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USING A NOVEL PSYCHOSOCIAL GROUP INTERVENTION TO IMPROVE ADAPTION, COPING AND MENTAL HEALTH OUTCOMES FOLLOWING DYSVASCULAR LIMB AMPUTATIONS: A FEASIBILITY STUDY
No full textBACKGROUND: Individuals with lower extremity amputations (LEA) often face high rates of depression and anxiety that hinder their rehabilitation and post-discharge coping. Group therapy is a clinically and cost-effective way to address these mental health challenges, but evidence for its use with LEA inpatients is limited.
OBJECTIVE: To determine the feasibility of a psychosocial group therapy intervention for individuals with dysvascular LEA undergoing inpatient rehabilitation.
METHODOLOGY: This randomized controlled trial randomly assigned dysvascular LEA rehabilitation inpatients into a supportive-expressive group therapy (SEGT) or a treatment as usual (TAU) group. The SEGT intervention, a form of group therapy adapted from outpatient medical settings, consisted of six one-hour sessions held twice weekly over a three-week period. Participants completed baseline, exit and three-month surveys assessing the study’s secondary outcomes of SEGT effectiveness on depression, anxiety, coping, body image, health, and community participation. The main outcomes assessed recruitment, survey completion, treatment adherence, and participant retention rates. Interviews and a focus group were completed to obtain feedback on the intervention.
FINDINGS: Twenty-five participants were recruited, with 12 randomly assigned to the SEGT group, and 13 to the TAU group. The average number of sessions attended by SEGT participants was 3.9 (SD = 2.1). The survey completion rates for all participants were 84% (21/25) for the baseline assessment, 64% (18/25) for discharge, and 44% (11/25) for the three-month follow-up. The SEGT group showed a significant improvement in anxiety and depression scores (p = 0.02). SEGT was well-received by participants and staff.
CONCLUSION: The findings suggest a larger pragmatic SEGT trial is feasible, despite a small sample size and implementation challenges during the COVID-19 pandemic, given this study achieved moderate rates of recruitment, retention, and survey completion. Several critical insights were gained on how to optimize an inpatient group therapy intervention for dysvascular LEA populations in rehabilitative settings.
Layman\u27s Abstract
People who have undergone lower limb amputations often experience high rates of anxiety and depression, making it harder for them to recover from surgery and transition back home. Group therapy has been shown to improve the mental health of many patient populations, but it has not been widely studied in persons with lower limb loss in hospital settings. This project tested whether a group therapy program would be feasible for persons with lower limb loss who are undergoing hospital based rehabilitation. The therapy program consisted of six sessions over a three week period. Participants were either randomly assigned to the group therapy sessions or to a treatment as usual condition (no group therapy). We recruited 25 participants: 12 assigned to the group therapy sessions and 13 to the treatment as usual group. The average number of group therapy sessions attended by participants was 3.9 sessions, and individuals that attended the group sessions showed improvements in anxiety and depression scores. The survey completion rates for all participants were 84% for the baseline assessment, 64% for discharge, and 44% for the three-month follow-up. Follow-up interviews with patients who took part in the group therapy revealed they found it to be helpful for the mental well-being, and hospital staff shared some suggestions on how to optimize its’ delivery. Overall this study found that running an in-hospital group therapy program for individuals with limb loss is feasible. The project also provided valuable insights on how to improve any future group therapy studies for people with limb loss.
Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/45122/33962
How To Cite: Steinberg R.J, Robinson L.R, Kachmarchuk O, Jankey S, Posa S, Mayo A.L, et al. Using a novel psychosocial group intervention to improve adaption, coping and mental health outcomes following dysvascular limb amputations: A feasibility study. Canadian Prosthetics & Orthotics Journal. 2025; Volume 8, Issue 1, No. 4. Https://doi.org/10.33137/cpoj.v8i1.45122
Corresponding Author: Dr. Rosalie J. Steinberg, MSc, MD, FRCPCAffiliation: St. John\u27s Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Canada.E-Mail: [email protected] ID: Https://orcid.org/0000-0002-5042-1378Telephone: 1-416-480-408
Moving Threads: The Post-Custodial Archive Model Preserving Syrian Clothing Heritage
No full textThis project uses the post-custodial model to archive a collection of nearly two hundred privately owned Syrian garments. The collection features clothing and craft techniques displaced from diaspora and war. This project aims to identify workflows and best practices for cataloging an international garment collection in the U.S. using the post-custodial method This includes focusing on critical cataloguing, an emerging approach for dress collections. The goal is to transform the collection into a museum-quality, publicly accessible archive and share its content through a book, articles, and an exhibition for education and outreach. The primary focus has been database development around international artifacts with multiple titles and work types. Since 2018, fashion historians working in museums and academia have partnered with Syrian American collection owners, engaging MLIS database specialists, Arabic language translators, Syrian culture experts, and historians to bridge knowledge gaps and enhance awareness. The custodians provide context, storage, provenance, and terminology for inclusive descriptions and photography styling. Challenges with this approach include minimal funding for private collections, limited time and team member participation resulting in slow processing, and the potential for conflicting stakeholder goals. Benefits for the Syrian community include more accurate narratives, vocabulary, and representation that promote innovation than in some institutional collections. Benefits for fashion history and library science professions include establishing best practices for clothing complexities, diversifying cultural representation, and valuing material culture
Reviews of BW Powe’s Collection of Poetry: Mysteria: The following 12 reviews focus on BW’s Mysteria which can be purchased at Amazon.ca or Amazon.com
No full textReviews of BW Powe’s Collection of Poetry: MysteriaThe following 12 reviews focus on BW’s Mysteria which can be purchased at Amazon.ca or Amazon.co
Reclaiming Imposed Identity: Resistance in the Tropes of the "Noble Savage" and the "Authentic Indian"
No full textColonial narratives in anthropology construct a homogenized portrayal of Indigenous identities, resulting in harmful stereotypes that deny diversity across communities. The expectation imposed upon Indigenous Peoples to “play Indian” and fulfill colonial stereotypes like the “Noble Savage” is formulated with the intention to control the cultural freedom of these communities by enforcing a “correct” identity. This construction of “Indigenous authenticity” is designed to be palatable to a colonial audience; however, Indigenous communities find creative ways to resist and reassert their self-determination. This paper examines how the “Noble Savage” trope and the expectations of “authentic Indian” performances serve colonial agendas and how Indigenous Peoples have subverted them. By examining Sarah Winnemucca\u27s lectures and the Kwakwa̱ka̱ʼwakw\u27s performance at the 1893 World Fair, this paper will demonstrate how twisting these stereotypes creates new potentials and spaces for acts of resistance
The Parable of the Lost Sheep
No full text“Once someone dies, their soul will linger for up to 40 additional days on Earth. For those who have suffered from a ‘bad’ death, the soul is stuck on the mortal plane for even longer.”
– Russian superstitio
Milligan, Amy K. Jewish Bodylore: Feminist and Queer Ethnographies of Folk Practices. Lanham, MD: Lexington Books, 2019.
No full textRomance and Revolution: The Immigrant Experience of Emma Goldman
No full textMuch has been written concerning Emma Goldman: one of America’s foremost anarchists, a leader in the struggle for free speech and a pioneering supporter of birth control and women\u27s liberation. She was a critic not only of American political, economic, and social structures, but also brave enough to condemn the repressive tactics of the Bolshevik regime of Vladimir Lenin and Leon Trotsky. However, little has been written about Emma Goldman\u27s experience as a Russian-Jewish immigrant woman in the United States. This is a significant omission, for it was this experience of hers, as recorded in her autobiography Living My Life, which provided the crucible in which Emma Goldman was transformed into the notable woman she became. Through a close reading of her autobiography, this essay will document her transformation from a young immigrant woman struggling to understand society and personal relationships to becoming an independent, self-confident woman, an anarchist revolutionary leader, and a mature citizen of the world.
 
Reclaiming Nidah and Mikveh Through Ideological and Practical Reinterpretation
No full textOriginally printed in Ruttenberg, Danya, editor. The Passionate Torah: Sex and Judaism. New York University Press, 2009, and adapted here with permissions from the editor and author.