Tailored Interventions to Enhance Osteoporosis Prevention in Women

Sedlak, Carol A.; Doheny, Margaret O.; Estok, Patricia J.; Zeller, Richard A.

doi:10.1097/00006416-200507000-00007

Cited by 37 publications

(81 citation statements)

References 18 publications

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“…This review supports the notion that osteoporosis education with BMD is more effective at influencing calcium and vitamin D intake than education alone and the more abnormal the bone density the more significant the increase in calcium and vitamin D intake (Estok et al, 2007;Rolnick et al, 2001;Sedlak et al, 2005). However, the influence of education and BMD on exercise is non-conclusive (Estok et al, 2007;Wallace et al, 2004) having no influence on increasing exercise and in fact knowing bone density may have a negative influence, lowering participation in exercise (Rolnick et al, 2001;Sedlak et al, 2005). …”

Section: Overviewsupporting

confidence: 68%

“…Even though, the increase in calcium intake and vitamin D was statistically significant with abnormal BMD measurements, overall the findings indicate that increasing generalized osteoporosis knowledge does directly influence calcium and vitamin D intake (Estok et al, 2007;Rolnick et al, 2001;Sedlak et al, 2005) suggesting that a lack of knowledge acts as a barrier and constrains participation with OPBs. This finding is also supported by a recent survey examining barriers to calcium supplementation for women 20-64 years of age, the survey suggested that one of the primary reasons women, 55% in this survey, have high rates of non-use of supplementation was not knowing it was necessary (Tyler et al, 2008).…”

Section: Osteoporosis Knowledge Gapmentioning

confidence: 77%

“…The quasi-experimental pilot study by Sedlak, Doheny, Estok, and Zellar (2005) examined the influence of knowledge of BMD results with tailored or customized lower bone density were more likely to reduce exercise levels. Seemingly for the reader, the perception of exercise contributing to worry and risk of falling is a real one.…”

Section: Resultsmentioning

confidence: 99%

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The influence of osteoporosis education and bone mineral density testing on calcium intake and exercise in young postmenopausal women

Preston¹

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The outcomes of this project point to a gap in public knowledge of osteoporosis particularly as it relates to the importance of calcium intake and exercise with bone health.As well, the importance of earlier osteoporosis risk screening is highlighted for young postmenopausal women. There is a need to develop a useful clinically based osteoporosis screening survey for this population that addresses not only those at risk for osteoporosis, but also should consider the impact of health beliefs, health screening anxiety and perceived barriers for engaging in preventative health behaviours. Primary care providers should be Influence of BMD Testing on Calcium & Exercise 3 aware of the positive and negative influences of sharing BMD test results and the importance of follow-up in the primary care setting. Screening for osteoporosis risk is a priority in young postmenopausal women with the ultimate goal of reducing fractures thereby reducing morbidity, mortality and improving quality of life and decreasing the burden on the health care system.

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Section: Overviewsupporting

confidence: 68%

Section: Osteoporosis Knowledge Gapmentioning

confidence: 77%

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The influence of osteoporosis education and bone mineral density testing on calcium intake and exercise in young postmenopausal women

Preston¹

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“…One of the challenges of such a program was seen in the sustainability of such change and a need for long-term additional support initiatives. To our knowledge, tailored educational programs in osteoporosis addressed lifestyle changes in the prevention of osteoporosis, but not the issue of drug adherence [15][16][17][18][19] . Although the value of the educational support program presented by Nogues et al 8 is probably evident, there remains a need for high quality studies that compare the effectiveness of programs enhancing adherence to osteoporosis medications.…”

Section: I a L D I S T R I B U T I O N U N A U T H O R I Z E D U S mentioning

confidence: 99%

The need for (cost)-effective interventions to enhance adherence with osteoporosis medications

Hiligsmann

Boonen

2013

Current Medical Research and Opinion

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“…[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Evaluation designs for assessing impact of these nurse interventions include pre-/postintervention designs with or without controls, as well as randomized controlled trials (RCTs). Durations of health outcome assessments range from several months to a year or more.…”

Section: Original Research and Contributionsmentioning

confidence: 99%

Evaluation of a “Just-in-Time” Nurse Consultation on Bone Health: A Pilot Randomized Controlled Trial

Roblin

Zelman

Plummer³

et al. 2017

TPJ

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Context: Evidence is inconclusive whether a nurse consultation can improve osteoporosis-related patient outcomes.Objective: To evaluate whether a nurse consultation immediately after dual-energy x-ray absorptiometry (DXA) produced better osteoporosis-related outcomes than a simple intervention to activate adults in good bone health practices or usual care.Design: Pilot randomized controlled trial, conducted within the larger Patient Activation After DXA Result Notification (PAADRN) trial (NCT01507662). After DXA, consenting adults age 50 years or older were randomly assigned to 3 groups: nurse consultation, PAADRN intervention (mailed letter with individualized fracture risk and an educational brochure), or usual care (control). Nurse consultation included reviewing DXA results, counseling on bone health, and ordering needed follow-up tests or physician referrals.Main Outcome Measures: Change from baseline to 52 weeks in participant-reported osteoporosis-related pharmacotherapy, lifestyle, activation and self-efficacy, and osteoporosis care satisfaction.Results: Nurse consultation participants (n = 104) reported 52-week improvements in strengthening and weight-bearing exercise (p = 0.09), calcium intake (p < 0.01), osteoporosis knowledge (p = 0.04), activation (p < 0.01), dietary self-efficacy (p = 0.06), and osteoporosis care satisfaction (p < 0.01). Compared with PAADRN intervention participants (n = 39), nurse consultation participants had improved dietary self-efficacy (p = 0.07) and osteoporosis care satisfaction (p = 0.05). No significant improvements in osteoporosis-related outcomes were achieved vs PAADRN controls (n = 70).Conclusion: "Just-in-time" nurse consultation yielded a few improvements over 52 weeks in osteoporosis-related outcomes; however, most changes were not different from those obtained through the lower-cost PAADRN intervention or usual care.

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Tailored Interventions to Enhance Osteoporosis Prevention in Women

Cited by 37 publications

References 18 publications

The influence of osteoporosis education and bone mineral density testing on calcium intake and exercise in young postmenopausal women

The influence of osteoporosis education and bone mineral density testing on calcium intake and exercise in young postmenopausal women

The need for (cost)-effective interventions to enhance adherence with osteoporosis medications

Evaluation of a “Just-in-Time” Nurse Consultation on Bone Health: A Pilot Randomized Controlled Trial

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