ArticleArchives of physical medicine and rehabilitation2026
PROPREDICT Decision Support Tool: Using Evidence to Guide Precision Prosthesis Prescription and Rehabilitation Planning.
Article in Archives of physical medicine and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
objectiveTo translate the previously validated AMPREDICT PROsthetics prediction model into a web-based, clinical decision support tool (DST) for use at the time of initial prosthetic evaluation to predict 4 levels of prosthetic mobility 12 months after prescription.
designThe previously validated AMPREDICT PROsthetics prediction model provided the predictors with corresponding coefficients to develop an online DST. The content and aesthetics of the DST was created by the authors with iterative input from an expert panel gathered via a user-friendly input page and access to a DST simulation with graphic display of predicted mobility levels. This beta DST underwent formal usability testing using a think aloud approach with a quantitative assessment of usability and qualitative interviews to address user-friendliness, readability, functionality, and potential implementation challenges.
settingThe Veterans Health Administration.
participantsTwelve clinicians (N=12), who regularly participate in prosthetic prescription and represent the intended target users of the PROPREDICT DST, were included.
interventionsNot applicable.
main outcome measuresQualitative themes and the Post-Study System Usability Questionnaire (PSSUQ).
resultsThe PSSUQ overall (and subscale scores) were highly favorable, with a mean overall score of 1.58 from a potential range 1.0-7.0 (lower score greater usability). Participant feedback identified the following potential clinical utility of the DST: (1) assisting in counseling patients on prosthesis selection; (2) setting expectations for future mobility; and (3) sharing DST input with the clinical team to aid in rehabilitation planning.
conclusionsThe PROPREDICT DST (www.prodecide.org) was successfully developed and tested for usability and clinical relevance. Rehabilitation providers are optimistic about its potential.
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