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Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery: A mixed-methods study

Author

Listed:
  • Poulsen, Lise Kronborg
  • Ilvig, Pia Maria
  • Brendstrup, Louise
  • Rasmussen, Caroline Louise
  • Pedersen, Kirsten Aunskjaer
  • Ditlevsen, Peter
  • Henriksen, Sara Elizabeth
  • Kirk, Jeanette Wassar

Abstract

Fall-related hip fracture (HF) is a frequent trauma in Scandinavia with a yearly incidence of 8,000 among ≥65-year-old citizens in Denmark. The rising incidence and global predictions are alarming since a HF is a major, and potentially fatal, trauma to the citizen, requiring acute surgery, a multimodal approach and post-operative crosssectoral rehabilitation. However, continuity of the rehabilitation program is frequently interrupted in the transition between sectors, compromising optimal recovery of frail citizens. Thus, there is a need to develop and implement optimized cross-sectoral rehabilitation after HF. The purpose of this explorative study was to develop, implement and evaluate an optimized cross-sectoral rehabilitation program (OCRP) after HF surgery using validated theoretical frameworks. OCRP was developed, implemented and evaluated in one municipality using a pragmatic user-centered approach, quantitative and qualitative data collection and theoretical frameworks including the Behavior Change Wheel (BCW) and RE-AIM. Results of OCRP showed optimized rehabilitation based on motivated health professionals, high patient satisfaction and tendencies of improved levels of physical function. No re-referrals to rehabilitation were reported after OCRP. The BCW, RE-AIM and user-centered approach to program development, implementation and evaluation are useful to apply in program development and evaluation processes across sectors, professions, and medical specialties.

Suggested Citation

  • Poulsen, Lise Kronborg & Ilvig, Pia Maria & Brendstrup, Louise & Rasmussen, Caroline Louise & Pedersen, Kirsten Aunskjaer & Ditlevsen, Peter & Henriksen, Sara Elizabeth & Kirk, Jeanette Wassar, 2022. "Development, implementation and evaluation of an optimized cross-sectoral rehabilitation program after acute hip fracture surgery: A mixed-methods study," Evaluation and Program Planning, Elsevier, vol. 91(C).
    • Handle: RePEc:eee:epplan:v:91:y:2022:i:c:s0149718921001166
    DOI: 10.1016/j.evalprogplan.2021.102021
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    References listed on IDEAS

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    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
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