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BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on October 1, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. Downloaded from Developing an individualised activity-based cross-sectoral programme to support rehabilitation of elderly people with hip fracture: a qualitative study ForJournal: peerBMJ Open review only Manuscript ID bmjopen-2020-044539 Article Type: Original research Date Submitted by the 09-Sep-2020 Author: Complete List of Authors: Ropke, Alice; Herlev Hospital, Department of Physiotherapy and Occupational Therapy; University of Southern Denmark, Research Unit Musculoskeletal Function and Physiotherapy, Institute of Sports and Clinical Biomechanics, Faculty of Health Sciences Lund, Karina; Herlev Hospital, Department of Physiotherapy and Occupational Therapy Thrane, Camilla ; Herlev Municipality, Health Promotion and Rehabilitation Juhl, Carsten; Herlev Hospital, Department of Physiotherapy and Occupational Therapy; University of Southern Denmark, Research Unit Musculoskeletal Function and Physiotherapy, Institute of Sports and Clinical Biomechanics, Faculty of Health Sciences Morville, Anne-Le; Jönköping University, Department of Rehabilitation http://bmjopen.bmj.com/ School of Health and Welfare Hip < ORTHOPAEDIC & TRAUMA SURGERY, QUALITATIVE RESEARCH, Keywords: REHABILITATION MEDICINE on October 1, 2021 by guest. Protected copyright. For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 1 of 45 BMJ Open 1 2 3 4 5 BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. 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Protected copyright. 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml BMJ Open Page 2 of 45 1 2 3 4 Title page BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. Downloaded from 5 6 7 Title: Developing an individualised activity-based cross-sectoral programme to support 8 rehabilitation of elderly people with hip fracture: a qualitative study 9 10 Authors: 11 1,2Alice Røpke 12 1Karina Lund 13 3 14 Camilla Thrane 1,2 15 Carsten Bogh Juhl 16 4Anne-Le Morville 17 18 Corresponding author:For peer review only 19 Alice Røpke 20 Herlev and Gentofte Hospital 21 22 Department of Physiotherapy and Occupational therapy 23 Borgmester Ib Juuls Vej 29 24 Opgang 8, 3. sal, O1 25 2730 Herlev 26 Denmark 27 Email (work): [email protected] 28 29 Email: (private): [email protected] 30 https://orcid.org/0000-0001-7793-5558 31 Phone: +45 (0) 26882002 (mobile) 32 33 1Department of Physiotherapy and Occupational Therapy 34 Copenhagen University Hospital, Herlev and Gentofte 35 Department of Physiotherapy and Occupational therapy 36 Borgmester Ib Juuls Vej 29 37 http://bmjopen.bmj.com/ 38 Opgang 8, 3. sal, O1 39 2730 Herlev 40 Denmark 41 Name: Alice Røpke 42 Email: [email protected] 43 Phone: +45 (0) 26882002 (mobile) 44 https://orcid.org/0000-0001-7793-5558 45 on October 1, 2021 by guest. Protected copyright. 46 Name: Karina Lund 47 Email: [email protected] 48 Name: Carsten Bogh Juhl 49 Email: [email protected] 50 https://orcid.org/0000-0001-8456-5364 51 Phone: +45 (0) 2139 5639 (mobile) 52 53 2 54 Department of Sports Science and Clinical Biomechanics 55 University of Southern Denmark 56 Campusvej 55 57 5230 Odense M 58 Denmark 59 60 1 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml Page 3 of 45 BMJ Open 1 2 3 4 Name: Alice Røpke BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. Downloaded from 5 6 Email: [email protected] 7 https://orcid.org/0000-0001-7793-5558 8 Phone: +45 (0) 26882002 (mobile) 9 Name: Carsten Bogh Juhl 10 Email: [email protected] 11 https://orcid.org/0000-0001-8456-5364 12 Phone: +45 (0) 2139 5639 (mobile) 13 14 3 15 Health Promotion and Rehabilitation 16 Tvedvangen 196 17 2730 Herlev 18 Denmark For peer review only 19 Name: Camilla Thrane 20 [email protected] 21 Phone: +45 (0) 4452 6308 22 23 4 24 Department of Rehabilitation 25 School of Health and Welfare 26 Jönköping University 27 Box 1026 28 551 11 Jönköping 29 Name: Anne-Le Morville 30 31 Email: [email protected] 32 http://orcid.org/0000-0003-1338-9644 33 Phone: +45 (0) 793101899 34 35 Keywords: Activity of daily living; hip fracture; qualitative research; rehabilitation. 36 37 Word count: 4000 – excluding title page, references, figures and tables. http://bmjopen.bmj.com/ 38 39 40 41 42 43 44 45 on October 1, 2021 by guest. Protected copyright. 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 2 For peer review only - http://bmjopen.bmj.com/site/about/guidelines.xhtml BMJ Open Page 4 of 45 1 2 3 4 5 Developing an individualised activity-based cross-sectoral programme to BMJ Open: first published as 10.1136/bmjopen-2020-044539 on 18 June 2021. Downloaded from 6 7 support rehabilitation of elderly people with hip fracture: a qualitative study 8 9 10 ABSTRACT 11 12 13 Purpose: To develop an individualised rehabilitation programme for personal and instrumental 14 15 activities of daily living (ADLs), enabling elderly people with hip fractures to perform them safely 16 17 18 and independently. For peer review only 19 20 Methods: This study explores the experiences, needs and wishes related to a transitional 21 22 rehabilitation programme focusing on ADLs for elderly people with hip fractures using a 23 24 25 participatory design. Two research circles, each comprising four meetings, were conducted, 26 27 including a group of seven elderly people with hip fracture and a group of seven healthcare 28 29 professionals. 30 31 32 Results: Three key themes were identified (1) ‘Challenge the elderly with goal-oriented ADL 33 34 tasks’, (2) ‘Implement strategies to enhance independent and safe performance of ADLs’ and (3) 35 36 ‘Communicate the important information to the target group and across sectors. A programme 37 http://bmjopen.bmj.com/ 38 theory was developed and an intervention to enhance usual rehabilitation was designed comprising: 39 40 41 an individualised intervention component consisting of five additional therapy sessions; one during 42 43 hospitalisation, four in the municipality and a follow-up phone call. 44 45 on October 1, 2021 by guest. Protected copyright. 46 Conclusions: Engaging and integrating occupations into rehabilitation treatment may support 47 48 meaningful occupations during rehabilitation of the elderly with hip fractures.
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