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.
- Evidence to practice translation
- Hip fractures
- Hip protectors
- Residential care
- Vitamin D and calcium