RT Journal Article
T1 ActiveHip plus : A feasible mHealth system for the recovery of older adults after hip surgery during the COVID-19 pandemic
A1 Prieto-Moreno, Rafael
A1 Estevez-Lopez, Fernando
A1 Molina-Garcia, Pablo
A1 Mora-Traverso, Marta
A1 Deschamps, Kevin
A1 Claeys, Kurt
A1 de Buyser, Janou
A1 Ariza-Vega, Patrocinio
K1 eHealth
K1 digital health
K1 tele-rehabilitation
K1 hip fracture
K1 osteoarthritis
K1 osteoporosis
K1 functional status
K1 older people
K1 family caregivers
K1 health providers
K1 Physical performance battery
K1 Quality-of-life
K1 Fracture
K1 Rehabilitation
K1 Osteoarthritis
K1 Replacement
K1 Reliability
K1 Disability
K1 Mortality
K1 Experience
AB ObjectiveHalf of older adults undergoing hip surgery do not recover their previous functional status. mHealth is a promising tool for rehabilitating older adults after hip surgery. This study aimed to test the feasibility of the ActiveHip+ mHealth system in older adults after hip surgery. MethodsSixty-nine older adults who had undergone hip surgery and their family caregivers were recruited from hospitals in Spain and Belgium and used the ActiveHip+ mHealth system for 12 weeks. Assessments were made during hospital stay and 3 months after surgery. Feasibility assessment included: adoption (participation proportion), usage (access to the app), satisfaction with the app (Net Promoter Score) and user perception of the quality of the app (Mobile App Rating Scale). Clinical assessment included: patient-reported outcomes, such as functional status (Functional Independence Measure) and performance-based outcomes, such as physical fitness (Short Physical Performance Battery). ResultsThe ActiveHip+ mHealth system obtained satisfactory feasibility results in both countries. In Spain, we observed 85% adoption, 64% usage, 8.86/10 in satisfaction with the app and 4.42/5 in perceived quality of the app. In Belgium, we observed 82% adoption, 84% usage, 5.16/10 in satisfaction with the app and 3.52/5 in app's perceived quality. The intervention had positive effects on levels of functional status, pain and physical fitness. ConclusionsThe ActiveHip+ mHealth system is a feasible tool to conduct the rehabilitation in older adults after hip surgery. Although the intervention seemed beneficial clinically, we do not recommend its implementation in clinical settings until appropriately designed randomised clinical trials confirm these results.
PB Sage publications ltd
SN 2055-2076
YR 2022
FD 2022-01-01
LK http://hdl.handle.net/10668/20237
UL http://hdl.handle.net/10668/20237
LA en
DS RISalud
RD Apr 29, 2025