Purpose: To describe older adults’ perspectives on a new patient education
manual for the recovery process after hip fracture. Materials and 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. Conclusion: 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