Trinity Amputation and Prosthesis Experience Scales Joanne Hebenton

What is TAPES ? Multidimensional assessment designed to facilitate examination of the psychosocial process related to - Adjustment to a prosthetic Specific demands of wearing a prosthetic Potential sources of maladjustment Measures both the physical and psychosocial aspects of adjustment

Format Questionnaire Confidential Completed by the patient if patient requires assistance, the answers must be the patients perception. Available to download – no cost

Use, Interpretation and Application Self report, 54 items, 15 minutes. Use all or select specific sub sections Scoring - High scores Psychosocial adjustment and Satisfaction with prosthesis are positive Activity restriction are negative Reassessment demonstrates changes which can assist with: Informal goal setting Appropriate referral Discharge

Questionnaire – 3 parts Background Information – 8 questions Part 1 Psychosocial adjustment Activity Restriction Prosthetic Satisfaction Part 2 - General health and pain questionnaire

Part 1 - subsections Psychosocial Adjustment – 15 items General adjustments Social adjustments (items 6 – 9) Adjustment to limitation Optimal adjustment Scoring in a positive direction

Part 1 - subsections Activity Restriction – 12 items Athletic activity restriction Social restriction Mobility Restriction Occupational Restriction Scoring in a negative direction.

Which is your patient ? ?

Part 1 - subsections Prosthetic Satisfaction 10 questions Relating to Functional, Aesthetic and Weight characteristics High scores relating to satisfaction with the prosthesis.

Are we opening a can of worms?

Part 2 General Health and Pain Questionnaire - 8 questions Q1-3 : Prosthetic use and general health Q4 and Q5 : contain 5 items Q4 – residual limb pain Q5 – phantom limb pain Q6 : contains 7 items on other medical problems Q7-8 : relate to completion of the questionnaire

Scoring Overall scoring is not recommended 9 subscales from Part 1 Positive and negative loading Developing norms for the TAPES At present score are compared against the group average and/or over time.

This could be useful After all !!!!!!!!!

Benefits Looks at social and psychological issues as well as physical and technological factors Can be used in both clinical and research contexts Individual sections could be used Useful tool as an outcome measure for goal setting initially or to use as a comparison in the future Enhance our understanding of the users perspective

Web address http://www.tcd.ie/Psychoprosthetics/TAPES2007.pdf