Abstract

VISSER, Adri I.; SWANEPOEL, Mariette; COCKERAN, Marike  and  KRIEL, Cindy. Relationships between leisure participation, leisure constraints, and quality of life among individuals with lower-limb amputations in South Africa. Afr. j. disabil. (Online) [online]. 2025, vol.14, pp.1-7. ISSN 2226-7220.  https://doi.org/10.4102/ajod.v14i0.1585.

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

Keywords : amputations; leisure participation; leisure constraints; quality of life; prosthetics; lower-limb amputations; TAPES-R; WHOQOL-BREF; WHOQOL-DIS; South Africa.

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