title: Acceptability and compliance with wearing energy-shunting hip protectors: a 6-month prospective follow-up in a Finnish nursing home.
abstract: OBJECTIVE
  To assess the acceptability and compliance with use of an energy-shunting hip protector in institutionalized elderly people.
  
  
  METHODS
  A 6 month prospective follow-up in a Finnish nursing home.
  
  
  METHODS
  19 ambulatory nursing home residents with a high risk of hip fracture.
  
  
  METHODS
  The proportion of the residents who were willing to use the device, the number of hours of wearing the protector and the attitudes of the study subjects and the caregivers towards the appearance, comfort, fit, efficacy and laundering of the protector.
  
  
  RESULTS
  12 of the 19 ambulatory residents (63%) agreed to use the protector. During the study period, these subjects wore the protector on average for more than 90% of their active days, i.e. the days they were mobile. Two subjects wore the protectors at night time; the rest only during waking hours. Mean wearing time during waking hours exceeded 90%.
  
  
  CONCLUSIONS
  External hip joint protectors are a feasible strategy to prevent hip fractures in institutionalized elderly people. The attitude, education and motivation of the staff may be a factor in achieving good user compliance. Further community-based studies on acceptability and compliance in wearing external hip joint protectors are needed for verification of benefits to the general population of older people.
authors.affiliation: Accident and Trauma Research Centre, UKK Institute for Health Promotion Research, Kaupinpuistonkatu I, FIN-33500 Tampere, Finland.
authors.forename: J
authors.initials: J
authors.lastname: Parkkari
authors.forename: J
authors.initials: J
authors.lastname: Heikkilä
authors.forename: I P
authors.initials: IP
authors.lastname: Kannus
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005387:Finland; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000517:prevention & control*; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D009735:Nursing Homes; D010349:Patient Compliance; D017060:Patient Satisfaction; D011446:Prospective Studies; D011481:Protective Clothing