The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery

Ko, YoungJi; Hwang, Jong-Moon; Baek, Seung‐Hoon

doi:10.1177/21514593211006693

Cited by 5 publications

(16 citation statements)

References 26 publications

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“…The included articles were conducted in Spain ( n = 4) [ 18 – 21 ], United States ( n = 4) [ 22 – 25 ], Australia ( n = 3) [ 26 – 28 ], China ( n = 3) [ 29 – 31 ], Denmark ( n = 2) [ 32 , 33 ], Netherlands ( n = 2) [ 34 , 35 ], Canada ( n = 1) [ 36 ], South Korea ( n = 1) [ 37 ], and Israel ( n = 1) [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Backman,

Papp,

Harley

et al. 2023

BMC Health Serv Res

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Introduction Older adults with hip fracture often require extensive post-surgery care across multiple sectors, making follow-up care even more important to ensure an ideal recovery. With the increased adoption of technology, patient-clinician digital health interventions can potentially improve post-surgery outcomes of hip fracture patients by helping them and their caregivers better understand the various aspects of their care, post-hip fracture surgery. The purpose of this study was to examine the available literature on the impact of hip fracture-specific, patient-clinician digital health interventions on patient outcomes and health care delivery processes. We also aimed to identify the barriers and enablers to the uptake and implementation of these technologies and to provide strategies for improved use of these digital health interventions. Methods We conducted a scoping review following the six stages of Arksey and O’Malley’s framework and following the PRISMA-ScR reporting format. Searches were conducted in five databases. In addition to hand searching for relevant studies from the references of all included studies, we also conducted a grey literature search to identify relevant primary studies. Screening of titles and abstracts as well as full texts were performed independently by two reviewers. Two reviewers also performed the data extraction of the included studies. Results After screening 3,638 records, 20 articles met the criteria and 1 article was identified through hand searching. Various patient-clinician digital health interventions were described including telehealth /telerehabilitation programs (n = 6), care transition /follow-up interventions (n = 5), online resources (n = 2), and wearable devices /sensor monitoring (n = 1). Outcomes were varied and included functional status, gait/mobility, quality of life, psychological factors, satisfaction, survival/complications, caregiver outcomes, compliance, technology-user interactions, and feedback on the use of the digital health interventions. For clinicians, a key barrier to the use of the digital health interventions was the acceptability of the technology. However, the usefulness of the digital health intervention by clinicians was seen as both a barrier and an enabler. For patients and caregivers, all the themes were seen as both a barrier and an enabler depending on the study. These themes included: 1) availability and access, 2) usability, 3) knowledge and skills, 4) acceptability, and 5) usefulness of the digital health intervention. Conclusion Many behavioural factors affect the use of patient-clinician digital health interventions. However, a specific attention should be focused on the acceptability of the technology by the clinicians to encourage uptake of the digital health interventions. The results of this scoping review can help to better understand the factors that may be targeted to increase the use of these technologies by clinicians, patients, and caregivers.

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Section: Resultsmentioning

confidence: 99%

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Backman,

Papp,

Harley

et al. 2023

BMC Health Serv Res

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“…63 In addition, letting users evaluate the mobile app support some of the suggestions to explore the opinion of key stakeholders to improve mHealth interventions. 64 Due to the differences in the two samples detailed throughout this study, there were differences in preintervention functional status through the ActiveHip+ mHealth system. Despite these differences, we found statistically significant improvements in functional status and physical performance according to FIM and SPPB, respectively, in both groups.…”

Section: Discussionmentioning

confidence: 99%

“… 63 In addition, letting users evaluate the mobile app support some of the suggestions to explore the opinion of key stakeholders to improve mHealth interventions. 64 …”

Section: Discussionmentioning

confidence: 99%

ActiveHip+: A feasible mHealth system for the recovery of older adults after hip surgery during the COVID-19 pandemic

et al. 2022

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Objective Half of older adults undergoing hip surgery do not recover their previous functional status. mHealth is a promising tool for rehabilitating older adults after hip surgery. This study aimed to test the feasibility of the ActiveHip+ mHealth system in older adults after hip surgery. Methods Sixty-nine older adults who had undergone hip surgery and their family caregivers were recruited from hospitals in Spain and Belgium and used the ActiveHip+ mHealth system for 12 weeks. Assessments were made during hospital stay and 3 months after surgery. Feasibility assessment included: adoption (participation proportion), usage (access to the app), satisfaction with the app (Net Promoter Score) and user perception of the quality of the app (Mobile App Rating Scale). Clinical assessment included: patient-reported outcomes, such as functional status (Functional Independence Measure) and performance-based outcomes, such as physical fitness (Short Physical Performance Battery). Results The ActiveHip+ mHealth system obtained satisfactory feasibility results in both countries. In Spain, we observed 85% adoption, 64% usage, 8.86/10 in satisfaction with the app and 4.42/5 in perceived quality of the app. In Belgium, we observed 82% adoption, 84% usage, 5.16/10 in satisfaction with the app and 3.52/5 in app's perceived quality. The intervention had positive effects on levels of functional status, pain and physical fitness. Conclusions The ActiveHip+ mHealth system is a feasible tool to conduct the rehabilitation in older adults after hip surgery. Although the intervention seemed beneficial clinically, we do not recommend its implementation in clinical settings until appropriately designed randomised clinical trials confirm these results.

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“…Participants recognised that rehabilitative exercises, walking, nutritional management, support from family and healthcare providers were key to recovery (Ko et al, 2021b). In addition, a mobile application was developed for rehabilitative instructions for hip fractures during the discharge transition (Ko et al, 2021a) and used in this programme. The mobile application consists of rehabilitative exercises, activities of daily living (ADL), pain and nutrition management, fall prevention and hospital visits.…”

Section: Methodsmentioning

confidence: 99%

“…There were six sessions, including two face-to-face interventions 2 days before discharge and 4 weekly non-face-to-face interventions after discharge. The mobile application (Ko et al, 2021a) was used for rehabilitation instructions during the six sessions. The face-to-face intervention was conducted separately in the patient’s room by a trained nurse with approximately 4 years of experience in the orthopaedic ward.…”

Section: Methodsmentioning

confidence: 99%

Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

Ko,

Hwang,

Baek

2023

Journal of Research in Nursing

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Background: Hip fractures require extended periods of recovery and rehabilitation, subjecting older adults to discontinuous care. Discharge transition is a critical point of heightened vulnerability for older adults. Aims: This study aimed to evaluate the effectiveness of a transitional care programme on the physical functions and quality of life (QOL) of older adults after hip fracture surgery. Methods: Seventy-five older adults were assessed from pre-discharge to 6 weeks after hip surgery, and their physical functions, including walking status and activities of daily living, were measured. The QOL was measured using the European Quality of life-5 Dimensions-5 Levels (EQ 5D 5L). Results: There was a significant strong effect of time ( B = 10.565; 95% CI = 2.584–18.547; p = 0.009) on the EuroQol Visual Analog Scale (EQ-VAS) for the experimental group. However, there were no significant effects of time on physical functions and EQ-5D-5L scores. Conclusions: The discharge transitional care programme improved the EQ-VAS of older adults following hip fracture surgery 6 weeks post-surgery. However, there were no significant differences in physical functions and EQ-5D between the groups.

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The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery

Cited by 5 publications

References 26 publications

Patient-clinician digital health interventions for the hip fracture population: a scoping review

Patient-clinician digital health interventions for the hip fracture population: a scoping review

ActiveHip+: A feasible mHealth system for the recovery of older adults after hip surgery during the COVID-19 pandemic

Discharge transitional care programme for older adults after hip fracture surgery: a quasi-experimental study

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