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 .
Comparison of interactive voice response, patient mailing, and mailed registry to encourage screening for osteoporosis: a randomized controlled trial
Summary Guidelines recommend screening for osteoporosis with bone mineral density ( BMD ) testing in menopausal women , particularly those with additional risk factors for fracture . Many eligible women remain unscreened . This r and omized study demonstrates that a single outreach interactive voice response phone call improves rates of BMD screening  among high-risk women age 50–64 . Introduction Osteoporotic fractures are a major cause of disability and mortality . Guidelines recommend screening with BMD for menopausal women , particularly those with additional risk factors for fracture . However , many women remain unscreened . We examined whether telephonic interactive voice response ( IVR ) or patient mailing could increase rates of BMD testing in high risk , menopausal women . Methods We studied 4,685 women age 50–64 years within a not-for-profit health plan in the United States . All women had risk factors for developing osteoporosis and no prior BMD testing or treatment for osteoporosis . Patients were r and omly allocated to usual care , usual care plus IVR , or usual care plus mailed educational material s. To avoid contamination , patients within a single primary care physician practice were r and omized to receive the same intervention . The primary endpoint was BMD testing at 12 months . Secondary outcomes included BMD testing at 6 months and medication use at 12 months .  Results Mean age was 57 years . Baseline demographic and clinical characteristics were similar across the three study groups . In adjusted analyses , the incidence of BMD screening was 24.6 % in the IVR group compared with 18.6 % in the usual care group ( P < 0.001 ) . There was no difference between the patient mailing group and the usual care group ( P = 0.3 ) . Conclusions In this large community-based r and omized trial of high risk , menopausal women age 50–64 , IVR , but not patient mailing , improved rates of BMD screening . IVR remains a viable strategy to incorporate in population screening interventions
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 .