WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS427–eS632 eS459 clinicians to plan for death prevention. It is useful to know the premorbid differences in demographic and functional char- acteristics between patients who survive versus those who die after LLA in order to intervene in those patients who are at risk. Purpose: To compare the premorbid profile of participants who died within six months after (LLA) to that of survivors. Methods: 154 participants due to undergo a LLA were consecutively sampled, with 148 being eligible for analy- sis. This was a quantitative cross-sectional comparison study. Vascular patients were included if they were scheduled for first time unilateral lower limb amputation. Participants with co-morbidities (e.g. stroke, Parkinsonism, paraplegia) that interfered with function pre-operatively were excluded. A demographic questionnaire, the Barthel Index (BI), the Par- ticipation Scale (P-Scale) and the EuroQol Quality of life measure (EQ-5D) were used in an interview format to gather information on the demographics, function, participation and quality of life of participants prior to the amputation. Par- ticipants were followed up for six months to determine survival. Institutional ethical approval (M110124) and partic- ipant consent were obtained. IBM SPSS 22 was used for data analysis. Descriptive statistics were used to reduce the data. Premorbid differences in function were analysed using the Mann-Whitney U test and Fisher’s exact test. Binary logis- tic regression analysis (univariate and bivariate) was used to predict survival. Results: Of the 154 participants recruited, 6 were lost during follow up, 148 were followed up and death was confirmed in 33 (22.3%) with 115 still alive. There were no significant differences in the premorbid median scores for BI (median = 20), P-Scale (median = 0), EQ-5D index (median = 0.264), EQ-5D VAS (median = 75 and 70 for the survivors and demised respectively) and age (median = 58 and 62 for the survivors and demised respectively) at baseline (p > 0.05). Individual items (categorical data) of the BI and EQ-5D also showed no differences between the two groups (p > 0.05) at baseline but P-Scale items 4-7,9,12,13,16-18 were significantly different (p < 0.05). Those who died drank significantly more alcohol (p = 0.031) and smoked signifi- cantly more than those who survived (p = 0.018). Patients had a 5% (p < 0.05) chance of dying for every unit increase in P-Scale total scale in the univariate regression analysis and in the bivariate adjusted for either BI total, VAS or age. Conclusion(s): The groups were generally comparable in activity levels, however participation levels, quality of life and age, being a smoker, drinking alcohol as well as pre- morbid participation levels seemed to decrease the chance of survival following LLA. Implications: The findings suggest that healthcare practi- tioners must formulate ways to protect at risk patients during postoperative care. Patients with poor premorbid participa- tion levels, quality of life, older age, smokers, drinkers must be targeted. Keywords: Lower limb amputation; Survival; South Africa Funding acknowledgements: Thanks to the MRC(SA), Carnegie and the faculty research fund. Ethics approval: Ethical approval (M110124) from Wits, permission hospitals and participant consent were obtained. http://dx.doi.org/10.1016/j.physio.2015.03.3244 Research Report Poster Presentation Number: RR-PO-15-19-Sun Sunday 3 May 2015 12:15 Exhibit halls 401–403 SOCIAL PARTICIPATION AMONG INDIVIDUALS WITH PHYSICAL DISABILITIES: VALIDATION OF MALAY ASSESSMENT OF LIFE HABITS (3.1) K. Ramachandram 1 , R. Vellayan 1 , P. Subramanian 1 , A. Ahmad Fauzi 1 , H.-T. Goh 2 1 University of Malaya, Kuala Lumpur, Malaysia; 2 University of Malaya, Kuala Lumpur, Mauritius Background: Limited social participation is a common barrier faced by individuals with physical disability and may lead to poor quality of life. Life Habit Assessment (LIFE-H) is a tool to measure levels of social participation in individ- uals with disabilities. However currently there are no existing instruments to measure social participation in Malay lan- guage. Therefore in this study, we translated and validated the LIFE-H (3.1) in Malay language (Bahasa, Malaysia). Purpose: (1) To translate and linguistically validate the LIFE-H (3.1) in Malay language and (2) to examine test-retest the reliability and concurrent validity of Malay LIFE-H (3.1) among Malay speakers with physical disabilities. Methods: This cross-sectional study consisted of two phases. In the first phase,the translation and linguistic vali- dation were done by five professionals following the Beaton’s guidelines. The field test was done with 5 older adults (age >40years) without stroke and five with stroke who were fluent in Malay language. Linguistic validity of the questionnaire was examined by the respondents’ understanding of instruc- tion, item contents and respond options. The second phase was to examine the psychometric properties of the Malay LIFE-H (3.1). Seventy-five individuals (age > 40years) with various physical disability participated in a 30–40 minutes interview in which the Malay LIFE-H (3.1) was administered. In addition, sociodemographics, Barthel Index, and World Health Organization Quality of Life-BREF (WHOQoL- BREF) were collected. Approximately a week later, the Malay LIFE-H (3.1) was administered again. Test-retest reli- ability was determined by Interclass Correlation Coefficient (ICC) and Bland and Altman (bias d) and concurrent validity was examined by Spearman correlation coefficient (r).