Ansah, John Pastor, Chia, Aloysius Wei-Yan, Koh, Vanessa Jean Wen, Lai, Wei Xuan, Koh, Joyce Suang Bee, Goh, Kiat Sern, Yeo, William, Howe, Tet Sen, Seow, Dennis Chuen Chai, Mamun, Kaysar, Balasubramanian, Diraviyam, Varman, Surendra Doraiswamy, Yeo, Andy Kuei Siong, Mohamed Hamid Elamin, Amal ORCID: 0000-0002-4078-2049, Chan, Angelique Wei-Ming and Matchar, David Bruce (2023) Systems modelling as an approach for eliciting the mechanisms for hip fracture recovery among older adults in a participatory stakeholder engagement setting. Frontiers in Rehabilitation Sciences, 4:1184484. pp. 1-14. ISSN 2673-6861 (Online) (doi:https://doi.org/10.3389/fresc.2023.1184484)

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Abstract

Introduction: Due to an aging population, the rising prevalence and incidence of hip fractures and the associated health and economic burden present a challenge to healthcare systems worldwide. Studies have shown that a complex interplay of physiological, psychological, and social factors often affects the recovery trajectories of older adults with hip fractures, often complicating the recovery process.
Methods: This research aims to actively engage stakeholders (including doctors, physiotherapists, hip fracture patients, and caregivers) using the systems modeling methodology of Group Model Building (GMB) to elicit the factors that promote or inhibit hip fracture recovery, incorporating a feedback perspective to inform system-wide interventions. Hip fracture stakeholder engagement was facilitated through the Group Model Building approach in a two-half-day workshop of 25 stakeholders. This approach combined different techniques to develop a comprehensive qualitative whole-system view model of the factors that promote or inhibit hip fracture recovery.
Results: A conceptual, qualitative model of the dynamics of hip fracture recovery was developed that draws on stakeholders' personal experiences through a moderated interaction. Stakeholders identified four domains (i.e., expectation formation, rehabilitation, affordability/availability, and resilience building) that play a significant role in the hip fracture recovery journey..
Discussion: The insight that recovery of loss of function due to hip fracture is attributed to (a) the recognition of a gap between pre-fracture physical function and current physical function; and (b) the marshaling of psychological resilience to respond promptly to a physical functional loss via uptake of rehabilitation services is supported by findings and has several policy implications.

Item Type:	Article
Uncontrolled Keywords:	hip fracture recovery; rehabilitation; resilience building; system dynamics modeling; group model building
Subjects:	H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine R Medicine > RD Surgery
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	04 Sep 2023 08:25
URI:	http://gala.gre.ac.uk/id/eprint/43845

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