Acceptability and compliance with wearing energy-shunting hip protectors: a 6-month prospective follow-up in a Finnish nursing home

Parkkari, Jari; Heikkilä, Jussi; Kannus, Pekka

doi:10.1093/ageing/27.2.225

Cited by 46 publications

(20 citation statements)

References 22 publications

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“…It is difficult to compare the compliance in this study with the compliance in the other studies because purchasers are a very selected population. In the other studies, a prospective design was used [3,[17][18][19][20][21][22][23][24]. Table 2 shows the acceptance and compliance and the determinants of compliance with wearing hip protectors in these studies.…”

Section: Resultsmentioning

confidence: 99%

“…Primary acceptance was low to moderate: it ranged from 37% to 72% in the studies in which hip protectors were actually given to participants [17,[22][23][24][25]28,47]. Compliance varied between 20% and 92% [3,11,[16][17][18][19][20][21][22][23][24][25][26][27]29,30,32,47].…”

Section: Discussionmentioning

confidence: 99%

“…Compliance varied between 20% and 92% [3,11,[16][17][18][19][20][21][22][23][24][25][26][27]29,30,32,47]. The median acceptance and compliance were 68% (interquartile range 57-70%) and 56% (interquartile range 41-73%), respectively.…”

Section: Discussionmentioning

confidence: 99%

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Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Schoor

Devillé

Bouter

et al. 2002

Osteoporosis International

131

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Abstract. Hip fractures may be prevented by the use of external hip protectors, but compliance is often poor. Therefore, the objective of this study was to assess the determinants of compliance with hip protectors by systematically reviewing the literature. A literature search was performed in PubMed, Embase and the Cochrane Library. Primary acceptance with hip protectors ranged from 37% to 72% (median 68%); compliance varied between 20% and 92% (median 56%). However, in most studies it was not very clear how compliance was defined (e.g., average wearing time on active days and during waking hours, number of user-days per all available follow-up days, percentage falls with hip protector) and how it was measured. To provide more insight in the compliance percentages, the different methods of defining and measuring compliance were presented for the selected studies, when provided. Because of the heterogeneity in study design of the selected studies and the lack of quantitative data in most studies, results regarding the determinants of compliance could not be statistically pooled. Instead a qualitative summary of the determinants of compliance was given. The reasons most frequently mentioned for not wearing hip protectors, were: not being comfortable (too tight/ poor fit); the extra effort (and time) needed to wear the device; urinary incontinence; and physical difficulties/ illnesses. In conclusion, compliance is a very complex, but important issue in hip protector research and implementation. Based on the experiences of elderly people who wear the hip protectors, adjustments should be made to the protector and the underwear, while maintaining the force attenuation capacity. Furthermore, methods to improve the compliance should be developed, and their effectiveness tested.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Acceptance and Compliance with External Hip Protectors: A Systematic Review of the Literature

Schoor

Devillé

Bouter

et al. 2002

Osteoporosis International

131

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“…Hip protectors (115)(116)(117)(118)(119)(120)(121) Hip protectors are a device used to disperse the impact of a fall. The available evidence for hip protectors demonstrates that:…”

Section: What Are the Main Risk Factors For Falls Amongst Older Peoplmentioning

confidence: 99%

Analysis of Fall Injuries by Body Mass Index

Ren¹,

Waclawczyk²,

Hartfield³

et al. 2014

Southern Medical Journal

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This report is HEN's response to a question from a decision-maker. It provides a synthesis of the best available evidence, including a summary of the main findings and policy options related to the issue. Fall prevention programmes can be effective in reducing the number of people who fall and the rate of falls. Targeted strategies aimed at behavioural change and risk modification for those living in the community appear to be most promising. Multifactorial intervention programmes that include risk factor assessment and screening have been shown to be effective. However, no screening tools have been rigorously validated across countries and further work is needed in this area.HEN, initiated and coordinated by the WHO Regional Office for Europe, is an information service for public health and health care decision-makers in the WHO European Region. Other interested parties might also benefit from HEN.

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“…SIR-In the March issue of Age and Ageing, two studies on the compliance of hip protectors were published [1,2] together with an editorial [3]. We wish to report our findings [4].…”

Section: Hip Protectors and Hip Fracturesmentioning

confidence: 99%