Abstract

Aims: The study compared the effects of a patient and carer empowerment programme and conventional hip fracture protocol on hip fractures related knowledge, activity of daily living (ADL) independence, fall efficacy on ADL; and application frequency of adapted ADL skills in individuals with hip fracture. Methodology: 134 participants were recruited with 63 and 71 participants allocated to Patient and Carer Empowerment Programme (PCEP) and conventional hip fracture protocol respectively. Paired t-test was used to compare the pre-post scores of hip fracture knowledge test, Functional Independence Measures-motor scores, Lawton Instrumental ADL scales and Chinese version of Fall Efficacy Scales within groups. Independent t-test was used to compare the outcome measures and application frequency of adapted ADL skills between groups. Results: It showed that both groups have improvement on hip fracture related knowledge, ADL, instrumental ADL independence and fall efficacy on ADL (P<0.05). However, the participants who underwent the PCEP were found to apply adapted ADL skills more frequently. Conclusion: It appears that participants who underwent the PCEP were more ready to build up habit on adapted ADL skills use. Further studies to investigate carers’ stress and hands-on caregiving skills after the programme were recommended.

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