This study is directed towards identifying the relative influence of biomedical, psychosocial, socio-cultural, environmental and caregiving factors on the degree to which the female hip fracture patient 65 years of age and older achieves full recovery defined in terms of ambulatory function, level of independence, and post-fracture physical, emotional and functional health. A longitudinal study is planned in which patients in hospitals in the Philadelphia area and a """"""""significant other"""""""" (e.g. spouse, relative, close friend) will be identified at the time of surgery for first fracture of the hip. Sixty white females in each of four age groups (65-74, 75-79, 80-84, 85+) will be interviewed prior to discharge from hospital. A follow-up interview and assessment of ambulatory function will take place at two, six and twelve months. At the time of the baseline and two and six month follow-up interviews the """"""""significant other"""""""" will also be interviewed. The twelve month interview obtained over the phone will involve only the patient. Information on pre-fracture physical, social, emotional and functional health status will be obtained; this information will be used as individual norms against which the degree of subsequent recovery will be determined. Information on specific psychosocial factors, namely, personality, social supports, depression and coping style, each known to affect the course of illness will also be obtained as will the responses of the """"""""significant other"""""""" to the patient's illness. Last, kind and amount of care giving received by the patient from all sources during the recovery period will be determined. We will identify the unique influence of the psychosocial factors on the rate and degree of the patient's recovery, as well we will explore the extent to which these factors affect how the kind and amount of care received influences the patient's recovery.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG004095-02
Application #
3114940
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1984-02-01
Project End
1987-01-31
Budget Start
1985-02-01
Budget End
1986-01-31
Support Year
2
Fiscal Year
1985
Total Cost
Indirect Cost
Name
Temple University
Department
Type
Schools of Medicine
DUNS #
City
Philadelphia
State
PA
Country
United States
Zip Code
19122
Mutran, E J; Reitzes, D C; Mossey, J et al. (1995) Social support, depression, and recovery of walking ability following hip fracture surgery. J Gerontol B Psychol Sci Soc Sci 50:S354-61
Mossey, J M; Knott, K; Craik, R (1990) The effects of persistent depressive symptoms on hip fracture recovery. J Gerontol 45:M163-8
Mossey, J M; Mutran, E; Knott, K et al. (1989) Determinants of recovery 12 months after hip fracture: the importance of psychosocial factors. Am J Public Health 79:279-86