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 7, 2025