A feasibility study to assess the design of a multicentre randomized controlled trial of the clinical and cost-effectiveness of a caregiving intervention for people following hip fracture surgery

Smith, Toby ORCID: https://orcid.org/0000-0003-1673-2954, Clark, Lucy ORCID: https://orcid.org/0000-0001-7162-0512, Khoury, Reema, Man, Mei-See ORCID: https://orcid.org/0000-0003-4948-5670, Hanson, Sarah ORCID: https://orcid.org/0000-0003-4751-8248, Welsh, Allie ORCID: https://orcid.org/0000-0001-8278-6673, Clark, Allan ORCID: https://orcid.org/0000-0003-2965-8941, Hopewell, Sally, Pfeiffer, Klaus, Logan, Pip, Crotty, Maria, Costa, Matthew and Lamb, Sarah E. (2021) A feasibility study to assess the design of a multicentre randomized controlled trial of the clinical and cost-effectiveness of a caregiving intervention for people following hip fracture surgery. Bone and Joint Open, 2 (11). 909–920. ISSN 2633-1462

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Abstract

AIMS: This study aims to assess the feasibility of conducting a pragmatic, multi-centre randomised controlled trial (RCT) to test the clinical and cost-effectiveness of an informal caregiver training programme to support the recovery of people following hip fracture surgery. METHODS: A mixed-methods feasibility RCT, recruiting 60 patients following hip fracture surgery and their informal caregivers. Patients will be randomised to usual NHS care versus usual NHS care plus a caregiver-patient dyad training programme (HIP HELPER). This programme will comprise of three, one-hour, one-to-one training sessions for the patient and caregiver, delivered by a nurse, physiotherapist or occupational therapist. Training will be delivered in the hospital setting pre-patient discharge. It will include practical skills for rehabilitation such as: transfers and walking; recovery goal setting and expectations; and pacing and stress management techniques and introduction to the HIP HELPER Caregiver Workbook, which provides information on recovery, exercises, worksheets, goal-setting plans to facilitate a ‘good’ recovery. After discharge, patients and caregivers will be supported in delivering rehabilitation through three telephone coaching sessions. Data, collected at baseline and four months post-randomisation will include: screening logs, intervention logs, fidelity checklists, quality assurance monitoring visit data and clinical outcomes assessing quality of life, physical, emotional, adverse event and resource use outcomes. The acceptability of the study intervention and RCT design will be explored through qualitative methods with 20 participants (patients and informal caregivers) and 12 health professionals. DISCUSSION: A multi-centre recruitment approach will provide greater external validity across population characteristics in England. The mixed-methods approach will permit in-depth examination of the intervention and trial design parameters. The findings will inform whether and how a definitive trial may be undertaken to test the effectiveness of this caregiver intervention for patients after hip fracture surgery.

Item Type: Article
Additional Information: Funding Information: The research, including the open access funding, is supported by the National Institute for Health Research (NIHR) Research for Patient Benefit grant (NIHR200731). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Uncontrolled Keywords: trauma,hip fracture,rehabilitation,recovery,caregiver,rct,surgery,orthopedics and sports medicine ,/dk/atira/pure/subjectarea/asjc/2700/2746
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 30 Jul 2021 00:10
Last Modified: 12 Aug 2022 00:33
URI: https://ueaeprints.uea.ac.uk/id/eprint/80900
DOI: 10.1302/2633-1462.211.BJO-2021-0136

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