Promoting evidence-based best practices for hip fracture prevention in residential aged care

Samuel C. Scherer, Catherine Jennings, Jeanette Rule, Mindy Smeaton, Michael J. Farrell, Sally A. Garratt, Leon Flicker, Ivor Davis, John D. Wark

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objectives: To evaluate the effect of advice about hip fracture prevention on clinical practice in residential aged care facilities (RACFs) and to survey consumer knowledge. Methods: Cluster randomised trial using modified two-bytwo factorial design. Clinicians received written advice in three RACFs; online advice in three RACFs; both in three RACFs and three RACFs were controls. Free hip protectors were offered in one RACF from each intervention group. Consumer awareness and attitudes to hip fractures were surveyed. Results: Baseline rate of calcium plus vitamin D prescription was 3.5%. Information provision failed to produce a significant effect on clinical practice during 12-week follow up. Offering free hip protectors was effective (P < 0.0001), but was associated with lower compliance (P < 0.05). Consumer awareness was low. Conclusions: Low rates of preventative interventions among residents at high risk of hip fracture were not increased by provision of advice to health professionals.

Original languageEnglish
Pages (from-to)185-190
Number of pages6
JournalAustralasian Journal on Ageing
Volume25
Issue number4
DOIs
Publication statusPublished - 1 Dec 2006
Externally publishedYes

Keywords

  • Evidence to practice translation
  • Hip fractures
  • Hip protectors
  • Internet
  • Residential care
  • Vitamin D and calcium

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