The Library
Hospital-based caregiver intervention for people following hip fracture surgery (HIP HELPER) : multicentre randomised controlled feasibility trial with embedded qualitative study in England
Tools
Smith, Toby O., Khoury, R, Hanson, S., Welsh, A., Grant, K., Clark, A., Ashford, P-A., Hopewell, S., Pfeiffer, K., Logan, P. A., Crotty, M., Costa, M. L. and Lamb, S. E. (Sallie E.) (2023) Hospital-based caregiver intervention for people following hip fracture surgery (HIP HELPER) : multicentre randomised controlled feasibility trial with embedded qualitative study in England. BMJ Open, 13 (12). e073611. doi:10.1136/bmjopen-2023-073611 ISSN 2044-6055.
|
PDF
e073611.full.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (806Kb) | Preview |
|
PDF
ms-141123-wrap--hiphelper_feasibilityacademicpaper_fullpaper_v2.0_14nov2023.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (504Kb) |
Official URL: https://doi.org/10.1136/bmjopen-2023-073611
Abstract
Objectives: 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.
Design: Two-arm, multi-centre, pragmatic, open, feasibility RCT with embedded qualitative study.
Setting: National Health Service (NHS) providers in five English hospitals.
Participants: Community-dwelling adults, aged 60 years and over, who undergo hip fracture surgery and their informal caregivers.
Intervention: Usual care: usual NHS care.
Experimental: usual NHS care plus a caregiver-patient dyad training programme (HIP HELPER). This programme comprised of three, one-hour, one-to-one training sessions for a patient and caregiver, delivered by a nurse, physiotherapist or occupational therapist in the hospital setting pre-discharge. After discharge, patients and caregivers were supported through three telephone coaching sessions. Randomisation and blinding: Central randomisation was computer generated (1:1), stratified by hospital and level of patient cognitive impairment. There was no blinding.
Main outcome measures: Data collected at baseline and four months post-randomisation included: screening logs, intervention logs, fidelity checklists, acceptability data and clinical outcomes. Interviews were conducted with a subset of participants and health professionals.
Results: 102 participants were enrolled (51 patients; 51 caregivers). Thirty-nine percent (515/1311) of patients screened were eligible. Eleven percent (56/515) of eligible patients consented to be randomised. Forty-eight percent (12/25) of the intervention group reached compliance to their allocated intervention. There was no evidence of treatment contamination. Qualitative data demonstrated the trial and HIP HELPER programme was acceptable.
Conclusions: The HIP HELPER programme was acceptable to patient-caregiver dyads and health professionals. The COVID-19 pandemic impacting on site’s ability to deliver the research. Modifications are necessary to the design for a viable definitive RCT.
Trial registration number: ISRCTN13270387 Data availability statement: The data that support the findings of this study are available from the corresponding author (TS) upon reasonable request. This includes access to the full protocol, anonymised participant-level dataset and statistical code.
STRENGTHS AND LIMITATIONS OF THIS STUDY
• Mixed-method approach provided useful feasibility and acceptability data.
• Assessment of diverse measures allowed evaluation of data collection for key outcome domains.
• Participant experiences and acceptability data suggest perceived value in the HIP HELPER programme. • 10% of the cohort were living with cognitive impairment; none were recruited to the qualitative sub-study. • COVID-19 pandemic affected NHS services, which impacted on study delivery.
Item Type: | Journal Article | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RD Surgery |
|||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | |||||||||
Library of Congress Subject Headings (LCSH): | Hip joint -- Fractures -- Treatment, Medicine, Preventive, Caregivers -- Training of | |||||||||
Journal or Publication Title: | BMJ Open | |||||||||
Publisher: | BMJ | |||||||||
ISSN: | 2044-6055 | |||||||||
Official Date: | December 2023 | |||||||||
Dates: |
|
|||||||||
Volume: | 13 | |||||||||
Number: | 12 | |||||||||
Article Number: | e073611 | |||||||||
DOI: | 10.1136/bmjopen-2023-073611 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 14 November 2023 | |||||||||
Date of first compliant Open Access: | 9 January 2024 | |||||||||
RIOXX Funder/Project Grant: |
|
|||||||||
Related URLs: | ||||||||||
Contributors: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year