title: Exploring older adults' perceptions of a patient-centered education manual for hip fracture recovery: "everything in one place".
abstract: OBJECTIVE
  To describe older adults' perspectives on a new patient education manual for the recovery process after hip fracture.
  
  
  METHODS
  The Fracture Recovery for Seniors at Home (FReSH) Start manual is an evidence-based manual for older adults with fall-related hip fracture. The manual aims to support the transition from hospital to home by facilitating self-management of the recovery process. We enrolled 31 community-dwelling older adults with previous fall-related hip fracture and one family member. We collected data using a telephone-based questionnaire with eight five-point Likert items and four semi-structured open-ended questions to explore participants' perceptions on the structure, content, and illustration of the manual. The questionnaire also asked participants to rate the overall utility (out of 10 points) and length of the manual. We used content analysis to describe main themes from responses to the open-ended interview questions.
  
  
  RESULTS
  Participants' ratings for structure, content, and illustrations ranged from 4 to 5 (agree to highly agree), and the median usefulness rating was 9 (10th percentile: 7, 90th percentile: 10). Main themes from the content analysis included: ease of use and presentation; health literacy; illustration utility; health care team delivery; general impression, information support from hospital to home; emotional and decision-making support; and the novelty of the manual.
  
  
  CONCLUSIONS
  The FReSH Start manual was perceived as comprehensive in content and acceptable for use with older adults post-fall-related hip fracture. Participants expressed a need for delivery and explanation of the manual by a health care team member.
authors.affiliation: Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, BC, Canada ; Vancouver Coastal Health, The University of British Columbia, Vancouver, BC, Canada.
authors.forename: Karen
authors.initials: K
authors.lastname: Tsui
authors.affiliation: Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, BC, Canada ; Department of Family Practice, The University of British Columbia, Vancouver, BC, Canada ; Health Psychology, Freie Universität Berlin, Berlin, Germany.
authors.forename: Lena
authors.initials: L
authors.lastname: Fleig
authors.affiliation: Vancouver Coastal Health, The University of British Columbia, Vancouver, BC, Canada ; Department of Physical Therapy, The University of British Columbia, Vancouver, BC, Canada.
authors.forename: Dolores P
authors.initials: DP
authors.lastname: Langford
authors.affiliation: Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, BC, Canada ; Vancouver Coastal Health, The University of British Columbia, Vancouver, BC, Canada ; Department of Orthopaedics, The University of British Columbia, Vancouver, BC, Canada.
authors.forename: Pierre
authors.initials: P
authors.lastname: Guy
authors.affiliation: School of Nursing, The University of British Columbia, Vancouver, BC, Canada ; Fraser Health Authority, Surrey, BC, Canada.
authors.forename: Valerie
authors.initials: V
authors.lastname: MacDonald
authors.affiliation: Centre for Hip Health and Mobility, The University of British Columbia, Vancouver, BC, Canada ; Department of Family Practice, The University of British Columbia, Vancouver, BC, Canada.
authors.forename: Maureen C
authors.initials: MC
authors.lastname: Ashe
keywords: discharge planning; falls; health literacy; patient education; self-management