Perspectives of informal caregivers who support people following hip fracture surgery: a qualitative study embedded within the HIP HELPER feasibility trial

ObjectivesThis study aims to illuminate the perspectives of informal caregivers who support people following hip fracture surgery.DesignA qualitative study embedded within a now completed multicentre, feasibility randomised controlled trial (HIP HELPER).SettingFive English National Health Service ho...

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Bibliographic Details
Published in:BMJ open 2023-11, Vol.13 (11), p.e074095-e074095
Main Authors: Welsh, Allie, Hanson, Sarah, Pfeiffer, Klaus, Khoury, Reema, Clark, Allan, Ashford, Polly-Anna, Hopewell, Sally, Logan, Pip, Crotty, Maria, Costa, Matthew, Lamb, Sallie, Smith, Toby, HIP HELPER Study, Collaborators
Format: Article
Language:English
Subjects:
Caregivers
Cognitive ability
Data analysis
Data collection
Females
Fractures
Health services
Hip
Hip joint
Interviews
QUALITATIVE RESEARCH
REHABILITATION MEDICINE
Surgery
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Summary:ObjectivesThis study aims to illuminate the perspectives of informal caregivers who support people following hip fracture surgery.DesignA qualitative study embedded within a now completed multicentre, feasibility randomised controlled trial (HIP HELPER).SettingFive English National Health Service hospitals.ParticipantsWe interviewed 20 participants (10 informal caregivers and 10 people with hip fracture), following hip fracture surgery. This included one male and nine females who experienced a hip fracture; and seven male and three female informal caregivers. The median age was 72.5 years (range: 65–96 years), 71.0 years (range: 43–81 years) for people with hip fracture and informal caregivers, respectively.MethodsSemistructured, virtual interviews were undertaken between November 2021 and March 2022, with caregiver dyads (person with hip fracture and their informal caregiver). Data were analysed thematically.FindingsWe identified two main themes: expectations of the informal caregiver role and reality of being an informal caregiver; and subthemes: expectations of care and services; responsibility and advocacy; profile of people with hip fracture; decision to be a caregiver; transition from hospital to home.ConclusionFindings suggest informal caregivers do not feel empowered to advocate for a person’s recovery or navigate the care system, leading to increased and unnecessary stress, anxiety and frustration when supporting the person with hip fracture. We suggest that a tailored information giving on the recovery pathway, which is responsive to the caregiving population (ie, considering the needs of male, younger and more active informal caregivers and people with hip fracture) would smooth the transition from hospital to home.Trial registration numberISRCTN13270387.Cite Now
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-074095