title: Hip protectors in fracture prevention for aging adults at risk of falling: a study of user compliance.
abstract: OBJECTIVE
  A compliance survey was conducted to establish factors that influence low user compliance with hip protectors amongst aging adults at risk of hip fracture. Medical professionals who deal with patients at risk of hip facture were also included in this survey.
  
  
  METHODS
  For this descriptive study 2 questionnaires were designed, 1 for community dwelling aging adults at high risk of fall and hip fracture and 1 for medical professionals dealing with these patients. The questionnaires were presented, completed, and collected at individual appointments with aging adults and by group appointments with medical professionals. All data was statistically analysed to detect the most significant factors related to poor user compliance with hip protectors. For this descriptive study, frequency tests were used to analyse the data and therefore percentage of response was also reported. Certain demographic data such as age and gender was also collected.
  
  
  RESULTS
  The outcomes in both interviewed groups were very similar. The main findings demonstrate that 51% of users find hip protectors very valuable while 41% reported the product to be uncomfortable and 29% of users found them difficult to put on. For potential users the high cost of the product and its appearance remains an issue. Also negative psychological aspects of wearing the hip orthoses appear to be common reasons for not wearing a hip protector.
  
  
  CONCLUSIONS
  The study confirmed poor user compliance with hip protectors (18.9%). The information gathered from users and medical professionals regarding hip protectors provides valuable information which allows for the identification and development of new design features.
authors.affiliation: Centre for Applied Biomedical Engineering Research, University of Limerick, Limerick, Ireland.
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Madrecka
authors.forename: Declan
authors.initials: D
authors.lastname: Lyons
authors.forename: Caroline
authors.initials: C
authors.lastname: O'Connor
authors.forename: Caroline
authors.initials: C
authors.lastname: Ryan
authors.forename: Oonagh
authors.initials: O
authors.lastname: O'Hara
authors.forename: Shirley
authors.initials: S
authors.lastname: Real
authors.forename: Eoin
authors.initials: E
authors.lastname: Collins
authors.forename: Tim M
authors.initials: TM
authors.lastname: McGloughlin
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000368:Aged / Q000523:psychology / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D015577:Geriatric Assessment; D007722:Health Knowledge, Attitudes, Practice; D006620:Hip Fractures / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D016519:Hospitals, Religious; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D020380:Needs Assessment; D009735:Nursing Homes; D010024:Osteoporosis / Q000150:complications / Q000453:epidemiology; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D011482:Protective Devices / Q000009:adverse effects / Q000191:economics / Q000706:statistics & numerical data*; D012008:Recurrence; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires