Preferences of older patients regarding hip fracture rehabilitation service configuration: A feasibility discrete choice experiment

• Published in: Journal of rehabilitation medicine Vol. 50; no. 7; pp. 636 - 642
• Main Authors: Charles, J, Roberts, J, Din, N, Williams, N, Yeo, S, Edwards, R
• Format: Journal Article
• Language: English
• Published: Sweden Journal of Rehabilitation Medicine 17.07.2018; Medical Journals Sweden
• Subjects: activitiesofdailyliving; Aged; Attributes; Choice Behavior; Confidence intervals; Deviation; Discrete choice; discretechoiceexperiment; Economic models; Experiments; Feasibility; Feasibility Studies; Female; Fractured hips; Fractures; Hip Fractures - rehabilitation; hipfracture; Humans; Interdisciplinary aspects; Male; Older people; olderpeople; Patient satisfaction; Questionnaires; Rehabilitation; serviceconfiguration; Surveys and Questionnaires; Systematic review
• ISSN: 1650-1977; 1651-2081; 1651-2081
• DOI: 10.2340/16501977-2350

As part of a wider feasibility study, the feasibility of gaining older patients' views for hip fracture rehabilitation services was tested using a discrete choice experiment in a UK context. Discrete choice experiment is a method used for eliciting individuals' preferences about goods and services. The discrete choice experiment was administered to 41 participants who had experienced hip fracture (mean age 79.3 years; standard deviation (SD) 7.5 years), recruited from a larger feasibility study exploring a new multidisciplinary rehabilitation for hip fracture. Attributes and levels for this discrete choice experiment were identified from a systematic review and focus groups. The questionnaire was administered at the 3-month follow-up. Participants indicated a significant preference for a fully-qualified physiotherapist or occupational therapist to deliver the rehabilitation sessions (β = 0·605, 95% confidence interval (95% CI) 0.462-0.879), and for their rehabilitation session to last less than 90 min (β = -0.192, 95% CI -0.381 to -0.051). The design of the discrete choice experiment using attributes associated with service configuration could have the potential to inform service implementation, and assist rehabilitation service design that incorporates the preferences of patients.