Improving Adherence With the Use of Hip Protectors Among Older People Living in Nursing Care Facilities: A Cluster Randomized Trial

Increasing adherence with the use of hip protectors for older people living in the community

“…The results of these trials are consistent with and comparable to a similar randomised trial conducted within nursing care facilities by the same investigators [30]. In that study, no significant increase in adherence could be achieved for the combined group compared to the no cost group.…”

Facilitators of and Barriers to Hip Protector Acceptance and Adherence in Long-term Care Facilities: A Systematic Review

“…75 Of the 13 studies reporting on acceptance, rates ranged from 32% 64 to 85% 74 with a median acceptance of 48%. 58 Of the 23 studies reporting on adherence, rates ranged from 3% at nighttime 51,52 to 93%. 61 However, clear comparisons cannot be drawn across studies because of the wide variety of definitions and methods used to report and measure adherence, as well differences in the amount of time from initial exposure to follow-up (14 days to 18 months).…”

“…The second allocated homes to control, no cost intervention, or combined intervention (education and no cost) groups. 58 After 6 months, no difference was reported in mean adherence between the 2 intervention groups (25% in the no cost group and 24% in the combined group), while none receiving usual care purchased hip protectors at any point. However, the authors advised caution when interpreting these results, as overall attendance in educational sessions was low, and sessions were often cut short to accommodate nursing staff availability.…”

Treatment of Osteoporosis in Australian Residential Aged Care Facilities: Update on Consensus Recommendations for Fracture Prevention

“…[38][39][40][41][42] A multicenter, randomized controlled trial in 37 nursing homes by Kiel et al, 41 which included 1042 residents, was unable to detect a protective effect on the risk of hip fracture despite good adherence to the protocol. In contrast, a Bayesian meta-analysis of four trials on the effect of hip protectors on fracture risk reported that hip protectors decrease the risk of hip fracture in elderly nursing home residents.…”

“…In contrast, a Bayesian meta-analysis of four trials on the effect of hip protectors on fracture risk reported that hip protectors decrease the risk of hip fracture in elderly nursing home residents. 40 More recently, Cameron et al 42 tested different adherence strategies aimed at improving hip protector use in RACFs. Providing free hip protectors to older people living in nursing care facilities was necessary to increase initial acceptance and adherence.…”