Factors associated with hip protector adherence among older people in residential care

Cryer, Colin and Knox, A. and Stevenson, E. (2008) Factors associated with hip protector adherence among older people in residential care. Injury Prevention, 14 (1). pp. 24-29. (The full text of this publication is not available from this repository)

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Official URL
http://dx.doi.org/10.1136/ip.2007.016899

Abstract

Background: There is evidence to suggest that hip protectors (HPs) prevent fractures among older people living in nursing homes. Studies have found HP wearing rates (adherence) to be low. Objectives: To investigate factors that are associated with adherence and whether those factors account for the variation in adherence between residential care homes (RCHs). Design: Six-month prospective study. Subjects and Setting: 299 people aged 65 years and over (80% female, mean age 86 years) living in 17 RCHs. 128 of these wore HPs at least once. Methods: All residents in the homes were offered three pairs of SAFEHIP HPs, and adherence was measured using diaries completed daily. A mixed model regression analysis was used to investigate predictive factors for wearing HPs and the effects of these factors on the between-home variability in adherence. Results: Increased HP adherence was associated with hypertension, incontinence, a previous history of falls and fractures, and hip fracture history in the RCH. Decreased adherence was associated with arthritis of the lower limbs and dizziness on first rising. The large variation in adherence between RCHs was almost completely explained by these factors. Discussion: The evidence for the efficacy of HPs is weakening. Low adherence compromises the power of trials to detect a real effect. The literature is inconsistent regarding what factors are associated with adherence. Nevertheless, it suggests that some people who are at increased risk of fracture are more likely to wear HPs. Variations in staff or resident knowledge and attitude towards HPs may explain some variation between homes.

Item Type: Article
Uncontrolled keywords: adherence, hip, fracture
Subjects: R Medicine > RC Internal medicine > RC952 Geriatrics
R Medicine > RT Nursing
R Medicine > RZ Other systems of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 28 Apr 2008 11:23
Last Modified: 16 Jun 2014 11:09
Resource URI: http://kar.kent.ac.uk/id/eprint/2886 (The current URI for this page, for reference purposes)
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