Goals and expectations of older persons recovering from a hip fracture during geriatric rehabilitation: a qualitative study

PURPOSE: Little is known about the expectations of patients with hip fracture regarding geriatric rehabilitation. We aimed to identify goals and expectations of older people regarding geriatric rehabilitation after a hip fracture in geriatric rehabilitation facilities. METHODS: A qualitative study of 20 community-dwelling older adults, who all underwent rehabilitation after hip fracture in skilled nursing facilities, was conducted using semi-structured interviews by phone. Data were analyzed using thematic content analysis. The themes were additionally arranged using the International Classification of Functioning, Disability and Health (ICF). RESULTS: The goals focused on the ICF key components of activity and participation and were described as returning to pre-fracture mobility, regaining independence in (I)ADL, returning to pre-fracture residence, and social and meaningful interactions. Expectations were related to environmental and personal factors. Environmental factors included aspects related to the care provided in rehabilitation facilities as well as the influence of informal caregivers. Personal factors focused on coping, adaptation skills, and self-efficacy. CONCLUSION: Patients undergoing rehabilitation have clear goals and expectations for their successful recovery. Meaningful interactions and support from the rehabilitation facility are important factors that can influence the recovery process. A patient-centered approach can be developed during goal setting by involving the patient and integrating their goals and expectations within the ICF model. This strategy maximizes the effectiveness in achieving these goals. Trial register and date of registration NL7491 04-02-2019.