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 .
Effects of a water-based program on women 65 years and over: a randomised controlled trial.
The purpose of this study was to assess the effects of a water-based exercise and self-management program on balance , fear of falling , and quality of life in community-dwelling women 65 years of age or older with a diagnosis of osteopenia or osteoporosis . Fifty women with an average age of 73.3 years ( range 65.5 - 82.4 , SD 3.9 ) were r and omised to intervention or control groups . The intervention group received a 10-week water-based exercise and self-management program compiled by Community Physiotherapy Services and conducted by a physiotherapist at an aquatic centre twice a week for one hour . The control group did not receive any instructions and were not encouraged to change their physical activity , activities of daily living or social habits during the study .  Change in balance , measured using the step test , from baseline to follow-up differed between intervention and control groups , with mean ( 95 % CI ) between-group differences of 1.7 ( 0.9 to 2.6 ) and 2.1 ( 1.1 to 3.1 ) steps on the left and right sides respectively . Between-group differences in score changes were also significant in four of the eight domains of quality of life measured using the Short Form 36 question naire ( SF36 ; physical function 8.6 ( 0.4 to 16.8 ) , vitality 12.0 ( 2.3 to 21.8 ) , social function , and 14.1 ( 0.6 to 27.7 ) mental health 10.2 ( 2.0 to 18.4 ) ) , but not fear of falling measured using the modified falls efficacy scale ( 0.25 ( -0.3 to 0.81 ) . It is concluded that a water-based exercise and self-management program produced significant changes in balance and quality of life , but not fear of falling , in this group of community-dwelling women 65 years of age or older with a diagnosis of osteopenia or osteoporosis
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 .