Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Fracture in the elderly multidisciplinary rehabilitation (FEMuR) : study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture [ISRCTN22464643]

Tools
- Tools
+ Tools

Williams, Nefyn H., Hawkes, C. M., Din, Nafees Ud, Roberts, Jessica L., Charles, Joanna M., Morrison, Val L., Hoare, Zoë, Edwards, Rhiannon T., Andrew, Glynne, Alexander, Swapna, Lemmey, Andrew B., Woods, Bob, Sackley, Catherine, Logan, Pip, Hunnisett, David, Mawdesley, Kevin and Wilkinson, Clare (2015) Fracture in the elderly multidisciplinary rehabilitation (FEMuR) : study protocol for a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture [ISRCTN22464643]. Pilot and Feasibility Studies, 1 (1). 13. doi:10.1186/s40814-015-0008-0

[img]
Preview
PDF
WRAP_art%3A10.1186%2Fs40814-015-0008-0.pdf - Requires a PDF viewer.
Available under License Creative Commons Attribution 4.0.

Download (3205Kb) | Preview
Official URL: http://dx.doi.org/10.1186/s40814-015-0008-0

Request Changes to record.

Abstract

Background
Proximal femoral fracture is a common, major health problem in old age resulting in loss of functional independence and a high-cost burden on society, with estimated health and social care costs of £2.3 billion per year in the UK. Rehabilitation has the potential to maximise functional recovery and maintain independent living, but evidence of effectiveness is lacking. Usual rehabilitation care is delivered by a multi-disciplinary team in the hospital and in the community. An ‘enhanced rehabilitation’ intervention has been developed consisting of a workbook, goal-setting diary and extra therapy sessions, designed to improve self-efficacy and increase the amount and quality of the practice of physical exercise and activities of daily living.
Methods/design
This paper describes the design of a phase II study comprising an anonymous cohort of all proximal femoral fracture patients admitted to the three acute hospitals in Betsi Cadwaladr University Health Board over a 6-month period with a randomised feasibility study comparing the enhanced rehabilitation intervention with usual care. These will assess the feasibility of a future definitive randomised controlled trial and concurrent economic evaluation in terms of recruitment, retention, outcome measure completion, compliance with the intervention and fidelity of delivery, health service use data, willingness to be randomised and effect size for a future sample size calculation. Focus groups will provide qualitative data to contribute to the assessment of the acceptability of the intervention amongst patients, carers and rehabilitation professionals and the feasibility of delivering the planned intervention. The primary outcome measure is function assessed by the Barthel Index. Secondary outcomes measure the ability to perform activities of daily living, anxiety and depression, potential mediators of outcomes such as hip pain, self-efficacy and fear of falling, health utility, health service use, objectively assessed physical function and adverse events. Participants’ preference for rehabilitation services will be assessed in a discrete choice experiment.
Discussion
Phase II studies are an opportunity to not only assess the feasibility of trial methods but also to compare different methods of outcome measurement and novel methods of obtaining health service use data from routinely collected patient information.
Trial registration
Current Controlled Trials ISRCTN22464643, UKCRN16677.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Fractures in old age -- Treatment, Femur -- Fractures, Hip joint -- Fractures -- Patients -- Rehabilitation, Fractures in old age
Journal or Publication Title: Pilot and Feasibility Studies
Publisher: BioMed Central Ltd.
ISSN: 2055-5784
Official Date: 7 April 2015
Dates:
DateEvent
7 April 2015Published
18 March 2015Accepted
Volume: 1
Number: 1
Number of Pages: 22
Article Number: 13
DOI: 10.1186/s40814-015-0008-0
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: Health Technology Assessment (HTA) Programme

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us