Education for Osteoporosis in Persons With Existing Fractures

Study Overview
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Brief Summary
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We wish to investigate whether a weekly, 2½ hour group-based osteoporosis education intervention (the Osteoporosis Prevention and Self-Management Course), is different to one session course (1x 2½ hours) on osteoporosis knowledge, confidence to eat calcium-containing foods, confidence to exercise, and amount of exercise undertaken after three and nine months of follow-up in people aged over 50 years who have already had a bone fracture.

Detailed Description
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Instruments used to determine change after 3 and 9 months: Osteoporosis knowledge: Osteoporosis Knowledge Assessment Test (Winzenberg et al. BMC Musculoskelet Disord 2003) Calcium intake: Food frequency questionnaire (Angus et al. J Am Diet Assoc 1989) Calcium and exercise self-efficacy: Osteoporosis Self-Efficacy Scale (Horan et al Res Nurs Health 1998) Physical activity: CHAMPS II (Stewart et al. J Gerontol A Biol Sci Med Sci 2001)

Official Title
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Osteoporosis Education Clinic Study

Conditions
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Osteoporosis

Intervention / Treatment
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* Behavioral: Osteoporosis Prevention and Self-Management Course
* Behavioral: Introductory education session on osteoporosis


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Presented to Modbury Hospital's Accident and Emergency Department with a new bone fracture Exclusion Criteria: Residence in nursing home Fracture sustained in motor bike, push bike or motor vehicle accident Fracture sustained due to high trauma, such as fall from roof or ladder Dementia Inability to participate in group settings Inability to understand spoken English Inability to provide informed consent Pathological fracture Usual place of residence outside South Australia

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: 1<br>Osteoporosis Prevention and Self-Management Course (4 x 2 1/2 hours) | Behavioral: Osteoporosis Prevention and Self-Management Course<br>* Four weekly education sessions of 2 1/2 hours duration, in a group session facilitated by a community nurse and trained lay leader.<br>|
| Active Comparator: 2<br>One introductory osteoporosis education session (1 x 2 1/2 hours) | Behavioral: Introductory education session on osteoporosis<br>* Introductory education session, 1 x 2 1/2 hours in a group session facilitated by a community nurse and trained lay person.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference between groups at three months on osteoporosis knowledge, confidence in ability to consume calcium and to exercise, actual calcium consumption and exercise levels |  | Three and nine months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes between baseline and three months within each group on osteoporosis knowledge, confidence in the ability to each calcium-containing foods and exercise, and the amount of calcium consumed in foods and exercise undertaken |  | Three and nine months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osteoporosis/prevention & control, Osteoporosis Prevention and Self-Management Course, Patient Education/*trends//Questionnaires, Adult//Aged//Middle Aged, Life Style//