Our findings from 55 RCTs and 18 sub-group meta-analyses showed that complex implementation interventions with multiple components consisting of at least education + feedback + follow-up significantly increased the initiation of osteoporosis medications , and interventions with at least education + follow-up significantly increased the initiation of osteoporosis investigations .
No significant impact was found for any type of intervention to reduce fracture .
Complex interventions that include at least education + follow-up or feedback have the most potential for increasing osteoporosis investigations and treatment .
Patient education appears to be an important component in osteoporosis disease management
Osteoporosis is affecting over 200 million people worldwide .
Despite available guidelines , care for these patients remains sub-optimal .
We developed an osteoporosis tool to address the multiple dimensions of chronic disease management .
Findings from its evaluation showed a significant increase from baseline in osteoporosis investigations and treatment , so we are revising this tool to include multiple chronic conditions including an up date of evidence about osteoporosis .
Our objectives were to conduct a systematic review of osteoporosis interventions in adults at risk for osteoporosis .
Self-Efficacy Program to Prevent Osteoporosis Among Chinese Immigrants: A Randomized Controlled Trial
Background : Recent Chinese immigrants have a low bone mineral density and are at a great risk for developing osteoporosis . The majority of Chinese men and women of all ages have inadequate information about their risks for developing osteoporosis and are seldom involved in preventive activities . Objectives : The aim of this study was to evaluate the preliminary effectiveness of an educational intervention based on the self-efficacy theory aim ed at increasing the knowledge of osteoporosis and adoption of preventive behaviors , including regular exercise and osteoporosis medication adherence , design ed for Chinese immigrants , aged 45 years or above , living in the United States . Methods : A r and omized controlled trial was employed , using a repeated-measure design . Foreign-born M and arin-speaking Asians ( n = 110 ) were recruited to the study , and 83 of them ( mean age = 64.08 years , SD = 9.48 years ) were assigned r and omly to either the intervention group ( n = 42 ) or the attention control group ( n = 41 ) . There were 63 ( 75.9 % ) women and 20 ( 24.1 % ) men . Data were collected at baseline and 2 weeks after the intervention . Results : The participants who received the intervention had statistically significant improvements ( p < .05 ) at 2 weeks postintervention with respect to osteoporosis-related knowledge , self-efficacy for exercise , and osteoporosis medication adherence . Moreover , the participants in the treatment group spent more time on moderate exercise , had higher energy expenditure on exercise , and had more osteoporosis medication use at 2 weeks postintervention when compared with controls . Discussion : The intervention targeting M and arin-speaking immigrants was effective in increasing the knowledge of osteoporosis and improving the adoption of preventive behaviors . Future research is needed to explore the long-term effect of this intervention on bone health behavior
Our findings from 55 RCTs and 18 sub-group meta-analyses showed that complex implementation interventions with multiple components consisting of at least education + feedback + follow-up significantly increased the initiation of osteoporosis medications , and interventions with at least education + follow-up significantly increased the initiation of osteoporosis investigations .
No significant impact was found for any type of intervention to reduce fracture .
Complex interventions that include at least education + follow-up or feedback have the most potential for increasing osteoporosis investigations and treatment .
Patient education appears to be an important component in osteoporosis disease management
Osteoporosis is affecting over 200 million people worldwide .
Despite available guidelines , care for these patients remains sub-optimal .
We developed an osteoporosis tool to address the multiple dimensions of chronic disease management .
Findings from its evaluation showed a significant increase from baseline in osteoporosis investigations and treatment , so we are revising this tool to include multiple chronic conditions including an up date of evidence about osteoporosis .
Our objectives were to conduct a systematic review of osteoporosis interventions in adults at risk for osteoporosis .