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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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| Published in: | Journal of rehabilitation medicine 2013-01, Vol.45 (1), p.81-86 |
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| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 86 |
| container_issue | 1 |
| container_start_page | 81 |
| container_title | Journal of rehabilitation medicine |
| container_volume | 45 |
| creator | Milte, Rachel Ratcliffe, Julie Miller, Michelle Whitehead, Craig Cameron, Ian D Crotty, Maria |
| description | 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. |
| doi_str_mv | 10.2340/16501977-1054 |
| format | article |
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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.</description><identifier>ISSN: 1650-1977</identifier><identifier>EISSN: 1651-2081</identifier><identifier>DOI: 10.2340/16501977-1054</identifier><identifier>PMID: 23037892</identifier><language>eng</language><publisher>Sweden</publisher><subject>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</subject><ispartof>Journal of rehabilitation medicine, 2013-01, Vol.45 (1), p.81-86</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-956d05ede928de8ec8a92f658b43ffbc0179380923adb8068c05707c1f2e1f373</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23037892$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milte, Rachel</creatorcontrib><creatorcontrib>Ratcliffe, Julie</creatorcontrib><creatorcontrib>Miller, Michelle</creatorcontrib><creatorcontrib>Whitehead, Craig</creatorcontrib><creatorcontrib>Cameron, Ian D</creatorcontrib><creatorcontrib>Crotty, Maria</creatorcontrib><title>What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment</title><title>Journal of rehabilitation medicine</title><addtitle>J Rehabil Med</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Choice Behavior</subject><subject>Female</subject><subject>Fractured hips</subject><subject>Frail</subject><subject>Frail Elderly - psychology</subject><subject>Hip Fractures - psychology</subject><subject>Hip Fractures - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Mobility</subject><subject>Patient Preference</subject><subject>Preferences</subject><subject>Rehabilitation</subject><subject>Residential care</subject><subject>South Australia</subject><subject>Walking</subject><issn>1650-1977</issn><issn>1651-2081</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkb1PwzAQxS0EoqUwsiKPLAE7jmNnQlUpH1IlFhBj5DhnauTUwUkL3fjTcWnLzOSz3u-e7u4hdE7JVcoyck1zTmghREIJzw7QMP5pkhJJD39rkmzEATrpundCqOBMHKNByggTskiH6Pt1rnqsAmATlHXYuxoCbsG3DnAboI1SjXuPYVEvIxUrpecWVoBt0wa_imrjK-tsv8bGO-c_7eINz227MdR97LnBY3xrOx2gBzyZe6sBT79aCLaBRX-KjoxyHZzt3hF6uZs-Tx6S2dP942Q8SzTLeZ8UPK8JhxqKVNYgQUtVpCbnssqYMZWOqxVMkiJlqq4kyaUmXBChqUmBGibYCF1ufePQH0vo-rKJM4FzagF-2ZWUcVbIPM_kP9BMyHjKjEc02aI6-K4LYMo2rqXCuqSk3ORT7vMpN_lE_mJnvawaqP_ofSDsBxOIiz8</recordid><startdate>201301</startdate><enddate>201301</enddate><creator>Milte, Rachel</creator><creator>Ratcliffe, Julie</creator><creator>Miller, Michelle</creator><creator>Whitehead, Craig</creator><creator>Cameron, Ian D</creator><creator>Crotty, Maria</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>201301</creationdate><title>What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment</title><author>Milte, Rachel ; Ratcliffe, Julie ; Miller, Michelle ; Whitehead, Craig ; Cameron, Ian D ; Crotty, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-956d05ede928de8ec8a92f658b43ffbc0179380923adb8068c05707c1f2e1f373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Choice Behavior</topic><topic>Female</topic><topic>Fractured hips</topic><topic>Frail</topic><topic>Frail Elderly - psychology</topic><topic>Hip Fractures - psychology</topic><topic>Hip Fractures - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Mobility</topic><topic>Patient Preference</topic><topic>Preferences</topic><topic>Rehabilitation</topic><topic>Residential care</topic><topic>South Australia</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milte, Rachel</creatorcontrib><creatorcontrib>Ratcliffe, Julie</creatorcontrib><creatorcontrib>Miller, Michelle</creatorcontrib><creatorcontrib>Whitehead, Craig</creatorcontrib><creatorcontrib>Cameron, Ian D</creatorcontrib><creatorcontrib>Crotty, Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milte, Rachel</au><au>Ratcliffe, Julie</au><au>Miller, Michelle</au><au>Whitehead, Craig</au><au>Cameron, Ian D</au><au>Crotty, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment</atitle><jtitle>Journal of rehabilitation medicine</jtitle><addtitle>J Rehabil Med</addtitle><date>2013-01</date><risdate>2013</risdate><volume>45</volume><issue>1</issue><spage>81</spage><epage>86</epage><pages>81-86</pages><issn>1650-1977</issn><eissn>1651-2081</eissn><abstract>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.</abstract><cop>Sweden</cop><pmid>23037892</pmid><doi>10.2340/16501977-1054</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1650-1977 |
| ispartof | Journal of rehabilitation medicine, 2013-01, Vol.45 (1), p.81-86 |
| issn | 1650-1977 1651-2081 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1353986648 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection |
| 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 |
| title | What are frail older people prepared to endure to achieve improved mobility following hip fracture? A Discrete Choice Experiment |
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