Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study

Purpose. To understand older adults’ engagement in their recovery experience and rehabilitation after a fall-related hip fracture. Method. 50 community-dwelling older adults recovering from a recent (3–12 months) hip fracture (32 women, 18 men) participated in telephone interviews using a semistruct...

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Main Authors: Joanie Sims-Gould, Sarah Stott-Eveneshen, Lena Fleig, Megan McAllister, Maureen C. Ashe
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2017/2171865
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author Joanie Sims-Gould
Sarah Stott-Eveneshen
Lena Fleig
Megan McAllister
Maureen C. Ashe
author_facet Joanie Sims-Gould
Sarah Stott-Eveneshen
Lena Fleig
Megan McAllister
Maureen C. Ashe
author_sort Joanie Sims-Gould
collection DOAJ
description Purpose. To understand older adults’ engagement in their recovery experience and rehabilitation after a fall-related hip fracture. Method. 50 community-dwelling older adults recovering from a recent (3–12 months) hip fracture (32 women, 18 men) participated in telephone interviews using a semistructured format at 6 and 12 months after recruitment into the study. Interviews were conducted as part of a mixed-methods study designed to test the effect of a postoperative hip fracture management program (B4 Clinic). Results. Three substantive themes were identified in the qualitative data: (1) managing expectations; (2) engaging in physical activity; and (3) there is life after fracture. Participants shared valuable insight into how their expectations for their recovery period compared to their lived experience and the role of physical activity in their ability to return to their prefracture activities. Conclusions. Our findings reflect older adults’ expectations for recovery from hip fracture. Encouraging engagement in rehabilitative exercises and addressing expectations prior to hospital discharge may improve patients’ adherence to rehabilitation programs, functional outcomes, and postoperative quality of life. Implications for rehabilitation include the necessity for early and ongoing engagement of rehabilitation professionals.
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spelling doaj-art-a0ba76d689f84bab9e2ef4ffdc56caa02025-02-03T01:03:15ZengWileyJournal of Aging Research2090-22042090-22122017-01-01201710.1155/2017/21718652171865Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative StudyJoanie Sims-Gould0Sarah Stott-Eveneshen1Lena Fleig2Megan McAllister3Maureen C. Ashe4Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, V5Z 1M9, CanadaCentre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, V5Z 1M9, CanadaFreie Universität Berlin, AB Gesundheitspsychologie, Habelschwerdter Allee 45, PF 10, 14195 Berlin, GermanyCentre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, V5Z 1M9, CanadaCentre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, V5Z 1M9, CanadaPurpose. To understand older adults’ engagement in their recovery experience and rehabilitation after a fall-related hip fracture. Method. 50 community-dwelling older adults recovering from a recent (3–12 months) hip fracture (32 women, 18 men) participated in telephone interviews using a semistructured format at 6 and 12 months after recruitment into the study. Interviews were conducted as part of a mixed-methods study designed to test the effect of a postoperative hip fracture management program (B4 Clinic). Results. Three substantive themes were identified in the qualitative data: (1) managing expectations; (2) engaging in physical activity; and (3) there is life after fracture. Participants shared valuable insight into how their expectations for their recovery period compared to their lived experience and the role of physical activity in their ability to return to their prefracture activities. Conclusions. Our findings reflect older adults’ expectations for recovery from hip fracture. Encouraging engagement in rehabilitative exercises and addressing expectations prior to hospital discharge may improve patients’ adherence to rehabilitation programs, functional outcomes, and postoperative quality of life. Implications for rehabilitation include the necessity for early and ongoing engagement of rehabilitation professionals.http://dx.doi.org/10.1155/2017/2171865
spellingShingle Joanie Sims-Gould
Sarah Stott-Eveneshen
Lena Fleig
Megan McAllister
Maureen C. Ashe
Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
Journal of Aging Research
title Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
title_full Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
title_fullStr Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
title_full_unstemmed Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
title_short Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study
title_sort patient perspectives on engagement in recovery after hip fracture a qualitative study
url http://dx.doi.org/10.1155/2017/2171865
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