Developing a consensus-based motivational care pathway for individuals with lower limb fractures: a Delphi protocol

• Published in: Frontiers in public health 2024-07, Vol.12, p.1384498
• Main Authors: Fernandes, Júlio Belo, Fernandes, Sónia, Romão, Ana, Domingos, Josefa, Ferreira, Rui, Amador, Catarina, Pardal, Nelson, Malato, Domingos, Barroco, Ana, Félix, Ana, Oliveira, António, Rito, Fernanda, Ratão, Hélder, Martins, Rita, Silva, Sandra, Godinho, Catarina
• Format: Article
• Language: English
• Subjects: bone; care pathway; Consensus; Cross-Sectional Studies; Delphi Technique; Female; fractures; Fractures, Bone - rehabilitation; hip fractures; Humans; Lower Extremity - injuries; Male; Motivation; motivational interviewing; patient compliance; Public Health
• ISSN: 2296-2565; 2296-2565
• DOI: 10.3389/fpubh.2024.1384498

Older adults with lower limb fractures often harbor concerns about losing their mobility, fearing a loss of independence. It is vital to develop strategies that foster their active engagement in the rehabilitation process. The present protocol aims to create a care pathway tailored to motivate individuals with lower limb fractures to adhere to rehabilitation. We will develop an observational, cross-sectional, and descriptive study using the Delphi data-gathering approach. Purposive sampling will recruit a panel of healthcare professionals and experts who care for patients with lower limb fractures. Aligned with the Delphi method, a series of iterative rounds will be developed to gather consensus around the motivational strategies used by health professionals in the rehabilitation of people with lower limb fractures. We will employ the Qualtrics platform for data collection and analysis, and a consensus target of 75% has been predetermined. For quantitative data analysis, we will use descriptive statistics encompassing a range of measures, including count, mean, standard deviation, median, minimum, maximum, and range. An inductive thematic analysis procedure will be employed to extract meaningful themes and patterns from qualitative data. The study results are expected to significantly impact clinical practice by creating a specialized care pathway to motivate individuals with lower limb fractures to adhere to rehabilitation. Adopting these explicit standards by professionals will ensure uniform and high-quality care.