1. Trinity Amputation and Prosthesis Experience Scales Joanne Hebenton

3. 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

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

6. 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

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

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

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

11. Which is your patient ? ?

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

14. Are we opening a can of worms?

15. 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

16. 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.

17. This could be useful After all !!!!!!!!!

18. 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

19. Web address