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Research article
Katherine Brown
The George Institute for Global Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9390-9680
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Mild to moderate road traffic injury (RTI) in people of working age is associated with limited recovery. Less is known about RTI recovery in older age. This study explored the perspectives and factors associated with recovery and health-related quality of life following mild to moderate RTI in older age in New South Wales, Australia.
Methods: A qualitative study using content analysis was undertaken. Participants aged 65 or more years were purposively selected from a larger inception cohort study of health outcomes following mild to moderate RTI conducted in New South Wales, Australia. Semi-structured interviews were undertaken at approximately 12 or 24 months post-injury. Content analysis was used to code and analyse the data, with methodological rigour obtained by double-coding and discussing findings to reach consensus. Results were reported using the consolidated criteria for reporting qualitative research (COREQ).
Results: Nineteen participants were invited to participate in the study of which 12 completed interviews. Data saturation was reached at the twelfth interview. Recovery experiences were diverse. Five main themes were identified: recovery is regaining independence; injury and disability in older age; the burden of non-obvious disability; the importance of support; and positive personal approaches. Key facilitators of recovery were: regaining independence; support from family and friends; and positive personal approaches. Key barriers were: threats to independence; passive coping behaviours; non-obvious disabilities (chronic pain, psychological impacts); and reluctance to raise ongoing issues with General Practitioners. Threats to independence, especially not driving and self-care, appeared to have a more profound effect on recovery than physical functioning.
Conclusion: Older people view injury as a threat to independent functioning. This is somewhat different to what younger people report. Regaining independence is key to older people’s recovery and health-related quality of life following RTI, and should be a key consideration for health professionals, services and supports working with this unique cohort. Greater efforts to help older people regain their independence following RTI are needed and can be facilitated by health professionals and appropriate service provision.
Trial registration: Australia New Zealand clinical trial registry identification number ACTRN12613000889752.
Keywords
Road traffic injury, Qualitative research, Content analysis, Facilitators, Barriers, Recovery, Older people, Functioning Disability, International Classification of Functioning, Disability and Health (ICF)
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
- A1samplingreferencegrid.docx
File name: Appendix 1 Title of data: Sampling reference grid Description of data: A copy of the sampling reference grid used during the recruitment process
- A2interviewguide.docx
File name: Appendix 2 Title of data: Interview guide Description of data: The guide used by the interviewer when interviewing participants.
- Tables.docx
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View the published article at BMC Public Health.
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Editorial decision: Minor revision
On 31 Jul, 2020
Editor assigned
On 29 Jul, 2020
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On 28 Jul, 2020
Editor invited
On 28 Jul, 2020
No comments provided
Editor assigned
On 15 Jul, 2020
Editorial decision: Minor revision
On 15 Jul, 2020
Submission checks complete
On 14 Jul, 2020
Editor invited
On 14 Jul, 2020
No comments provided
Editorial decision: Major revision
On 08 Jun, 2020
Review #2 received
Received 07 Jun, 2020
Review #1 received
Received 04 May, 2020
Reviewer #3 agreed
On 18 Apr, 2020
Reviewer #2 agreed
On 27 Mar, 2020
Editor assigned
On 23 Mar, 2020
Reviewers invited
Invitations sent on 23 Mar, 2020
Reviewer #1 agreed
On 23 Mar, 2020
Submission checks complete
On 20 Mar, 2020
Editor invited
On 19 Mar, 2020
First submitted
On 10 Mar, 2020
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Subject Areas
Geriatrics & Gerontology
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Katherine Brown
The George Institute for Global Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9390-9680
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 4
Posted 17 Aug, 2020
No community comments so far
Editorial decision: Accept
On 14 Aug, 2020
Editor assigned
On 13 Aug, 2020
Submission checks complete
On 12 Aug, 2020
Editor invited
On 12 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 31 Jul, 2020
Editor assigned
On 29 Jul, 2020
Submission checks complete
On 28 Jul, 2020
Editor invited
On 28 Jul, 2020
No comments provided
Editor assigned
On 15 Jul, 2020
Editorial decision: Minor revision
On 15 Jul, 2020
Submission checks complete
On 14 Jul, 2020
Editor invited
On 14 Jul, 2020
No comments provided
Editorial decision: Major revision
On 08 Jun, 2020
Review #2 received
Received 07 Jun, 2020
Review #1 received
Received 04 May, 2020
Reviewer #3 agreed
On 18 Apr, 2020
Reviewer #2 agreed
On 27 Mar, 2020
Editor assigned
On 23 Mar, 2020
Reviewers invited
Invitations sent on 23 Mar, 2020
Reviewer #1 agreed
On 23 Mar, 2020
Submission checks complete
On 20 Mar, 2020
Editor invited
On 19 Mar, 2020
First submitted
On 10 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Geriatrics & Gerontology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background: Mild to moderate road traffic injury (RTI) in people of working age is associated with limited recovery. Less is known about RTI recovery in older age. This study explored the perspectives and factors associated with recovery and health-related quality of life following mild to moderate RTI in older age in New South Wales, Australia.
Methods: A qualitative study using content analysis was undertaken. Participants aged 65 or more years were purposively selected from a larger inception cohort study of health outcomes following mild to moderate RTI conducted in New South Wales, Australia. Semi-structured interviews were undertaken at approximately 12 or 24 months post-injury. Content analysis was used to code and analyse the data, with methodological rigour obtained by double-coding and discussing findings to reach consensus. Results were reported using the consolidated criteria for reporting qualitative research (COREQ).
Results: Nineteen participants were invited to participate in the study of which 12 completed interviews. Data saturation was reached at the twelfth interview. Recovery experiences were diverse. Five main themes were identified: recovery is regaining independence; injury and disability in older age; the burden of non-obvious disability; the importance of support; and positive personal approaches. Key facilitators of recovery were: regaining independence; support from family and friends; and positive personal approaches. Key barriers were: threats to independence; passive coping behaviours; non-obvious disabilities (chronic pain, psychological impacts); and reluctance to raise ongoing issues with General Practitioners. Threats to independence, especially not driving and self-care, appeared to have a more profound effect on recovery than physical functioning.
Conclusion: Older people view injury as a threat to independent functioning. This is somewhat different to what younger people report. Regaining independence is key to older people’s recovery and health-related quality of life following RTI, and should be a key consideration for health professionals, services and supports working with this unique cohort. Greater efforts to help older people regain their independence following RTI are needed and can be facilitated by health professionals and appropriate service provision.
Trial registration: Australia New Zealand clinical trial registry identification number ACTRN12613000889752.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
- A1samplingreferencegrid.docx
File name: Appendix 1 Title of data: Sampling reference grid Description of data: A copy of the sampling reference grid used during the recruitment process
- A2interviewguide.docx
File name: Appendix 2 Title of data: Interview guide Description of data: The guide used by the interviewer when interviewing participants.
- Tables.docx
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