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Journal of Aging Research
Volume 2017, Article ID 2171865, 9 pages
https://doi.org/10.1155/2017/2171865
Research Article

Patient Perspectives on Engagement in Recovery after Hip Fracture: A Qualitative Study

1Centre for Hip Health and Mobility, Robert H.N. Ho Research Centre, 2635 Laurel Street, Vancouver, BC, Canada V5Z 1M9
2Department of Family Practice, University of British Columbia, Vancouver, BC, Canada
3Freie Universität Berlin, AB Gesundheitspsychologie, Habelschwerdter Allee 45, PF 10, 14195 Berlin, Germany

Correspondence should be addressed to Joanie Sims-Gould; ac.htlaehpih@dluog-smis.einaoj

Received 2 June 2016; Revised 17 October 2016; Accepted 26 February 2017; Published 20 March 2017

Academic Editor: Arshad Jahangir

Copyright © 2017 Joanie Sims-Gould et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To understand older adults’ engagement in their recovery experience and rehabilitation after a fall-related hip fracture. Method. 50 community-dwelling older adults recovering from a recent (3–12 months) hip fracture (32 women, 18 men) participated in telephone interviews using a semistructured format at 6 and 12 months after recruitment into the study. Interviews were conducted as part of a mixed-methods study designed to test the effect of a postoperative hip fracture management program (B4 Clinic). Results. Three substantive themes were identified in the qualitative data: (1) managing expectations; (2) engaging in physical activity; and (3) there is life after fracture. Participants shared valuable insight into how their expectations for their recovery period compared to their lived experience and the role of physical activity in their ability to return to their prefracture activities. Conclusions. Our findings reflect older adults’ expectations for recovery from hip fracture. Encouraging engagement in rehabilitative exercises and addressing expectations prior to hospital discharge may improve patients’ adherence to rehabilitation programs, functional outcomes, and postoperative quality of life. Implications for rehabilitation include the necessity for early and ongoing engagement of rehabilitation professionals.