PROMOTE

Between 50% and 70% of lower-limb fractures require surgery. Following surgery, patients typically receive rehabilitation that includes nursing care, physiotherapy, and pain management. Despite this support, many people continue to experience pain, difficulties with everyday activities, and a reduced quality of life for months or even years after their injury. Research shows that recovery is influenced not only by the injury itself, but also by the way people think, feel, and respond during rehabilitation. Factors such as confidence, coping strategies, emotions, and social support can have an important impact on long-term recovery. The PROMOTE study developed an intervention to help patients identify and address unhelpful physical, psychological, and social responses to injury, while supporting more helpful approaches to recovery. The study explored whether it would be possible to carry out a larger trial to test the effectiveness of the PROMOTE intervention and gathered feedback from patients and healthcare professionals about their experiences of the programme.