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Axivity activity monitor
A small activity monitor will be used to study patient activity during recovery from hip fracture

MoHIP - Monitoring of Hip Injury Patients

Background

Hip fractures are a serious problem in older adults, with approximately 80 000 people per year sustaining a fractured hip in the UK and increased numbers expected in the future.

Fracturing a hip often leads to a decreased quality of life and is associated with an increased risk of death. However, people who are able to be more active while recovering at home from hip fracture surgery tend to have a better recovery. People who are up and about during recovery need less care overall, and are better able to recover their normal life functions (things like dressing and bathing themselves or getting out to see friends and family).

Although some research has been done to see how active people are during recovery, this has tended to be collected by self-report or only measured at long intervals. There is a need for more specific information about how, when and where people move around during the period of recovery from a hip fracture as they move from hospital to the community, and what factors would be likely to help them become more active.

This study will use wearable technology in the form of a small activity monitor to track peoples’ activity during recovery from a hip fracture to find out what types of activity might improve outcomes, and what factors encourage movement during recovery.

 

Study Design

A group of patients who have just had surgery for a hip fracture will be recruited into the study. They will be asked to wear a small activity monitor around their neck for sixteen weeks during their recovery at home, and to fill out some brief questionnaires on a tablet computer on a daily basis.

Although data will be collected on activity, patients will not be monitored in real time and the data collected will be anonymous.

A researcher will check in with the participants every month to see how their recovery is going and find out about their experiences of wearing the monitor. At the end of the study, the researcher will speak with every participant about their experiences and conduct some qualitative interviews to better understand the process of recovery.

 

Future Directions

This is a pilot study to examine the feasibility of wearing an activity monitor during recovery from a hip fracture. In the future, we may be able to use this type of monitoring technology as an intervention to encourage people to be more active while they recover. This study may also help us understand what factors lead people to be less active so we can develop interventions that might predict who will need extra help during recovery.

 

Collaborators

Andrew Farmer

Matt Costa

Lionel Tarassenko

Carmelo Velardo

Sallie Lamb

Peter Watkinson