Qualitative Study on Osteoporosis Representation and Management in the General Population and in General Practitioners.

Study Overview
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Brief Summary
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Osteoporosis (OP) and subsequent fractures (OP fractures) are a source of morbidity and high mortality in the elderly. Despite numerous programs aiming at improving OP care, the prevention, diagnostic and treatment remain suboptimal. Barriers to a better care are multiple, both in the general and at-risk population, and in medical practitioners. Since they do not perceive their susceptibility to OP, people do not see the benefit of prevention. In addition, physicians do not give sufficient importance to OP prevention and care, despite the existence of guidelines. The investigators implemented a qualitative study to explore the knowledge and representations regarding osteoporosis in the general and at-risk population and in doctors in Rhône-Alpes Region, France, using focus groups with women and men and semi-structured face-to-face interviews with general practitioners. Understanding barriers to osteoporosis care in patients and general practitioners will help to set up effective strategies to improve prevention and treatment.

Official Title
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Qualitative Study on Representations of Osteoporosis in the General and At-risk Population and in General Practitioners.

Conditions
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Osteoporosis

Intervention / Treatment
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* Other: qualitative study


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: group 1: women aged 50 to 85 years with a history of fragility fracture or an osteoporosis diagnostic group 2: women aged 50 to 85 years without a history of fragility fracture or an osteoporosis diagnostic group 3: men aged 60 to 85 years with a history of fragility fracture or an osteoporosis diagnostic group 4: men aged 60 to 85 years without a history of fragility fracture or an osteoporosis diagnostic group 5: general practitioners in Region Rhône-Alpes, France who signed the consent form Exclusion Criteria: no signed consent legal disability difficulty in understanding French psychiatric disorder

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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Osteoporotic women<br>women over 50 years with a diagnosis of osteoporosis or history of fragility fracture /osteoporosis treatment | Other: qualitative study<br> <br> |
| At risk women<br>women over 50 years without a diagnosis of osteoporosis or history of fragility fracture /osteoporosis treatment | Other: qualitative study<br> <br> |
| Osteoporotic men<br>Men over 60 years with a diagnosis of osteoporosis or history of fragility fracture /osteoporosis treatment | Other: qualitative study<br> <br> |
| At-risk men<br>Men over 60 years without a diagnosis of osteoporosis or history of fragility fracture /osteoporosis treatment | Other: qualitative study<br> <br> |
| General practitioners<br>General practitioners from the Rhône area, France | Other: qualitative study<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Focus Group Interview | Representations of osteoporosis, in general practitioners and in 4 groups of people. Representations were drawn from focus groups interviews based on the theory of social representations of illness developed by Moscovici and Durkheim. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners | 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Factors favoring and barriers to a better management of OP in each group | Factors favoring and barriers to a better management of OP were collected during the focus groups interviews. Specific questions were asked to collect information on reasons for not complying with recommendations or prescriptions. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners | At the day of inclusion | 
| Specific communication needs for the different groups: men/women, fractured/non-fractured. | Needs for communication tools were collected by specific questions asked during the focus groups interviews. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners | At the day of inclusion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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osteoporosis, prevention, care management, focus groups