Article Figures & Data
Figures
- Fig 1.
Summary of the intervention. Patients in the intervention arm were recruited in hospital, set up with the smartwatch and app, and then had remote (telephone) follow-up at home.
- Fig 2.
Step count data of intervention cohort. Red line indicates median (interquartile range) of step counts up to week 12 post-hip fracture operation.
- Fig 3.
Comparison of participants with step counts at 2 weeks of more or less than 2000 steps. Blue line indicates >2000 steps at 2 weeks; green line indicates <2000 steps. Data shown are median (interquartile range).
Tables
Demographics and comorbidities Intervention group (n=26) Control group (n=40) p-value Female sex 81% 75% 0.77 Age 75 (72–77) 81 (77–87) <0.001 Multiple comorbidities 69% 73% 0.79 Clinical frailty scale 3 (2–4) 4 (3–4) 0.10 Nottingham Hip Fracture Score 4 (3–5) 5 (4–5) 0.03 Hypertension 35% 48% 0.32 Chronic kidney diseaseb 12% 10% 1.0 Chronic respiratory disease 4% 15% 0.23 Vascular 4% 0 – Cerebrovascular disease 4% 13% 0.39 Atrial fibrillation 13% 5% 0.38 Diabetes 8% 15% 0.46 Reason for drop-outs Focus group feedback ‘[I] struggled to use watch and laptop’
‘[I] found it all confusing’
‘Watch not working intermittently’
‘Finding all the technology overwhelming’
‘Felt stressed – I would be happy to look at videos in a few weeks, not at the moment. [I'm] very happy to continue receiving phone calls and completing questions’
‘I'm doing okay & I'm not interested in the tech as [I'm] getting on with own physio’‘I found a lot of the paper resources overwhelming when I first went home, so just used the videos’
‘I used the videos every day and found it really useful’
‘Having the option of different levels [of exercise] made me feel like I was progressing’
‘I never imagined having one of these watches, but I'm addicted to it now!’
‘Having different videos was nice to have some variation in what exercise I did’
‘I always did the exercises in the morning as it gave me the confidence to get up and about’
‘I was expecting to get back to normal quicker, but having something to work on helped me keep my motivation’
‘I never got any input from community teams, so I was very reliant on the videos’
‘I didn't realise how hard I would find going home, I didn't know if I was progressing like I should’
‘I've had two previous hip operations and my recovery and pain was much better this time’
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