Affiliations: Occupational Therapy Department, Gannon University, Ruskin, FL, USA
Correspondence:
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Corresponding author: August J. Mezzio, Occupational Therapy Department, Gannon University, 105 Commercial Center Drive, Ruskin, FL 33573, USA. Tel.: +1 412 605 7848; E-mail: mezzio001@knights.gannon.edu.
Abstract: BACKGROUND: People with musculoskeletal conditions or other physical disabilities can experience decreased performance due to impaired functional capacity, and orthotics are often prescribed to treat these patients. A common barrier for orthotic provision is patient adherence, further studies are warranted to better understand the relevant causes of abandonment. OBJECTIVE: To identify patient-reported determinants of satisfaction with their orthotic device in studies that used the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 (QUEST 2.0) to determine patients’ perspective regarding the device and the service provision. METHODS: The two authors carried out the review independently using three databases (PubMed, CINAHL, and Semantic Scholar) and various medical subject headings (MeSH). RESULTS: Nine total articles for the final systematic review. The QUEST 2.0 scores ranged from 3.7–4.53 for the device subscale, 3.7–4.71 for the service subscale, and 3.7–4.61 for the total score. The top three patient-reported items were effectiveness, comfort, and ease of use. The most common reasons for orthotic abandonment were pain, discomfort, wounds, or skin irritation. CONCLUSION: Clinicians should address the needs of the patient when it comes to orthotic interventions to decrease orthotic abandonment, improve functional outcomes, and promote patient-centered practice.
Keywords: Quebec User Evaluation with Assistive Technology 2.0, upper limb, lower limb, patient factors
