Article, 2021

Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery: A mixed-methods study

Evaluation and Program Planning, ISSN 1873-7870, 0149-7189, Volume 91, Page 102021, 10.1016/j.evalprogplan.2021.102021

Contributors

Poulsen, Lise Kronborg (Corresponding author) [1] [2] Ilvig, Pia Maria [3] Brendstrup, Louise [3] Rasmussen, Caroline Louise [3] Pedersen, Kirsten Aunskjaer [2] Ditlevsen, Peter [2] Henriksen, Sara Elizabeth [2] Kirk, Jeanette Wassar 0000-0002-2680-0917 [2]

Affiliations

  1. [1] University College Copenhagen
    2. [NORA names: KP University College Copenhagen; College; Denmark; Europe, EU; Nordic; OECD];
  2. [2] Copenhagen University Hospital
    3. [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
  3. [3] Rehabilitation Hvidovre, Hvidovre Municipality, Copenhagen, Denmark.
    4. [NORA names: Denmark; Europe, EU; Nordic; OECD]

Abstract

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.

Keywords

Behaviour Change Wheel, Change Wheel, Denmark, HF surgery, OCRP, RE-AIM, Scandinavia, acute hip fracture surgery, acute surgery, approach, behavior, citizens, collection, continuity, data collection, development, evaluation, evaluation process, explorative study, fall-related hip fracture, fracture, fracture surgery, framework, frequent trauma, function, global prediction, health, health professionals, high patient satisfaction, hip fracture, hip fracture surgery, implementation, incidence, level of physical functioning, medical specialties, mixed-methods study, multimodal approach, municipalities, optimal recovery, patient satisfaction, physical function, prediction, process, profession, professionals, program, program development, qualitative data collection, re-referral, rehabilitation, rehabilitation program, results, rising incidence, satisfaction, sector, specialty, study, surgery, tendency, theoretical framework, transition, trauma, user-centered approach, wheel, yearly incidence

Data Provider: Digital Science

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