Poster Presentation Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2026

Understanding patient and clinician perspectives in the HITH4Hips trial: a qualitative study (#234)

Jananee Myooran 1 2 , Justine Naylor 2 3 , Marie K March 4 5 , Danielle Ní Chróinín 1 2 , Thuy A Bui 2 3 , Nicholas Bednorz 2 3 , Shu H Chen 6 , Bernadette Brady 3 4 6 7
  1. Geriatric Medicine Department,, Liverpool Hospital, Liverpool, NSW, Australia
  2. School of Clinical Medicine, UNSW Medicine and Health, Sydney, NSW, Australia
  3. Ingham Institute for Applied Medical Research, Sydney, NSW
  4. Sydney School of Health Sciences, Faculty of Medicine and Health University of Sydney, Sydney, NSW
  5. Physiotherapy Department, Bankstown-Lidcombe Hospital, South Western Sydney Local Health District, NSW
  6. Physiotherapy Department, Liverpool Hospital, Sydney, NSW
  7. School of Health Sciences, Western Sydney University, Campbelltown, NSW

Aims: This embedded qualitative study explored patient, carer, and healthcare provider (HCP) experiences of a multidisciplinary HITH program for adults aged ≥50 years with low-trauma hip fractures, examining factors affecting implementation. 

Methods: Guided by the RE-AIM QuEST framework, we conducted semi-structured interviews with stakeholders involved in the HITH program at (ANONYMISED). They were transcribed verbatim and analysed using a rapid assessment procedure with hybrid inductive–deductive coding.

Results: Four themes emerged. (1) Suitability for HITH: While patients preferred home recovery, HCPs were more risk-averse. (2) Conceptualisation of effectiveness: Patients valued emotional wellbeing and functional progress, while HCPs emphasised measurable outcomes. (3) HCP mindset and orientation: Role ambiguity and variable staff buy-in limited program adoption. (4) Realising program value: Siloed communication and weak inpatient–community linkages hindered implementation

Conclusions: The HITH4Hips was acceptable with potential to reduce system burden. However, successful implementation will require tailored communication and streamlined care coordination.