数据。结果：休闲参与与约束之间存在弱至中度关系(人际关系：τb = -0.01, p = 0.402；结构：τb = -0.21, p = 0.072)。休闲参与与生活质量在残疾模块（τb = 0.21, p = 0.073）、身体领域（τb = 0.20, p = 0.088）和环境领域（τb = 0.20, p = 0.091）呈中等正相关。生活质量与身体方面的限制存在中等负相关(内省：r = -0.33, p = 0.021；人际关系：r = -0.32, p = 0.021)。生活质量（社会领域）与人际约束（r = -0.33, p = 0.020）和人际约束（r = -0.36, p = 0.010）呈显著负相关。结论：这是第一个探讨南非人与LLAs之间关系的研究。内省和人际约束显著影响身体和社会生活质量。解决这些障碍可能会改善这一人群的总体生活质量。贡献：本研究提供了新的见解，探讨休闲参与、限制和生活质量之间的相互作用。通过确定人际和人际约束对身体和社会生活质量的重大影响，这些发现强调了有针对性的干预措施的必要性，以减少障碍和增强休闲参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

African Journal of Disability HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

5.90%

发文量

审稿时长

20 weeks

期刊介绍： The African Journal of Disability, the official journal of CRS, AfriNEAD and CEDRES, introduce and discuss issues and experiences relating to and supporting the act of better understanding the interfaces between disability, poverty and practices of exclusion and marginalisation. Its articles yield new insight into established human development practices, evaluate new educational techniques and disability research, examine current cultural and social discrimination, and bring serious critical analysis to bear on problems shared across the African continent. Emphasis is on all aspects of disability particularity in the developing African context. This includes, amongst others: -disability studies as an emerging field of public health enquiry -rehabilitation, including vocational and community-based rehabilitation -community development and medical issues related to disability and poverty -disability-related stigma and discrimination -inclusive education -legal, policy, human rights and advocacy issues related to disability -the role of arts and media in relation to disability -disability as part of global Sustainable Development Goals transformation agendas -disability and postcolonial issues -globalisation and cultural change in relation to disability -environmental and climate-related issues linked to disability -disability, diversity and intersections of identity -disability and the promotion of human development.