The research aims to bridge the gap between surgical success and functional independence by using a Self-Efficacy Enhancement Program to tackle both the physical (balance/mobility) and psychological (fear/lack of confidence) obstacles faced by both the elderly patients and their caregivers. Self-efficacy enhancement, Older adults, Hip fracture, Post-operative recovery, Balance, Fear of falling, Caregivers
Conditions
Interventions
The program is developed based on Self-Efficacy Theory, aiming to build confidence in both patients and caregivers through four primary sources of information: Mastery Experience, Vicarious Experience
Experimental Group,Control Group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Patient Group (Older Adults with Hip Fracture) Age: Aged 60 years and older. Diagnosis: Diagnosed with a hip fracture (specifically femoral neck or intertrochanteric fracture) and treated with surgical intervention (such as Internal Fixation or Arthroplasty). Cognitive Status: Possess adequate cognitive function and clear consciousness, with the ability to communicate, understand, and follow the research instructions. Pre-injury Mobility: Able to walk independently (with or without a walking aid) prior to the hip fracture. Participation: Willing to participate in the study and provide written informed consent. 2. Caregiver Group Relationship: A family member or relative who is designated as the primary caregiver and will be responsible for providing care at home after the patient is discharged from the hospital. Age: Aged 18 years and older. Communication & Technology: Able to read and write in Thai and capable of using communication tools (such as a smartphone and the Line application) to receive information and participate in follow-ups. Participation: Willing to participate in the study and provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. For Patients: Post-operative Complications: Developing severe complications after surgery such as acute delirium that does not improve, sepsis, or hemodynamic instability (shock). Clinical Instability: Patients whose physical condition becomes unstable or who experience severe pain, making them unable to participate in the rehabilitation program or exercise activities. Changes in Treatment Plan: Being transferred to another ward or hospital before the completion of the program. Voluntary Withdrawal: The patient or their legal guardian requests to withdraw from the study at any time. 2. For Caregivers: Inability to Provide Continuous Care: Caregivers who cannot provide care throughout the entire research period (from hospital stay to post-discharge at home). Personal Health Issues: The caregiver develops sudden illness or physical limitations that prevent them from supporting the patient or participating in the training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-Care Self-Efficacy 3 Self-Efficacy Questionnaires | — |
Secondary
| Measure | Time frame |
|---|---|
| Satisfaction with the Program 1 Satisfaction Survey,Postural Balance 2 Timed Up and Go Test (TUG),Fear of Falling 3 Fear of Falling Assessment Scale,Caregiver Self-Efficacy 3 Self-Efficacy Questionnaires | — |
Countries
Thailand
Contacts
Public ContactOranuch Mahahong
Roi Et Hospital
Outcome results
None listed