Factors That Influence the Reintegration to Normal Living for Older Adults 2 Years Post Hip Fracture. (December 2020)

• Record Type: Journal Article
• Authors: McGilton, Katherine S.; Omar, Abeer; Stewart, Steven S.; Chu, Charlene H.; Blodgett, Meagan B.; Bethell, Jennifer; Davis, Aileen M.
• Is Part Of: Journal of applied gerontology. Volume 39:Number 12(2020)
• Page Start: 1323
• Page End: 1331
• Publication Date: 2020-12
• Subjects: hip fracture -- reintegration to normal living -- caregiver burden -- cognitive impairment -- rehabilitation models of care; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464819885718
• Languages: English
• ISSNs: 0733-4648

Abstract

Objectives: This study aims to identify factors that influence older adults' reintegration to normal living 2 years following a hip fracture and the association between caregiver burden and reintegration over time.Methods: This longitudinal cohort study followed 76 community-dwelling older adults and their caregivers for 2 years post-hip fracture. The primary outcome was Reintegration to Normal Living Index (RNLI), and the secondary outcome was caregiver burden.Results: Older adults scored significantly lower on RNLI at 18 to 24 months if they had few social interactions, cognitive impairment, or lower pre-fracture functional status. During follow-up, greater independence in activities of daily living and greater mobility were each positively associated with RNLI. Caregiver burden reduced if reintegration improved.Implications: Results suggest a need for targeted interventions for older adults' post-hip fracture to improve their function to enhance their reintegration to normal living and to support caregivers in decreasing their burden of care.