Document Detail


What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment.
MedLine Citation:
PMID:  23037892     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the preferences of frail older people for individualised multidisciplinary rehabilitation to promote recovery from a hip fracture.
DESIGN: Discrete Choice Experiment. Setting: Acute and Rehabilitation Hospitals in Adelaide, South Australia.
SUBJECTS: Eighty-seven patients with recent hip fracture (16 living in residential care facilities prior to fracture).
METHODS: Patients providing informed consent (or consenting family carer proxies in cases where patients were unable to provide informed consent (n = 10)) participated in a face to face interview following surgery to repair a fractured hip to assess their preferences for different configurations of rehabilitation programs.
RESULTS: Overall, participants expressed a strong preference for improvements in mobility and a willingness to participate in rehabilitation programs involving moderate pain and effort. However, negative preferences were observed for extremely painful interventions involving high levels of effort (2 h per day for 2 months). Subgroup analysis revealed consistently similar preferences according to place of residence (residential care vs community).
CONCLUSIONS: Improvements in mobility are highly valued by frail older people recovering from hip fracture, including those living in residential care. Further research should be directed towards achieving greater equity in access to rehabilitation services for the wide spectrum of patients attending hospital with hip fractures.
Authors:
Rachel Milte; Julie Ratcliffe; Michelle Miller; Craig Whitehead; Ian D Cameron; Maria Crotty
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  45     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-05-21     Completed Date:  2013-12-05     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  81-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Choice Behavior
Female
Frail Elderly / psychology*
Hip Fractures / psychology,  rehabilitation*
Humans
Male
Patient Preference
South Australia
Walking

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