title: Developing consensus on important factors associated with lower limb prosthetic prescription and use.
abstract: OBJECTIVE
  There is an ongoing concern in lower limb prosthetic rehabilitation with underuse and nonuse of prosthetic technology. The aim of this study was to gather expert opinion on the most important outcomes, predictors and facilitators of lower limb prosthetic prescription and use, with a long-term goal of improving satisfaction with prosthetic technology.
  
  
  METHODS
  An electronic Delphi study was conducted using an expert panel of 21 service providers and users and was undertaken over three iterations.
  
  
  RESULTS
  The process resulted in the identification of 13 outcomes, 19 predictor and 34 facilitator factors.
  
  
  CONCLUSIONS
  Psychosocial factors related to service provision and prosthetic use have not been widely recognized or incorporated into clinical practice. We highlight the need for creating standardized measures tha[Box: see text].
authors.affiliation: School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Schaffalitzky
authors.forename: Pamela
authors.initials: P
authors.lastname: Gallagher
authors.forename: Malcolm
authors.initials: M
authors.lastname: Maclachlan
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Wegener
mesh_terms: D000671:Amputation, Surgical / Q000534:rehabilitation; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs / Q000706:statistics & numerical data*; D003256:Community Participation; D032921:Consensus; D003697:Delphi Technique; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D035002:Lower Extremity / Q000601:surgery*; D055656:Prescriptions / Q000592:standards* / Q000706:statistics & numerical data; D011474:Prosthesis Design; D011788:Quality of Life; D011795:Surveys and Questionnaires