Effects of Educational Materials concerning Osteoporosis on Women's Knowledge, Beliefs, and Behavior

Blalock, Susan J.; Currey, Shannon S.; DeVellis, Robert F.; DeVellis, Brenda M.; Giorgino, Karen B.; Anderson, John J.B.; Dooley, Mary Anne; Gold, Deborah T.

doi:10.4278/0890-1171-14.3.161

Cited by 83 publications

(63 citation statements)

References 36 publications

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“…Providing written feedback about calcium intake increased calcium consumption in premenopausal women. 18 In a later study, Blalock et al found that when premenopausal women were given information tailored to calcium intakes, physical activity levels, and selected behavioral theory constructs they were more likely to consume adequate calcium than women who received only general osteoporosis information. 19 Using a meta-analysis, tailored written materials were effective in changing health behaviors if these interventions were informed by behavior and health behavior theoretical constructs.…”

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confidence: 97%

“…Previous studies provide support for tailored messages based on health behavior theoretical constructs to increase calcium intake 18,19 and improve other healthy eating behaviors 22-24 than simply disseminating written material. Supplying written materials based on theory to target a particular population increased physical activity in health care workers 25 and women with multiple sclerosis.…”

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confidence: 98%

“…9 To help young women prevent osteoporosis, interventions to increase adoption of adequate vitamin D and calcium have been developed and evaluated. [10][11][12][13][14][15][16][17][18][19] Researchers reported favorable changes in bone healthy behaviors following bone mineral density (BMD) feedback and education. One year after brief verbal feedback, receiving an osteoporosis education brochure and BMD feedback from a central dual-energy x-ray absorptiometry (DXA), premenopausal women increased calcium and vitamin D supplement intake.…”

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confidence: 99%

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Evaluation of Three Osteoporosis Prevention Programs for Young Women: Application of the Health Belief Model

Lein

Turner

Wilroy

2016

American Journal of Health Education

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Purpose: The purpose of this study was to evaluate the effectiveness of theory-based osteoporosis prevention programs on calcium and vitamin D intakes and osteoporosis health beliefs in young women. Methods: Women (N ¼ 152) aged 19 to 25 years were randomly assigned to one of 3 groups: a brochure group (n ¼ 51), a computer-tailored program group (n ¼ 51, and the same computer-tailored program (n ¼ 50) with brief verbal feedback. Participants completed surveys regarding osteoporosis beliefs prior to and immediately after assigned intervention. They also completed surveys measuring osteoporosis behaviors before and 1 month after intervention. Results: Participants (n ¼ 152) in all groups significantly improved calcium intakes from baseline to 1 month after interventions. All groups experienced significant decreases in perceived barriers to obtaining adequate vitamin D and significant increases in perceived osteoporosis susceptibility and severity. Discussion: Interventions that delivered osteoporosis material via a brochure or tailored computerized messages with or without brief feedback from a health professional were successful. These changes may be due to theory-based components of the interventions. Translation to Health Education Practice: Though future research is needed, this study holds promise for health education practice to use health behavior theory to plan cost-effective osteoprotective programs for young women. ARTICLE HISTORY

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confidence: 97%

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confidence: 98%

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confidence: 99%

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Evaluation of Three Osteoporosis Prevention Programs for Young Women: Application of the Health Belief Model

Lein

Turner

Wilroy

2016

American Journal of Health Education

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“…Also, in the absence of a placebo control group that receives no active intervention, the ability to uncover the true effects of the mobile technology intervention was limited. However, other randomised-controlled trials that have used education alone have found no changes in lifestyle behaviours [16]: hence, we considered that the education group in our study provided a reasonable control for comparison with the mHealth group. We also had a small sample size which may have reduced the likelihood of our detecting significant differences in behaviours between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Using Mobile Technology to Improve Bone-Related Lifestyle Risk Factors in Young Women With Low Bone Mineral Density: Feasibility Randomized Controlled Trial (Preprint)

Subasinghe¹,

Garland²,

Gorelik³

et al. 2017

Preprint

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“…In Austria there are as yet no legal requirements with regard to enrichment with calcium or vitamin D. In the USA and Canada, for example, the enrichment of food products with vitamin D has been largely successfully implemented [42][43][44]. Numerous prevention studies show that awareness campaigns and exercise programmes with both children and adults, as well as older adults can bring about a change in lifestyle and subsequently promote bone health [45][46][47][48][49].…”

Section: Public Health Strategiesmentioning

confidence: 96%

Austrian osteoporosis report: epidemiology, lifestyle factors, public health strategies

Dörner

Weichselbaum

Lawrence

et al. 2009

Wien Med Wochenschr

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The first Austrian Osteoporosis Report was initiated to create a comprehensive reference document for the pathogenesis, diagnostics, therapy, and rehabilitation of osteoporosis. Furthermore, the aim was to present the extent and severity of osteoporosis and the associated complications in Austria. On the basis of current international prevalence, it can be estimated that approximately 740,000 of people in Austria over 50 years are affected by osteoporosis, of whom around 617,000 are women. A special analysis of the hospital discharge statistics showed that, in the year 2005, 1382 men and 8080 women were discharged from Austrian hospitals with the main diagnosis, osteoporosis. Added to these 9711 male cases and 54,840 females cases were documented with osteoporosis as a secondary diagnosis. In Austria around 16,500 people suffer a hip fracture each year. Thus, with a fracture rate of 19.7 fractures per year per 10,000 inhabitants over the age of 65 years, Austria lies within the peak for Europe. The hospital mortality rate amongst patients with fracture of the femur is 3.8% in men and 3.2% in women in Austria. Everybody's bone health can be positively influenced by a healthy lifestyle; however, the Osteoporoses Report revealed insufficiencies regarding lifestyle risk factors in the Austrian population. Average calcium intake amongst Austrian adult women and amongst male and female seniors is lower than recommended and only adult men achieve around the recommended amount. The mean vitamin D intake in Austria is very poor, especially amongst pre-schoolers and seniors. The rate of Austrians reporting regular physical exercise is in need of improvement, especially amongst elderly people. The data presented in the Austrian Osteoporosis Report are useful to enable the development of public health strategies and methods to help resolve some of these problems, and ultimately contribute to improved bone health in the nation.

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Effects of Educational Materials concerning Osteoporosis on Women's Knowledge, Beliefs, and Behavior

Abstract: These findings suggest that brief written educational materials can facilitate knowledge and belief change but that they do not promote behavior change. The generalizability of these findings is limited by the low study response rate.

Cited by 83 publications

References 36 publications

Evaluation of Three Osteoporosis Prevention Programs for Young Women: Application of the Health Belief Model

Evaluation of Three Osteoporosis Prevention Programs for Young Women: Application of the Health Belief Model

Using Mobile Technology to Improve Bone-Related Lifestyle Risk Factors in Young Women With Low Bone Mineral Density: Feasibility Randomized Controlled Trial (Preprint)

Austrian osteoporosis report: epidemiology, lifestyle factors, public health strategies

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