What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment

To investigate the preferences of frail older people for individualised multidisciplinary rehabilitation to promote recovery from a hip fracture. Discrete Choice Experiment. Acute and Rehabilitation Hospitals in Adelaide, South Australia. Eighty-seven patients with recent hip fracture (16 living in...

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Bibliographic Details
Published in:Journal of rehabilitation medicine 2013-01, Vol.45 (1), p.81-86
Main Authors: Milte, Rachel, Ratcliffe, Julie, Miller, Michelle, Whitehead, Craig, Cameron, Ian D, Crotty, Maria
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Choice Behavior
Female
Fractured hips
Frail
Frail Elderly - psychology
Hip Fractures - psychology
Hip Fractures - rehabilitation
Humans
Male
Mobility
Patient Preference
Preferences
Rehabilitation
Residential care
South Australia
Walking
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Summary:To investigate the preferences of frail older people for individualised multidisciplinary rehabilitation to promote recovery from a hip fracture. Discrete Choice Experiment. Acute and Rehabilitation Hospitals in Adelaide, South Australia. Eighty-seven patients with recent hip fracture (16 living in residential care facilities prior to fracture). 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. 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). 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.
ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-1054