Care homes that introduce hip protectors should target residents with cognitive impairment, according to UK researchers.
The authors, from Queen's University, Belfast, said: "Such residents are at greater risk of hip fracture and appear to be more likely to continue wearing hip protectors."
They observed 1,346 residents at 40 care homes. Initially 37% of residents agreed to wear the hip protectors but adherence to the protectors had fallen to about 20% after 72 weeks.
Hip protectors are protective pads designed to cover the greater trochanter and attenuate or disperse the force of a fall sufficiently to prevent a hip fracture. They have been widely recommended in national guidelines.
International Journal of Nursing Studies (2007) 44: 672-686