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Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment
INTRODUCTION: Over 90% of hip fractures in older adults result from falls, and hospital patients are at especially high risk. Specific types of wearable hip protectors have been shown to reduce hip fracture risk during a fall by up to 80%, but user compliance has averaged less than 50%. We describe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896132/ https://www.ncbi.nlm.nih.gov/pubmed/31839983 http://dx.doi.org/10.1177/2055668319877314 |
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author | Post, E Komisar, V Sims-Gould, J Korall, AMB Feldman, F Robinovitch, SN |
author_facet | Post, E Komisar, V Sims-Gould, J Korall, AMB Feldman, F Robinovitch, SN |
author_sort | Post, E |
collection | PubMed |
description | INTRODUCTION: Over 90% of hip fractures in older adults result from falls, and hospital patients are at especially high risk. Specific types of wearable hip protectors have been shown to reduce hip fracture risk during a fall by up to 80%, but user compliance has averaged less than 50%. We describe the development and evaluation of a “stick-on” hip protector (secured over the hip with a skin-friendly adhesive) for older patients in acute care. METHODS: An initial version of the product was evaluated with six female patients (aged 76–91) in a hospital ward, who were asked to wear it for one week. We subsequently refined the product through biomechanical testing and solicited feedback from 43 health professionals on a second prototype. RESULTS: The first prototype was worn by five of six patients for the full week or duration of their hospital stay. The second prototype (20 mm thick, surface area 19 × 15.5 cm) provided 36% force attenuation, more than common garment-based models (20–21%). Feedback from patients and health professionals highlighted usability, comfort, cost, and appearance. CONCLUSIONS: Our results from biomechanical and user testing support the need for further work to determine the value of stick-on hip protectors in acute care. |
format | Online Article Text |
id | pubmed-6896132 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-68961322019-12-13 Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment Post, E Komisar, V Sims-Gould, J Korall, AMB Feldman, F Robinovitch, SN J Rehabil Assist Technol Eng AGE-WELL Standard Submission INTRODUCTION: Over 90% of hip fractures in older adults result from falls, and hospital patients are at especially high risk. Specific types of wearable hip protectors have been shown to reduce hip fracture risk during a fall by up to 80%, but user compliance has averaged less than 50%. We describe the development and evaluation of a “stick-on” hip protector (secured over the hip with a skin-friendly adhesive) for older patients in acute care. METHODS: An initial version of the product was evaluated with six female patients (aged 76–91) in a hospital ward, who were asked to wear it for one week. We subsequently refined the product through biomechanical testing and solicited feedback from 43 health professionals on a second prototype. RESULTS: The first prototype was worn by five of six patients for the full week or duration of their hospital stay. The second prototype (20 mm thick, surface area 19 × 15.5 cm) provided 36% force attenuation, more than common garment-based models (20–21%). Feedback from patients and health professionals highlighted usability, comfort, cost, and appearance. CONCLUSIONS: Our results from biomechanical and user testing support the need for further work to determine the value of stick-on hip protectors in acute care. SAGE Publications 2019-12-05 /pmc/articles/PMC6896132/ /pubmed/31839983 http://dx.doi.org/10.1177/2055668319877314 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | AGE-WELL Standard Submission Post, E Komisar, V Sims-Gould, J Korall, AMB Feldman, F Robinovitch, SN Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title | Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title_full | Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title_fullStr | Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title_full_unstemmed | Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title_short | Development of a stick-on hip protector: A multiple methods study to improve hip protector design for older adults in the acute care environment |
title_sort | development of a stick-on hip protector: a multiple methods study to improve hip protector design for older adults in the acute care environment |
topic | AGE-WELL Standard Submission |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896132/ https://www.ncbi.nlm.nih.gov/pubmed/31839983 http://dx.doi.org/10.1177/2055668319877314 |
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