Satisfaction Criteria Research Articles

Comparative Analysis of the Infrastructure of the City of Astana with a Sociological Survey of the Mental Well-Being of Citizens in the Context of the Sustainable Development of the Urban Agglomeration

Rapid urbanization entails complex problems not only in cities, but also within urban agglomerations. In modern landscape science, the greatest problems are primarily related to the ecological state of urban ecosystems. In this context, the most important task of urbanism is the interdisciplinary study of urban infrastructure in relation to the well-being of inhabitants, with a focus on the sustainable development of urban agglomerations. The aim of this study is to conduct a theoretical analysis of interdisciplinary research on the interactions between humans and the urban environment in the context of intensive urbanization, as well as to be an empirical study of the relationship between the real ecological state of the city of Astana, based on the use of geographical, environmental, cartographic, statistical, sociological, and socio-psychological research methods, aimed at identifying the mental well-being of citizens in correlation with their consumed urban ecosystem services using an associative psychological experiment, socio-psychological survey, and GIS mapping. As a result of this study, the authors have determined that the research hypothesis 1 “Spatial representations of the city’s geoecological state are interrelated with the mental well-being and satisfaction with urban ecosystem services of citizens depending on the area of residence” is confirmed. Additionally, a positive correlation has been noted among the key indicators and criteria of geoecological condition, mental well-being, and satisfaction with urban ecosystem services across different districts of the city.

Философия микроэкономики: ключевые тенденции XXI в.

The article analyzes the current key philosophical trends in academic publications on microeconomics. The author investigates new sense that economists imply into traditional methodological grounds of Microeconomics. Based on classical marginalist microeconomic theory, contemporary Russian and World economists introduce new meanings and new interpretations into such important aspects of Microeconomics as microeconomic agents, choice and limitations for producers and consumers, market interactions and competition, time and space of microeconomic phenomena. New methodological grounds of Microeconomics in the sphere of decision-making are analysed on the ground of content-analysis. The process of economic choice in new conditions of the 21st century is based on deliberate consumption of economic goods and thoughtful limitations for time, place and number of alternatives when decision is made. Maximization of utility as the goal of behavior of a rational individual is replaced by the criterion of satisfaction and happiness which now form important elements of microeconomic analysis. New approaches to microeconomic models are formed on the ground of mathematical theories of dynamic chaos and nonlinear processes that allow to forecast more precisely microeconomic events in the era of turbulence. Stochastic concepts and differentiated games take the place of traditional statistical strict determinism of microeconomic theories and uncertainty acquires new depth as a fundamental pattern of functioning of microeconomic processes. The article specifies the motives and goals of individual and collective agents acting at micro level. Thus microeconomics of the 21st century has reconsidered its key philosophical grounds, which would contribute to a new paradigm of Microeconomic Analysis.

Comparison of biportal endoscopic and microscopic tubular paraspinal approach for foraminal and extraforaminal lumbar disc herniation.

Foraminal and extraforaminal lumbar disc herniation (FELDH) is an important pathological condition that can lead to lumbar radiculopathy. The paraspinal muscle-splitting approach introduced by Reulen and Wiltse is a reasonable surgical technique. Minimally invasive procedures using a tubular retractor system have also been introduced. However, surgical treatment is considered more challenging for FELDH than for central or subarticular lumbar disc herniations (LDHs). Some researchers have proposed uniportal extraforaminal endoscopic lumbar discectomy through a posterolateral approach as an alternative for FELDH, but heterogeneous clinical results have been reported. Recently, the biportal endoscopic (BE) paraspinal approach has been suggested as an alternative. The aim of this study was to compare the clinical outcomes of BE and microscopic tubular (MT) paraspinal approaches for decompressive foraminotomy and lumbar discectomy (paraLD) in patients with FELDH. Ninety-one consecutive patients with unilateral lumbar radiculopathy and FELDH underwent paraLD. Demographic and perioperative data were collected. Clinical outcomes were evaluated using the visual analog scale (VAS) for back and leg pain, the Oswestry Disability Index (ODI) for spinal disability, and the modified Macnab criteria for patient satisfaction. Postoperative complications and reoperation rates were also evaluated. In total, 76 patients were included in the final analysis. Among them, 43 underwent BE paraLD (group A) and the remaining 33 underwent MT paraLD (group B). The demographic and preoperative data were not statistically different between the groups. All patients showed significant improvements in VAS back, VAS leg, and ODI scores compared with baseline values (p < 0.05). The improvement in VAS back scores was significantly better in group A than in group B on postoperative day 2 (p < 0.001). However, all clinical parameters were comparable between the two groups after postoperative year 1 (p > 0.05). According to the modified Macnab criteria, 86.1% and 72.7% of the patients had excellent or good outcomes in groups A and B, respectively. No intergroup differences were observed (p = 0.367). In addition, there were no differences in the total operation time or amount of surgical drainage. Postoperative complications were not significantly different between the two groups (p = 0.301); however, reoperation rates were significantly higher in group B (p = 0.035). BE paraLD is an effective treatment for FELDH and is an alternative to MT paraLD. In particular, BE paraLD has advantages of early improvement in postoperative back pain and low reoperation rates.

Development and feasibility of a mindfulness-based dance/movement therapy intervention for chronic low back pain.

Responding to the need for innovative, multi-modal, non-pharmacological strategies in chronic low back pain (cLBP) care, this article presents the development and a mixed methods feasibility trial of a manualized Mindfulness-based Dance/Movement Therapy (M-DMT) program for cLBP. The 12-week program is designed as a group therapy, integrating mindfulness principles, creative/expressive dance and movement, and psychoeducational content focused on cLBP management. This holistic program seeks to cultivate nonjudgmental awareness of pain experiences, challenge maladaptive pain-related beliefs, enhance emotional well-being, foster social support, and promote effective coping strategies for the daily challenges associated with cLBP. The 12-week M-DMT intervention was administered to individuals with non-specific cLBP (N = 18, aged 51.7 ± 13.9 years, 72% female, 55% Black and 39% White). We assessed feasibility and acceptability through monitoring enrollment and retention rates, attendance, and adverse events. Moreover, we measured the intervention's credibility/expectancy, participants' perception of changes, and overall satisfaction. Additionally, we collected qualitative data, capturing participants' perspectives on the intervention's usefulness and perceived benefits. Specific benchmarks were established to gauge the successful feasibility and acceptability of the program. The adherence rate stood at 80%, with a perfect retention rate of 100%. The study successfully met the benchmarks for treatment acceptability and satisfaction criteria, with 61% of participants reporting "feeling better" or a "great deal better" after the intervention. No adverse events were observed. Participants found the intervention enjoyable and reported that it provided effective tools for cLBP and related symptoms. Notably, participants reported a decrease in fear-avoidance behaviors, increased motivation for physical activity, and a boost in self-efficacy for pain management. These encouraging findings establish a strong basis for considering the M-DMT intervention as a promising approach for cLBP management, warranting further investigation in larger-scale studies.

471 Using the QOD to Identify Minimum Clinically Important Differences for Patients With Cervical Spondylotic Myelopathy

INTRODUCTION: Minimum clinically important differences (MCID) for quality-adjusted life years (QALYs) and arm pain patient-reported outcome metrics (PROMs) in cervical spondylotic myelopathy (CSM) have yet to be determined, while data for myelopathy severity, impairment, and neck pain remain limited by small series and low rates of follow-up. METHODS: The CSM database of the QOD Study Group was utilized for this analysis. Patients were prospectively enrolled and followed for 24 months, with a follow-up rate of 85.2%. The MCIDs were computed for five standardized instruments: Neck Disability Index (NDI), five-dimension Euro-QoL (EQ-5D) in QALYs, neck and arm pain numeric rating scale (NRS), and modified Japanese Orthopedic Association score (mJOA) at both 3 and 24-month follow-up. Seven previously validated measures of MCID were compared using the area-under-the-curve (AUC). The North American Spine Society (NASS) satisfaction scale was the anchor, with scores of 1-2 meeting criteria for satisfaction. RESULTS: A total of 1,141 patients underwent surgery for CSM. Improvement of =30% from baseline was the optimal MCID across time points for NDI and neck/arm NRS. At 24 months, 30% improvement for these three instruments resulted in AUCs of 0.73, 0.71, and 0.67, respectively. Numeric cut-offs (0.065 at 3 months and 0.149 at 24 months) were the superior MCIDs for EQ-5D-derived QALYs. For mJOA, a severity-adjusted MCID outperformed the other methods, yielding an AUC of 0.67 at 24 months. CONCLUSIONS: We used the QOD dataset to define previously unknown MCIDs for several outcome measures. A =30% improvement from baseline was a consistent, high-performing MCID in NDI and arm/neck NRS. However, an absolute numeric cut-off (0.149) was the superior MCID for EQ-5D QALYs. mJOA exhibited the lowest predictive capacity for patient satisfaction.

Medical and social support for children with disabilities in hospitals

Children constitute a special category among the disabled and people with disabilities. Restoration or compensation of impaired functions cannot be achieved in full, but thanks to medical and social support and technical means of rehabilitation, adaptation to existing living conditions, it is possible to achieve a higher level of quality of life. Medical and social support for children with disabilities is considered from the perspective of the available resource potential of the hospital system itself - the competent application of medical and social technologies and the functional capabilities of inpatient or semi-stationary type institutions. The leading criterion for evaluating the effectiveness of medical and social support for children with disabilities in hospital and semi-stationary care was the criterion of satisfaction of the medical and social needs of rehabilitators and their family members (parents/legal representatives). The author used analysis of documents, questioning of children with disabilities and parents (legal representatives) to identify needs, assessment of satisfaction of medical and social needs of children with disabilities and their parents (legal representatives) using comprehensive medical and social support (interviewing). In the course of the work, the purpose of the study was achieved – a sociological analysis of medical and social support for children with disabilities was carried out. Based on the research data, it can be concluded that the most relevant in meeting the needs of children with disabilities in hospital and semi-hospital settings are the socio-pedagogical and socio-psychological components of medical and social support, while the medical and social components fade into the background. The explicit needs must be met not through a ready-made solution, but by teaching the child himself to accept and work with them until an optimal level of compensation is achieved, the use of medical and social support technology as a system in hospital and semi-stationary conditions, on the one hand, has stable invariance properties, on the other, has variability.

Utilizing Analytical Hierarchy Process for Evaluating the Performance of Straw Mushroom (Volvariella spp.) Farmers in North-Eastern Region of Karawang, West Java, Indonesia

Producers of Straw Mushroom (Volvariella spp.) in the North-Eastern region of Karawang, West Java, Indonesia predominantly operate within the sub-districts of Cilamaya Kulon, Cilamaya Wetan, and Banyusari. A noticeable decline in Straw Mushroom cultivation has been observed in this region, which can be ascribed to various factors including suboptimal farming practices, diminished seed quality, and erratic weather conditions impacting production outcomes. It is imperative to enhance the efficiency of mushroom farming across multiple stages encompassing planning, procurement of raw materials, processing, Maintenance, harvesting, marketing, shipping, handling returns, and ensuring consumer satisfaction. This study aims to evaluate the productivity of mushroom farmers, with a specific focus on the top-performing farmers in the North-Eastern region of Karawang. Proportionate stratified random sampling was employed as the sampling technique, and data were collected through structured interviews utilizing a questionnaire. Quantitative analysis, employing the Analytical Hierarchy Process method, was utilized for data analysis. The findings reveal that planning criteria hold the highest priority value of 0.306, whereas satisfaction criteria have the lowest priority value of 0.018. The top-performing farmers achieved a score of 2.08, while the lowest performing farmers attained a score of 1.10

Méthodes pharmacologiques ou mécaniques pour la maturation cervicale : une revue de la littérature

ObjectiveInduction of labor in France concerns one birth out of four with 70% of induction starting by cervical ripening, either with a pharmacological (prostaglandins) or a mechanical (balloon) method. This review aims to compare these two methods within current knowledge, using the PRISMA methodology. MethodsTrials comparing these two methods, published or unpublished up to July 2023, in French or English were searched for in the PubMed, Cochrane Library and ClinicalTrial.govs datasets. Fifty articles including 10,689 women were selected. The outcomes of interest were those from the Core Outcome Set for trails on Induction of Labour (COSIOL) list: mode of delivery, time from induction-to-birth, maternal and neonatal morbidity, and maternal satisfaction. ResultNo differences were observed between the two methods for the mode of delivery or neonatal and maternal morbidity. The time from induction-to-birth was longer for mechanical methods. Those were also associated with a greater need for oxytocin, less uterine hyperstimulation and less instrumental deliveries. Maternal satisfaction was assessed in only nine trials using various scales which made the interpretation of maternal satisfaction. ConclusionThe efficacy of these two induction methods is similar for vaginal delivery, but it remains to be seen which one best meets women's satisfaction criteria.

Penerapan Metode Servqual Dan Customer Satisfaction Index (CSI) Untuk Peningkatan Kepuasan Pengguna Light Rail Transit (LRT) Di Kota Palembang

One mode of mass transportation that is currently widely used by the people of Palembang City is Light Rail Transit (LRT). This research aims to determine the level of satisfaction of LRT mass transportation users in Palembang City using the ServQual method and the CSI method. Measuring the level of satisfaction uses 5 dimensions, namely Tangible, Reliability, Responsiveness, Assurance and Empathy. Measurements using the ServQual Method overall show that the level of satisfaction with the quality of service on the LRT in Palembang city is 0.908552, which is close to a value of 1, so it can be concluded that users are very satisfied with the quality of service on the LRT in Palembang city. However, based on the Gap obtained from Satisfaction and Expectations, each attribute in the 5 dimensions of service quality has a Negative Gap value which indicates that improvements still need to be made to increase user satisfaction in the future. Measuring the level of satisfaction using the CSI method obtained an LRT user satisfaction level index of 0.7659 in the range of 0.60 – 0.80, which means the satisfaction index for LRT mass transportation services is in the Satisfaction criteria

ОСОБЕННОСТИ РАЗРАБОТКИ И ВНЕД-РЕНИЯ СИСТЕМЫ МЕНЕДЖМЕНТА КА-ЧЕСТВА НА ПРЕДПРИЯТИЯХ ИНДУСТРИИ ГОСТЕПРИИМСТВА

The article is devoted to the consideration of the development and implementation of a quality management system at enterprises in the hospitality industry, the identification of key elements of quality management and criteria for guest satisfaction with the quality of service. It is emphasized that the main goal of the quality management system at a hospitality industry enterprise is to increase competitiveness by improving the quality of service provision. The authors proposed an implementation algorithm, a conceptual model of the quality management system, and substantiated measures to improve it.

For a better management of bus service quality in the city of Constantine

Our study desires to address the criticized issue by bus users in Constantine and suggest improvement in terms of service quality, attractiveness, and competition. We adopt an innovative approach that considers the characteristics of the buses and customer satisfaction for continuous improvement by associating the evaluation of the current situation through an in situ survey using well-chosen performance indicators concerning the culture of the Constantinian citizen with measuring satisfaction criteria using the KANO model. The indicators chosen are representative and measurable and allow precise mapping of the situation, the main of our research. The main result highlights the importance of rolling stock as one of the most important segments of the urban transport system, which justifies the amount of criticism it received. In the end, this study's results can help achieve several societal objectives, including safety, comfort, and efficiency of transport, for a better quality of urban life.

The Levels of Satisfaction Consumer Herbal Slim Product: An Customer Satisfaction Index (CSI) Approach

Marketing activities on slimming herbal products have not been optimized. The condition of intense competition and the lack of purchasing power of products, shows that consumers are increasingly selective in determining product choices. This study aims to (1) analyze the level of importance and performance of slimming herbal product attributes and (2) measure the level of satisfaction of slimming herbal products. This research was conducted from January to July 2023. Location determination was carried out by purposive sampling and a total of 30 respondents were determined by convenience sampling. The data collection technique was carried out by filling out questionnaire. Data analysis was carried out using the Importance Performance Analysis (IPA) method in 4 quadrants, with the x-axis stating performance and the y-axis describing importance. describes importance. While the calculation of Customer Satisfaction Index (CSI) calculations are used to determine customer satisfaction criteria. The results of the study obtained the level of performance and importance that require improvement, namely in quadrant I (high level of importance with low performance) and quadrant III (low level of importance with low performance),, while the attributes that need improvement are price and promotion. The results of level customer satisfaction shows 83.6% in the criteria very satisfied.

Критерий изменчивости как фактор рационализации труда в условиях изменения социально-трудовых отношений

The aim of the study is to analyze the elaboration of the problems of labor change in the current conditions and methodological justification of ensuring the rationalization of labor, implemented primarily by individuals themselves. The relevance of the study is determined by the active transformation of existing social and labor relations and the need to ensure the adaptation of labor activity of individual subjects of labor to changing conditions. On the basis of institutional and neo-institutional approaches, as well as system-activity methodology, a critical understanding of the concept of bounded rationality is proposed. The need is formalized and the solution to form the criterion of variability as a factor of the desired rationalization of labor is implemented. The functional of this criterion is revealed, which is not so much an alternative to the criterion of satisfiability considered in H.A. Simon's researches, as its methodological development and necessary addition providing the target rationalization. Two models of labor activity are shown. The first model is realized in the logic of the criterion of satisfaction, which makes it difficult for a limitedly rational individual to leave the actual comfort zone and, therefore, does not contribute to relevant rationalization. The second model of labor activity is realized in the logic of the criterion of variability and can contribute to this rationalization. The potential of the second model is specified: (a) it becomes possible to rationalize labor in terms of changing the usefulness of both individual actions and labor activity as a whole; (b) rationalization can be carried out by the individual himself regardless of the experience of his previous socialization; (c) the applicability of the second model of labor activity potentially to an unlimited number of labor resources is ensured by means of the second model of labor activity. The directions of possible use of the obtained results are shown both from the point of view of formation of labor markets, employment policy, personnel training, and from the position of further research.

Web applications layout quality as a criteria for satisfaction of user needs

Web applications layout quality as a criteria for satisfaction of user needs

Assessing the completeness of patient-reported outcomes reporting in congestive heart failure clinical trials.

We aim to evaluate the quality of patient-reported outcomes included in randomized control trials for the treatment of congestive heart failure using the International Society for Quality of Life Research (ISOQOL) checklist, a validated tool for critically appraising the quality of patient-reported outcomes. We performed a cross-sectional analysis of 65 randomized control trials with patient-reported outcomes for drug intervention trials for treating congestive heart failure. N/A. N/A. The primary outcome of this study was to evaluate the reporting completeness of patient-reported outcomes in congestive heart failure clinical trials with drug interventions according to the ISOQOL checklist. Our search returned 1114 studies, of which, 65 are included in the analysis. The average completion of the ISOQOL reporting standards was 44.51%. Higher completion of the ISOQOL patient-reported outcome standards was observed in the clinical trials with patient-reported outcomes as primary endpoints compared to the clinical trials with patient-reported outcomes as a secondary endpoint. The multivariable regression model showed that clinical trials with patient-reported outcomes as a primary endpoint had a 21.46% better completion percentage (t = 4.45, p ⩽ 0.001) when controlling for PRO recording duration and trial registration. Eight (8/65, 12.31%) of the clinical trials met the satisfaction criteria of completing two-thirds of the ISOQOL patient-reported outcomes reporting standards. All of these RCTs had a patient-reported outcome as a primary endpoint. Our analysis of the reporting of patient-reported outcomes in congestive heart failure clinical trials with drug interventions suggests that the quality of reporting is suboptimal. This evidence of substandard reporting of patient-reported outcomes is disconcerting as it reduces the transparency of randomized control trials, which are considered the foundation of evidenced-based medicine. Inadequate reporting may result in clinicians implementing misrepresented or incomplete evidence into clinical practice. Validated reporting tools, such as the ISOQOL, can be used by trialists and clinicians alike to improve and critically appraise the reporting of patient-reported outcomes in randomized control trials. N/A.

Teachers’ Job Satisfaction and Its Influence on Affective Commitment: A Case Study of People's Campus

The purpose of this study is to investigate the relationship between teacher job satisfaction and affective commitment of People's Campus. According to the survey method, the data was obtained by a structured questionnaire on a sample of seventy two teachers using a judgmental sampling procedure. Descriptive statistics analysis was employed. All of the independent variables correlated positively and significantly with the dependent variable (affective commitment). If management can target these job satisfaction criteria, it will be easier to generate a commitment among employees to willingly engage in the organization's development.

Subjective Well-Being in Cancer Patients: The Roles of Social Support, Purpose in Life, Resilience, and Informativeness.

The aim of this research was to determine the relationship between subjective well-being (life satisfaction, positive and negative experiences, and prosperity) and various psychosocial factors (social support received from family members and partners, purpose in life, resilience and information) in cancer patients and to examine the possibility of predicting components of subjective well-being based on these mentioned factors in cancer patients. A total of 338 adult cancer patients from Croatia participated in the study (41.1% male and 58.9% female). To measure the constructs, the Diener Subjective Well-Being Scale, the Social Support Scale at work and in the family, the Purpose in Life Scale, the Short Resilience Scale, and the EORTC-QLQ information questionnaire were used. Results showed a high level of life satisfaction and prosperity, as well as more frequent positive compared to negative experiences. A medium to high level of social support received from family members and from the partner was determined. High levels of purpose in life and medium levels of resilience and information were found. A high correlation was found among the components of the construct of subjective well-being, and a low to medium correlation among the predictors. Positive associations were found between the criteria of life satisfaction and prosperity with psychosocial factors. Negative associations were established between the positive/negative experience variables and the factors. Furthermore, the purpose in life was determined as an important predictor of all three components of subjective well-being, social support (both sources) as important for predicting life satisfaction, resilience for experiencing positive and negative experiences, and social family support for predicting the prosperity of cancer patients.

Analysis Policies and Network to Improve Patien Satisfaction at the Primary Clinic of Medan Health Polytechnic

Health Polytechnic of the Ministry of Health Medan is one of the Vocational Health Education Institutions, which applies a larger proportion of practical curriculum than theory. This policy due to the availability of required health workers following optimization through the Medan Poltekkes director's policy of increasing the need for appropriate medical personnel.The regulations decided by the director of Medan Health Polytechnic as a policy include two things, namely by adding and restructuring human resources such as recruiting general practitioners as the person in charge of clinics, dentists, and other health workers such as nurses, midwives, nutritionists, sanitation experts, pharmacy, medical laboratory personnel. Networking is needed as process of building and managing productive relationships, both personal and organizational to improve quality of services clinic. Another opinion states that the networking is an information system consisting of humans, data, software (software), hardware (hardware) and the network it self. Networking is the art of communicating with each other, sharing ideas, information and resources to achieve individual or group success. This type of research was experiment study, pre and post test design, used primary data. Data were taken from the result satisfaction indicators from the Service Quality Model namely the SERVQUAL model from Hertanto (2017). The research was conducted for 1 year in 2017 at the Health Polytechnic Clinic of the Ministry of Health Medan. The population in this study were all customers about 500 population, inclusion criteria to be sample 20 – 50 years old about 133 population, and all of the sample have been taken about 41respondent. Analysis data by Wilcoxon test. The majority of patient satisfaction levels related to clinical services are satisfied with the following types of satisfaction criteria: tangible (63%), reability (66%), responsiveness (83%), assurance (68%), emphaty (73%). Only a small proportion expressed dissatisfaction to the services provided

Satisfaction and Loyalty of Consumers of Dried Mackerel (Scomberomorus commersoni) In Bengkulu City

Dried mackerel fish is a type of processed mackerel fish. Even though mackerel is in dry form, many people consume it. To analyze the level of consumer satisfaction and consumer loyalty and analyze the factors that influence the level of satisfaction and loyalty of dried mackerel in the city of Bengkulu. CSI (Customer Satisfaction Index) analysis tool to analyze satisfaction levels, Loyalty Pyramid to analyze Loyalty levels and Structural Equation Modeling (SEM) to analyze the influence between variables. The results of the CSI calculation are 79.59%. Consumer loyalty for dried mackerel in Bengkulu City, with the highest score, lies in the Liking the Product category, with a value of 143%. These results indicate the level of consumer satisfaction for dried mackerel in Bengkulu City is included in the satisfaction criteria with CSI values ​​between 66% -80.99%. Loyalty levels produce an inverted pyramid shape. In the simultaneous test, the direct effect of the product quality, price and place variables significantly affect satisfaction. Still, the service quality variable does not affect satisfaction. In the simultaneous test, the direct effect of product and service quality variables significantly affects customer loyalty. In contrast, the price and place variables do not significantly affect customer loyalty. The results of the analysis of the indirect effect showed that the service quality variable has no significant effect on loyalty through satisfaction, and product quality, price and place variables have a significant effect on consumer loyalty Dried Mackerel through satisfaction. Dried Mackerel traders can maintain the taste of dried Mackerel through salting and drying processes using the PEHI LING drying concept (Practical Economical and Hygienic with an Environmental Insight).

Satisfaction survey toward an innovative orthosis for children with cerebral palsy with pes planovalgus.

Pes planovalgus (PPV) is common in children with cerebral palsy and can cause pain and gait alterations over time. Initial treatment of flexible PPV includes orthotics, despite a lack of consensus on the type of orthosis. We developed an innovative ankle-foot orthosis (RAFO). RAFO is a one-piece orthosis designed to correct both the valgus and the flat of the foot. Its conception situated above the malleolar enables a moderate anti equinus effect. Its precise description and fabrication's process is detailed. We wanted to assess user's satisfaction after several months of use and looked for clinical criteria of satisfaction. Retrospective. We conducted a satisfaction study through a telephonic QUEST (Quebec User Evaluation of Satisfaction with Assistive Technology) survey analysing the device and the process in children and parents. 24 parents were contacted, whose child was wearing RAFO on a daily basis for at least 4 months. 20 parents answered the questionnaire. The results were then related to clinical data to research satisfaction' criteria. Mean QUEST satisfaction was 4.25/5 (4.18/5 for device and 4.38/5 for process). Advantages reported concerned weight and dimensions (95%), although 20% reported the necessity to change to a shoe size above, ease of use (90%) and level of comfort (80%). Parent's satisfaction regarding perceived effectiveness was 80%. Children with equinus due to triceps surae spasticity were more susceptible to develop pain with our orthosis. Parents were overall very satisfied with the orthosis. Its technical characteristics allowing both to be a corrector of flat foot and valgus and at the same time to be comfortable and discreet makes it innovative. The presence of spastic equinus is a limit for its utilization.