Osteoporosis Preventive Behavior in Thai Older Adults: Feasibility and Acceptability

Abstract

<blockquote>Because older adults in Thailand frequently lack knowledge about osteoporosis and its prevention, the authors examined a program to provide bone health education in this population.</blockquote> <h4>ABSTRACT</h4> <p>The authors used a one-group pre-test–post-test design to examine the feasibility and acceptability of an osteoporosis prevention program and the effects of the program on knowledge, health beliefs, self-efficacy; and osteoporosis preventive behaviors in older adults. Participants included 48 older adults who attended a health center in Thailand. Results revealed that the program was feasible and acceptable. A significant improvement in osteoporosis knowledge, health beliefs, self-efficacy, and osteoporosis preventive behaviors occurred. Findings suggest that the program helps older adults incorporate new knowledge and skills into their daily lives and helps them maintain bone health.</p>

A Systematic Review of Osteoporosis Health Beliefs in Adult Men and Women

“…Six articles were intervention studies, of which five were randomized controlled trials, assessing health belief outcomes using both the OHBS and OSES [14–19]. The majority of the studies were descriptive ( n = 16), of which 14 used the OHBS and 10 used the OSES to assess health beliefs [20–35].…”

“…The majority of the studies were descriptive ( n = 16), of which 14 used the OHBS and 10 used the OSES to assess health beliefs [20–35]. Only seven descriptive studies [24–26, 28–30, 34] and one intervention study [18] assessed men's health beliefs using the OHBS and OSES, and the majority of studies had a study population with mean age ≥ 45 years [15, 16, 19–21, 23, 24, 26–32]. …”

“…The one group pretest-posttest study used education, DXA, and counselling as the intervention [19]. The osteoporosis education interventions varied in length and content.…”

“…Two trials administered a three-hour education program [14, 17] and one trial a two-hour education program [18] consisting of group discussion, demonstrations, and lectures pertaining to osteoporosis prevention and management. One study performed a tailored telephone-based education session addressing the individuals' DXA results, knowledge of osteoporosis, and participation in health behaviours [15], and one administered a 90-minute education session once a week for four weeks, using the OHBS and OSES as a framework [19]. It is important to note that only two trials and the one group pretest-posttest study reported results for more than two OHBS subscales [14, 17, 19], and only two trials reported OSES subscale scores, highlighting the need for more experimental research in this area [14, 17].…”

“…One study performed a tailored telephone-based education session addressing the individuals' DXA results, knowledge of osteoporosis, and participation in health behaviours [15], and one administered a 90-minute education session once a week for four weeks, using the OHBS and OSES as a framework [19]. It is important to note that only two trials and the one group pretest-posttest study reported results for more than two OHBS subscales [14, 17, 19], and only two trials reported OSES subscale scores, highlighting the need for more experimental research in this area [14, 17]. Meta-analysis of the five randomized controlled trials was not performed because of methodological and clinical heterogeneity, particularly in study quality, participants, intervention type, and outcomes of OHBS and OSES.…”