Multifaceted interventions targeting high-risk patients and their primary care providers may improve the management of osteoporosis , but improvements are often clinical ly modest
This study aims to evaluate the effectiveness of primary care interventions to improve the detection and treatment of osteoporosis .
Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. A quasi-experimental study of behavioral modifications
Background and aims : Osteoporosis and fall fractures are increasing problems amongst the elderly . The aim of this study was to explore whether combined population -based and individual interventions directed at risk factors for osteoporosis and falls result in behavioral changes in an elderly population . Methods : A quasi-experimental design was used for the study . Persons aged ≥65 years were r and omly selected in the intervention and control community . An intervention program was managed from the primary health care center and delivered to the community . Health education was design ed to increase awareness of risk factors for the development of osteoporosis and falling . Question naires about lifestyle , health , previous fractures , safety behavior and physical activity level were distributed at baseline in 1989 and at the follow-ups in 1992 and 1994 in both communities . Results : There was a difference of 17.7 % between the dual intervention ( receiving both population -based and individual interventions ) and the control sample s regarding the self-reported use of shoe/cane spikes , and a difference of 20.5 % regarding the reported “ moderate level ” of physical activity in 1994 . There was an increase in the number of participants in the dual intervention sample who , at baseline , had not reported equipping their homes with non-slip mats and removing loose rugs but who did report these changes in 1994 . The increase in the reported use of shoe/cane spikes in the dual intervention sample was observed mainly for the period 1992–1994 . Conclusions : A public health intervention model , including both population -based and individual inter- ventions , can contribute to behavioral changes in the prevention of falls and changed physical activity patterns amongst elderly people
Multifaceted interventions targeting high-risk patients and their primary care providers may improve the management of osteoporosis , but improvements are often clinical ly modest
This study aims to evaluate the effectiveness of primary care interventions to improve the detection and treatment of osteoporosis .