Rehabilitation after hip fracture: the Stratify feasibility trial
Research type
Research Study
Full title
Structured Tailored Rehabilitation After Hip Fragility Fracture: The ‘STRATIFY’ Feasibility Randomised Controlled Trial
IRAS ID
312631
Contact name
Julie Whitney
Contact email
Sponsor organisation
Kings College London
Clinicaltrials.gov Identifier
Duration of Study in the UK
1 years, 1 months, 31 days
Research summary
Why are we doing this study?
The best approach to rehabilitation after a broken hip is not known. A new approach could improve outcomes by tailoring rehabilitation to patient needs. This approach identifies subgroups of patients within a population who have different risks of poor outcome. These subgroups are then matched to treatments better tailored to their needs. Survivors of a broken hip describe a tailored approach as key to recovery. Further, the NHS recommends this approach as central to healthcare progress.
This study wants to see if it is possible for the NHS to deliver this new approach to rehabilitation for older adults who break their hip.
What will we do?
We worked with patients to plan this study. They will help us during the study. We will invite 60 older people who had surgery at Guys and St Thomas's NHS Foundation Trust to fix a broken hip to take part. They will be given a level of risk (low, medium, or high) based on their age, sex, residence, walking ability, and dementia status. All 60 participants will get usual care provided locally. Half, selected by chance, will get extra rehabilitation during their hospital stay including a self-managed exercise programme for the low-risk subgroup, education, a goal-orientated mobility programme and enhanced discharge planning for the medium-risk subgroup, and education, a goal-orientated activity of daily living programme, orientation, and enhanced assessment for the high-risk subgroup.
We will collect information from the 60 people taking part, at the beginning, middle, and end of the study and again 12-weeks later.
If this study shows we can give this extra rehabilitation in the NHS, and it may help patients, then we plan to do a larger study. The larger study will see if this extra rehabilitation works to help older people get back home and feel happier.
REC name
East of England - Cambridge Central Research Ethics Committee
REC reference
24/EE/0005
Date of REC Opinion
27 Feb 2024
REC opinion
Further Information Favourable Opinion