Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery

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

  Stephanie A Studenski, Stephanie Studenski•JAMA•2011

  Incluir item

• Exercise for preventing falls in older people living in the community

  Catherine Sherrington, Nicola Fairhall et al.•Cochrane Database of Systematic…•2019

  Incluir item

• The Timed “Up & Go”

  Open Access•Diane Podsiadlo, Sandra Richardson•Journal of the American…•1991

  Incluir item

• Systematic text condensation

  Open Access•Kirsti Malterud•Scandinavian Journal of Public…•2012

  Incluir item

• RE-AIM Planning and Evaluation Framework

  Open Access•Russell E Glasgow, Samantha M Harden et al.•Frontiers in Public Health•2019

  Incluir item

• A refined compilation of implementation strategies

  Open Access•Byron J Powell, Thomas J Waltz et al.•Implementation Science•2015

  Incluir item

• A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults

  C Jessie Jones, Roberta E Rikli et al.•Research Quarterly for Exercise…•1999

  Incluir item

• Diffusion of Innovations in Service Organizations

  Open Access•Trisha Greenhalgh, Glenn Robert et al.•Milbank Quarterly•2004

  Incluir item

• The behaviour change wheel

  Open Access•Susan Michie, Maartje M Van Stralen et al.•Implementation Science•2011

  Incluir item

• “Life Goes On.” Everyday Tasks, Coping Self-Efficacy, and Independence

  Open Access•Dolores Langford, Nicola Edwards et al.•Qualitative Health Research•2018

  Incluir item

• The Quality Implementation Framework

  Open Access•Duncan C Meyers, Joseph A Durlak et al.•American Journal of Community…•2012

  Incluir item

• Evaluating the public health impact of health promotion interventions

  Russell E Glasgow, Thomas Vogt et al.•American Journal of Public Health•1999

  Incluir item

• Designing and Conducting Mixed Methods Research

  John W Creswell, Vicki L Plano Clark•Designing and Conducting Mixed…•2017

  Incluir item