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Table 2 Themes, and subthemes of patient’s perceptions of risk factors that contributed to their LEA

From: “I know what I'm supposed to do, but I don't do it”: patient-perceived risk factors that lead to their lower extremity amputations

Themes

Sub themes

Summary

Intrinsic factors

Identity

Elements of identity impacted participants perceptions of their risk factors e.g., occupational, father, rural, independent, self-image, health

Ambivalence

Having good knowledge of the risk factors but acting to the contrary

Not managing their risk factors due to complacency

Denial

Participants perceived they had good health despite negative outcomes such as amputation

Inevitability

Perceptions of the certainty of the outcome resulted in lack of engagement in risk management

Helplessness

Participants believed they were unable to control or change the outcome

Extrinsic factors

Resources

Difficulties with accessing healthcare e.g., transport, lack of appointments and choice of healthcare professional

Rapport with healthcare professionals

Negative perceptions about communication, trust, and support from healthcare professionals

Management of care

The perception that negative outcomes were due to poor healthcare management