Exploring older adults’ perceptions of a patient-centered education manual for hip fracture recovery: “everything in one place”

Figures & data

Figure 1 Is based on the elements of the Knowledge to Action framework from Graham et al.³

Notes: The gray-shaded area is the focus of the present study.

Table 1 Structure/organization, content, and picture question scores

Question	Median (p10, p90)
Structure/organization of manual
1. Was the information in the manual presented in a format that was easy to read?	4.0 (4.0, 5.0)
2. Was the information presented in a logical order?	4.0 (4.0, 5.0)
3. If asked to find the section on “Pain Control at Home”, were you able to find this information easily in the manual?	5.0 (4.0, 5.0)
Content
4. Was the information easy to understand?	4.5 (4.0, 5.0)
5. Do you find the information helpful?	4.5 (4.0, 5.0)
Pictures
6. Did you find the pictures helpful?	5.0 (4.0, 5.0)
7. Did you find the pictures clear and easy to understand?	5.0 (4.0, 5.0)
Overall rating
8. Usefulness of the manual (out of a maximum score of 10)	9.0 (7.0, 10)

Note: Likert scale answers ranged from 5= strongly agree to 1= strongly disagree.

Abbreviations: p10, 10th percentile; p90, 90th percentile.

Table 2 Main themes from participants’ comments about the manual

Themes	Comments
	Strengths	Challenges
General impression/attitude toward manual	[…] manual is a really, really great help for the patient. [Samantha, 69 years]	None identified
Ease of use/manual structure and presentation	[…] great manual, it has all the information that I got piecemeal in hospital and through physio. It’s good everything’s in one place. [James, 71 years]	[…] a little too wordy, there’s some overlapping of information. [Sophie, 73 years]
Health literacy	[…] manual is easy to read, … information is clear and easy to understand. [Olivia, 78 years]	“Define hemiarthroplasty and total hip arthroplasty; it’s unclear what these words mean. They’re big scary words.” [Emily, 79 years]
Utility of illustrations	“It helps to see what the equipment looks like. Pictures are very clear, liked the color.” [Anne, 76 years]	“Exercise pictures need to show movement better: have some arrows or a dashed outline of the foot in two places.” [Paul, 85 years]
Health care team delivery of manual	“It would be helpful to have the healthcare team go over the manual while in hospital.” [Maria, 76 years]	None identified
Informational support for patient from hospital to home	[…] manual is great for people who fall through the cracks. Really wish I had this when I came home, I had no follow up once I came home, no physio. Great for people who do not have anyone at home. [Brenda, 81 years]	“It would be useful to have information about how to get up off the floor if I fall again.” [Helen, 84 years]
Emotional support/psychological reassurance	“Great format, the information is in the order of the process so it helps to know what to expect at each stage and it’s good to know what is coming up at the next stage.” [Catherine, 67 years] “Wish I had it 5 years ago, my own experience was that each process gave me the next step verbally, but to know it ahead of time all at once would have been very helpful!” [Catherine, 67 years]	None identified
Decision-making support	“The booklet fulfills the need for unexpected surgery.” [Ava, 75 years]	“In ‘Pain Control’ it would be useful to mention the side effects of pain medications … it would be nice to make personal decisions about what to take to alleviate symptoms.” [Charlotte, 84 years] “Have a paragraph emphasizing why strength and balance are important.” [Aubrey, 80 years]
Novelty of the manual	“Good thing to be handed second day in hospital. Better than any other documents given at the hospital.” [Claire, 89 years]	None identified

GrahamIDLoganJHarrisonMBLost in knowledge translation: time for a map?J Contin Educ Health Prof2006261132416557505

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