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more infirm as they say, then I shall sit and probably think about it more but I do
try to keep my mind on other things to take me off it” (03/clin/1037/prosth)
“Well usually when I'm with friends and that or relatives you know you put a brave
face on kind of thing and then I can laugh about it, depending on how I feel in
myself you know and then other times you know it just gets to you”
(03/clin/1037/prosth)
Stage 3 – outcomes – changed improved group
In this group, planning for change and acceptance of change were reported.
“We are...the house is on the market. I don’t know when whether it’s gonna sell
but we are hoping to move up to North Wales to be close to Nigel’s family, and
buy something small and that’s a very significant part of my rehabilitation, can I
call it. This is just; this house is too big for us” (01/clin/0034/eye)
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Visible difference was also seem as a catalyst for health related behavioural change:
“Stopping smoking [after leg amputation]. I only ever stopped once before in my
life for 8 months because I was a very heavy smoker which caused the loss of my
leg actually”(03/clin/1047/prosth)
Stage 3 – Outcomes – changed deteriorated group
It was not possible to identify common themes in behaviour change for this group. This is
probably because this group was itself very heterogeneous, with changes occurring for a broad
range of reasons.
Comparisons between self-selected adjustment groups using data derived from the
questionnaires
Stable coping well group
There were no significant differences between mean scores at time one and time two on the
HADS for this subset of participants (anxiety subscale Z = -1.37, p = 0.16, depression subscale
Z = -1.55, p = 0.12), DAS (Z = -0.77, p = 0.44) or FNE (Z = -0.15, p = 0.87). RCI scores however
showed significant improvement on the HADS (anxiety subscale n=2, depression subscale n=1)
and FNE (n=2), as well as significant deterioration on the FNE (n=1).
Despite having self selected as coping well, three participants scored within the clinical range
for the HADS anxiety or depression subscale at time one and two. There were also a wide
range of scores for both DAS 24 (22-54) and FNE (21-59) measures suggesting variability in
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