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

African Journal of Disability

 
 
Field Value
 
Title Relationships between leisure participation, leisure constraints, and quality of life among individuals with lower-limb amputations in South Africa
 
Creator Visser, Adri I. Swanepoel, Mariette Cockeran, Marike Kriel, Cindy
 
Subject human movement science; recreation; leisure participation; health amputations; leisure participation; leisure constraints; quality of life; prosthetics; lower-limb amputations; TAPES-R; WHOQOL-BREF; WHOQOL-DIS; South Africa
Description 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.
 
Publisher AOSIS
 
Contributor
Date 2025-04-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — original research; cross-sectional convenience sample.
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v14i0.1585
 
Source African Journal of Disability; Vol 14 (2025); 7 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1585/3272 https://ajod.org/index.php/ajod/article/view/1585/3273 https://ajod.org/index.php/ajod/article/view/1585/3274 https://ajod.org/index.php/ajod/article/view/1585/3275
 
Coverage South Africa 2019-2020 mixed gender; age group 50 years; lower limb amputees living in SA
Rights Copyright (c) 2025 Adri I. Visser, Mariette Swanepoel, Marike Cockeran, Cindy Kriel https://creativecommons.org/licenses/by/4.0
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