Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery
A mixed-methods study
Bibliographic Data
| ID | 21457004 |
|---|---|
| Authors | Lise Kronborg Poulsen (Copenhagen University Hospital, corresponding author), Pia Maria Ilvig (0000-0003-0541-992X, Hvidovre Hospital), Louise Brendstrup (Hvidovre Hospital), Caroline Louise Rasmussen (Hvidovre Hospital), Kirsten Aunskjaer Pedersen (Copenhagen University Hospital), Peter Ditlevsen (0000-0003-2120-7732, Copenhagen University Hospital), Sara Elizabeth Henriksen (0000-0002-8447-1752, Copenhagen University Hospital), Jeanette Wassar Kirk (0000-0002-2680-0917, Copenhagen University Hospital) |
| Year | 2022 |
| Volume | 91 |
| Pages | 102021 |
| Publication date | 2022-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Evaluation and Program Planning (JOURNAL) |
| Journal identifiers | ISSN: 0149-7189 • E-ISSN: 1873-7870 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.evalprogplan.2021.102021 |
| PMID | 34756708 |
| OpenAlex | W3211024488 |
| Language | EN |
| References cited | 66 |
Fall-related hip fracture (HF) is a frequent trauma in Scandinavia with a yearly incidence of 8,000 among ≥65-year-old citizens in Denmark. The rising incidence and global predictions are alarming since a HF is a major, and potentially fatal, trauma to the citizen, requiring acute surgery, a multimodal approach and post-operative crosssectoral rehabilitation. However, continuity of the rehabilitation program is frequently interrupted in the transition between sectors, compromising optimal recovery of frail citizens. Thus, there is a need to develop and implement optimized cross-sectoral rehabilitation after HF. The purpose of this explorative study was to develop, implement and evaluate an optimized cross-sectoral rehabilitation program (OCRP) after HF surgery using validated theoretical frameworks. OCRP was developed, implemented and evaluated in one municipality using a pragmatic user-centered approach, quantitative and qualitative data collection and theoretical frameworks including the Behavior Change Wheel (BCW) and RE-AIM. Results of OCRP showed optimized rehabilitation based on motivated health professionals, high patient satisfaction and tendencies of improved levels of physical function. No re-referrals to rehabilitation were reported after OCRP. The BCW, RE-AIM and user-centered approach to program development, implementation and evaluation are useful to apply in program development and evaluation processes across sectors, professions, and medical specialties
Data collection · Hip fracture · Incidence (geometry) · Physical therapy · Cardiac Health and Mental Health · Emergency and Acute Care Studies · Hip and Femur Fractures · Medicine · Nursing · Rehabilitation
Gait Speed and Survival in Older Adults
Exercise for preventing falls in older people living in the community
The Timed “Up & Go”
Systematic text condensation
RE-AIM Planning and Evaluation Framework
A refined compilation of implementation strategies
A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults
Diffusion of Innovations in Service Organizations
The behaviour change wheel
“Life Goes On.” Everyday Tasks, Coping Self-Efficacy, and Independence
The Quality Implementation Framework
Evaluating the public health impact of health promotion interventions
Designing and Conducting Mixed Methods Research
| Citation velocity | historical |
|---|---|
| Highly cited | No |