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Erschienen in: Osteoporosis International 4/2014

01.04.2014 | Review

Effectiveness and characteristics of multifaceted osteoporosis group education—a systematic review

verfasst von: A. L. Jensen, K. Lomborg, G. Wind, B. L. Langdahl

Erschienen in: Osteoporosis International | Ausgabe 4/2014

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Abstract

Summary

The characteristics and effectiveness of osteoporosis multifaceted group education were determined from a systematic review of international literature. Findings showed that these educational programmes may be beneficial in a variety of important factors for the prevention, treatment and management of osteoporosis.

Introduction

This systematic review investigated quantitative studies on osteoporosis multifaceted group education. The purpose was to investigate the characteristics as well as the effectiveness of this form of osteoporosis patient education.

Methods

Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this systematic review. Relevant databases were searched until January 2013.

Results

Seven studies published between 1993 and 2011 including osteoporosis patients with or without fractures were found. The multifaceted educational programmes all consisted of three overall themes: (1) Knowledge of osteoporosis, (2) Medication and diet and (3) Exercise, but with different foci across the studies. Overall, 24 outcome measures representing six topics were applied: (1) Health-related quality of life, (2) Psychosocial function, (3) Pain, (4) Physical activity, (5) Knowledge and (6) Medication and diet.
The review showed that multifaceted osteoporosis group education can increase the patients' knowledge of osteoporosis as well as their health-related quality of life, physical activity and psychosocial functioning. It has the potential to increase adherence to both pharmacological and non-pharmacological treatments.

Conclusions

Multifaceted group education may have a positive impact on the patients' ability to engage in preventing and managing osteoporosis. Further research directed towards the complexity of multifaceted group education is needed. In addition, research investigating the educational needs of specific groups of osteoporotic patients is required.
Literatur
1.
Zurück zum Zitat Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, Hanley DA, Hodsman A, Jamal SA, Kaiser SM, Kvern B, Siminoski K, Leslie WD (2010) 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 182:1864–1873PubMedCentralPubMedCrossRef Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S, Hanley DA, Hodsman A, Jamal SA, Kaiser SM, Kvern B, Siminoski K, Leslie WD (2010) 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. CMAJ 182:1864–1873PubMedCentralPubMedCrossRef
2.
Zurück zum Zitat Kastner M, Straus SE (2008) Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials. J Gen Intern Med 23:2095–2105PubMedCentralPubMedCrossRef Kastner M, Straus SE (2008) Clinical decision support tools for osteoporosis disease management: a systematic review of randomized controlled trials. J Gen Intern Med 23:2095–2105PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Ryan P, Pumilia NJ, Henak B, Chang T (2009) Development and performance usability testing of a theory-based, computerized, tailored intervention. CIN: Comput Inform Nurs 27:288–300PubMed Ryan P, Pumilia NJ, Henak B, Chang T (2009) Development and performance usability testing of a theory-based, computerized, tailored intervention. CIN: Comput Inform Nurs 27:288–300PubMed
4.
Zurück zum Zitat Coster S, Norman I (2009) Cochrane reviews of educational and self-management interventions to guide nursing practice: a review. Int J Nurs Stud 46:508–528PubMedCrossRef Coster S, Norman I (2009) Cochrane reviews of educational and self-management interventions to guide nursing practice: a review. Int J Nurs Stud 46:508–528PubMedCrossRef
5.
Zurück zum Zitat Sujic R, Gignac MA, Cockerill R, Beaton DE (2011) A review of patient-centred post-fracture interventions in the context of theories of health behaviour change. Osteoporos Int 22:2213–2224PubMedCrossRef Sujic R, Gignac MA, Cockerill R, Beaton DE (2011) A review of patient-centred post-fracture interventions in the context of theories of health behaviour change. Osteoporos Int 22:2213–2224PubMedCrossRef
6.
Zurück zum Zitat Gronholz MJ (2008) Prevention, diagnosis, and management of osteoporosis-related fracture: a multifactoral osteopathic approach. J Am Osteopath Assoc 108:575–585PubMed Gronholz MJ (2008) Prevention, diagnosis, and management of osteoporosis-related fracture: a multifactoral osteopathic approach. J Am Osteopath Assoc 108:575–585PubMed
7.
Zurück zum Zitat WHO Scientific group. Prevention and management of osteoporosis. 2003 WHO Scientific group. Prevention and management of osteoporosis. 2003
8.
9.
Zurück zum Zitat Dusdal K, Grundmanis J, Luttin K, Ritchie P, Rompre C, Sidhu R, Harris SR (2011) Effects of therapeutic exercise for persons with osteoporotic vertebral fractures: a systematic review. Osteoporos Int 22:755–769PubMedCrossRef Dusdal K, Grundmanis J, Luttin K, Ritchie P, Rompre C, Sidhu R, Harris SR (2011) Effects of therapeutic exercise for persons with osteoporotic vertebral fractures: a systematic review. Osteoporos Int 22:755–769PubMedCrossRef
10.
11.
Zurück zum Zitat Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY (2013) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 24:23–57PubMedCentralPubMedCrossRef Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY (2013) European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 24:23–57PubMedCentralPubMedCrossRef
12.
Zurück zum Zitat Wilson SR (1997) Individual versus group education: is one better? Patient Educ Couns 32:S67–S75PubMedCrossRef Wilson SR (1997) Individual versus group education: is one better? Patient Educ Couns 32:S67–S75PubMedCrossRef
13.
Zurück zum Zitat Rickheim PL, Weaver TW, Flader JL, Kendall DM (2002) Assessment of group versus individual diabetes education: a randomized study. Diabetes Care 25:269–274PubMedCrossRef Rickheim PL, Weaver TW, Flader JL, Kendall DM (2002) Assessment of group versus individual diabetes education: a randomized study. Diabetes Care 25:269–274PubMedCrossRef
14.
Zurück zum Zitat Wilson SR, Scamagas P, German DF, Hughes GW, Lulla S, Coss S, Chardon L, Thomas RG, Starr-Schneidkraut N, Stancavage FB (1993) A controlled trial of two forms of self-management education for adults with asthma. Am J Med 94:564–576PubMedCrossRef Wilson SR, Scamagas P, German DF, Hughes GW, Lulla S, Coss S, Chardon L, Thomas RG, Starr-Schneidkraut N, Stancavage FB (1993) A controlled trial of two forms of self-management education for adults with asthma. Am J Med 94:564–576PubMedCrossRef
15.
Zurück zum Zitat Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700PubMedCentralPubMedCrossRef Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700PubMedCentralPubMedCrossRef
16.
Zurück zum Zitat Schmucker C, Bluemle A, Briel M, Portalupi S, Lang B, Motschall E, Schwarzer G, Bassler D, Mueller KF, von EE, Meerpohl JJ (2013) A protocol for a systematic review on the impact of unpublished studies and studies published in the gray literature in meta-analyses. Syst Rev 2:24PubMedCentralPubMedCrossRef Schmucker C, Bluemle A, Briel M, Portalupi S, Lang B, Motschall E, Schwarzer G, Bassler D, Mueller KF, von EE, Meerpohl JJ (2013) A protocol for a systematic review on the impact of unpublished studies and studies published in the gray literature in meta-analyses. Syst Rev 2:24PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Gold DT, Stegmaier KY, Bales CW, Lyles KW, Westlund RE, Drezner MD (1993) Psychosocial functioning and osteoporosis in late life: results of a multidisciplinary intervention. J Women's Health 2:149–155CrossRef Gold DT, Stegmaier KY, Bales CW, Lyles KW, Westlund RE, Drezner MD (1993) Psychosocial functioning and osteoporosis in late life: results of a multidisciplinary intervention. J Women's Health 2:149–155CrossRef
18.
Zurück zum Zitat Kessenich CR, Gordon HG, Patton CL, Griffith LE, Hamlin A, Rosen CJ (2000) Support group intervention for women with osteoporosis. Rehabil Nurs 25:88–92CrossRef Kessenich CR, Gordon HG, Patton CL, Griffith LE, Hamlin A, Rosen CJ (2000) Support group intervention for women with osteoporosis. Rehabil Nurs 25:88–92CrossRef
19.
Zurück zum Zitat Gold DT, Shipp KM, Pieper CF, Duncan PW, Martinez S, Lyles KW (2004) Group treatment improves trunk strength and psychological status in older women with vertebral fractures: results of a randomized, clinical trial. J Am Geriatr Soc 52:1471–1478PubMedCrossRef Gold DT, Shipp KM, Pieper CF, Duncan PW, Martinez S, Lyles KW (2004) Group treatment improves trunk strength and psychological status in older women with vertebral fractures: results of a randomized, clinical trial. J Am Geriatr Soc 52:1471–1478PubMedCrossRef
20.
Zurück zum Zitat Alp A, Kanat E, Yurtkuran M (2007) Efficacy of a self-management program for osteoporotic subjects. Am J Phys Med Rehabil 86:633–640PubMedCrossRef Alp A, Kanat E, Yurtkuran M (2007) Efficacy of a self-management program for osteoporotic subjects. Am J Phys Med Rehabil 86:633–640PubMedCrossRef
21.
Zurück zum Zitat Nielsen D, Ryg J, Nissen N, Nielsen W, Knold B, Brixen K (2008) Multidisciplinary patient education in groups increases knowledge on osteoporosis: a randomized controlled trial. Scand J Public Health 36:346–352PubMedCrossRef Nielsen D, Ryg J, Nissen N, Nielsen W, Knold B, Brixen K (2008) Multidisciplinary patient education in groups increases knowledge on osteoporosis: a randomized controlled trial. Scand J Public Health 36:346–352PubMedCrossRef
22.
Zurück zum Zitat Nielsen D, Ryg J, Nielsen W, Knold B, Nissen N, Brixen K (2010) Patient education in groups increases knowledge of osteoporosis and adherence to treatment: a two-year randomized controlled trial. Patient Educ Couns 81:155–160PubMedCrossRef Nielsen D, Ryg J, Nielsen W, Knold B, Nissen N, Brixen K (2010) Patient education in groups increases knowledge of osteoporosis and adherence to treatment: a two-year randomized controlled trial. Patient Educ Couns 81:155–160PubMedCrossRef
23.
Zurück zum Zitat Laslett LL, Lynch J, Sullivan TR, McNeil JD (2011) Osteoporosis education improves osteoporosis knowledge and dietary calcium: comparison of a 4 week and a one-session education course. Int J Rheum Dis 14:239–247PubMedCrossRef Laslett LL, Lynch J, Sullivan TR, McNeil JD (2011) Osteoporosis education improves osteoporosis knowledge and dietary calcium: comparison of a 4 week and a one-session education course. Int J Rheum Dis 14:239–247PubMedCrossRef
24.
Zurück zum Zitat Bergland A, Thorsen H, Karesen R (2011) Effect of exercise on mobility, balance, and health-related quality of life in osteoporotic women with a history of vertebral fracture: a randomized, controlled trial. Osteoporos Int 22:1863–1871PubMedCrossRef Bergland A, Thorsen H, Karesen R (2011) Effect of exercise on mobility, balance, and health-related quality of life in osteoporotic women with a history of vertebral fracture: a randomized, controlled trial. Osteoporos Int 22:1863–1871PubMedCrossRef
25.
Zurück zum Zitat Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA (2011) The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 343:d5928PubMedCentralPubMedCrossRef Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA (2011) The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 343:d5928PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Cooper HM (2010) Research synthesis and meta-analysis: a step-by-step approach, 4th edn. Sage, Thousand Oaks Cooper HM (2010) Research synthesis and meta-analysis: a step-by-step approach, 4th edn. Sage, Thousand Oaks
27.
Zurück zum Zitat Naidoo J, Wills J (2009) Foundations for health promotion, 3rd edn. Bailliere Tindall, Toronto Naidoo J, Wills J (2009) Foundations for health promotion, 3rd edn. Bailliere Tindall, Toronto
28.
Zurück zum Zitat Ryg J, Nissen N, Nielsen D, Brixen KT (2005) Patients' and population's knowledge of osteoporosis. Ugeskr Laeger 167:282–285PubMed Ryg J, Nissen N, Nielsen D, Brixen KT (2005) Patients' and population's knowledge of osteoporosis. Ugeskr Laeger 167:282–285PubMed
29.
Zurück zum Zitat Winzenberg TM, Oldenburg B, Frendin S, Jones G (2003) The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord 4:17PubMedCentralPubMedCrossRef Winzenberg TM, Oldenburg B, Frendin S, Jones G (2003) The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord 4:17PubMedCentralPubMedCrossRef
30.
Zurück zum Zitat Werner P (2005) Knowledge about osteoporosis: assessment, correlates and outcomes. Osteoporos Int 16:115–127PubMedCrossRef Werner P (2005) Knowledge about osteoporosis: assessment, correlates and outcomes. Osteoporos Int 16:115–127PubMedCrossRef
31.
Zurück zum Zitat Ribeiro V, Blakeley JA (2001) Evaluation of an osteoporosis workshop for women. Public Health Nurs 18:186–193PubMedCrossRef Ribeiro V, Blakeley JA (2001) Evaluation of an osteoporosis workshop for women. Public Health Nurs 18:186–193PubMedCrossRef
32.
Zurück zum Zitat Satterfield T, Johnson SM, Slovic P, Neil N, Schein JR (2000) Perceived risks and reported behaviors associated with osteoporosis and its treatment. Women Health 31:21–40PubMedCrossRef Satterfield T, Johnson SM, Slovic P, Neil N, Schein JR (2000) Perceived risks and reported behaviors associated with osteoporosis and its treatment. Women Health 31:21–40PubMedCrossRef
33.
Zurück zum Zitat Blalock SJ, Currey SS, DeVellis RF, DeVellis BM, Giorgino KB, Anderson JJ, Dooley MA, Gold DT (2000) Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior. Am J Health Promot 14:161–169PubMedCrossRef Blalock SJ, Currey SS, DeVellis RF, DeVellis BM, Giorgino KB, Anderson JJ, Dooley MA, Gold DT (2000) Effects of educational materials concerning osteoporosis on women's knowledge, beliefs, and behavior. Am J Health Promot 14:161–169PubMedCrossRef
34.
Zurück zum Zitat Brecher LS, Pomerantz SC, Snyder BA, Janora DM, Klotzbach-Shimomura KM, Cavalieri TA (2002) Osteoporosis prevention project: a model multidisciplinary educational intervention. JAOA: J Am Osteopath Assoc 102:327PubMed Brecher LS, Pomerantz SC, Snyder BA, Janora DM, Klotzbach-Shimomura KM, Cavalieri TA (2002) Osteoporosis prevention project: a model multidisciplinary educational intervention. JAOA: J Am Osteopath Assoc 102:327PubMed
35.
Zurück zum Zitat Sedlak CA, Doheny MO, Jones SL (2000) Osteoporosis education programs: changing knowledge and behaviors. Public Health Nurs 17:398–402PubMedCrossRef Sedlak CA, Doheny MO, Jones SL (2000) Osteoporosis education programs: changing knowledge and behaviors. Public Health Nurs 17:398–402PubMedCrossRef
36.
Zurück zum Zitat Smith A.A., Summers G.D., Baxendale A., Butterly R.J. A randomized controlled trial of the effects of weight-bearing exercise and resistance training on risk factors for fracture in women with osteoporosis. 1998; 128 Smith A.A., Summers G.D., Baxendale A., Butterly R.J. A randomized controlled trial of the effects of weight-bearing exercise and resistance training on risk factors for fracture in women with osteoporosis. 1998; 128
37.
Zurück zum Zitat Malmros B, Mortensen L, Jensen MB, Charles P (1998) Positive effects of physiotherapy on chronic pain and performance in osteoporosis. Osteoporos Int 8:215–221PubMedCrossRef Malmros B, Mortensen L, Jensen MB, Charles P (1998) Positive effects of physiotherapy on chronic pain and performance in osteoporosis. Osteoporos Int 8:215–221PubMedCrossRef
38.
Zurück zum Zitat Bennell KL, Matthews B, Greig A, Briggs A, Kelly A, Sherburn M, Larsen J, Wark J (2010) Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial. BMC Musculoskelet Disord 11:36PubMedCentralPubMedCrossRef Bennell KL, Matthews B, Greig A, Briggs A, Kelly A, Sherburn M, Larsen J, Wark J (2010) Effects of an exercise and manual therapy program on physical impairments, function and quality-of-life in people with osteoporotic vertebral fracture: a randomised, single-blind controlled pilot trial. BMC Musculoskelet Disord 11:36PubMedCentralPubMedCrossRef
39.
Zurück zum Zitat Lorig K (2003) Self-management education: more than a nice extra. Med Care 41:699–701PubMed Lorig K (2003) Self-management education: more than a nice extra. Med Care 41:699–701PubMed
40.
Zurück zum Zitat Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H (2012) Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 12:80PubMedCentralPubMedCrossRef Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H (2012) Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 12:80PubMedCentralPubMedCrossRef
41.
Zurück zum Zitat Watts NB, Adler RA, Bilezikian JP, Drake MT, Eastell R, Orwoll ES, Finkelstein JS (2012) Osteoporosis in men: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 97:1802–1822PubMedCrossRef Watts NB, Adler RA, Bilezikian JP, Drake MT, Eastell R, Orwoll ES, Finkelstein JS (2012) Osteoporosis in men: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 97:1802–1822PubMedCrossRef
42.
43.
Zurück zum Zitat NAMS (2010) Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society (NAMS). Menopause (10723714) 17:25–54CrossRef NAMS (2010) Management of osteoporosis in postmenopausal women: 2010 position statement of The North American Menopause Society (NAMS). Menopause (10723714) 17:25–54CrossRef
45.
Zurück zum Zitat Feldstein AC, Nichols G, Orwoll E, Elmer PJ, Smith DH, Herson M, Aickin M (2005) The near absence of osteoporosis treatment in older men with fractures. Osteoporos Int 16:953–962PubMedCrossRef Feldstein AC, Nichols G, Orwoll E, Elmer PJ, Smith DH, Herson M, Aickin M (2005) The near absence of osteoporosis treatment in older men with fractures. Osteoporos Int 16:953–962PubMedCrossRef
46.
Zurück zum Zitat Nielsen DS, Brixen K, Huniche L (2011) Men's experiences of living with osteoporosis: focus group interviews. Am J Mens Health 5:166–167PubMedCrossRef Nielsen DS, Brixen K, Huniche L (2011) Men's experiences of living with osteoporosis: focus group interviews. Am J Mens Health 5:166–167PubMedCrossRef
47.
Zurück zum Zitat Solimeo SL, Silverman SL, Calderon AD, Nguyen A, Gold DT (2012) Measuring health-related quality of life (HRQOL) in osteoporotic males using the Male OPAQ. Osteoporos Int 23:841–852PubMedCentralPubMedCrossRef Solimeo SL, Silverman SL, Calderon AD, Nguyen A, Gold DT (2012) Measuring health-related quality of life (HRQOL) in osteoporotic males using the Male OPAQ. Osteoporos Int 23:841–852PubMedCentralPubMedCrossRef
48.
Zurück zum Zitat Denzin NK, Lincoln YS (2011) The Sage handbook of qualitative research, 4th edn. Sage, Thousand Oaks Denzin NK, Lincoln YS (2011) The Sage handbook of qualitative research, 4th edn. Sage, Thousand Oaks
49.
Zurück zum Zitat Nielsen D, Huniche L, Brixen K, Sahota O, Masud T (2013) Handling knowledge on osteoporosis—a qualitative study. Scand J Caring Sci 27(3):516–24PubMedCrossRef Nielsen D, Huniche L, Brixen K, Sahota O, Masud T (2013) Handling knowledge on osteoporosis—a qualitative study. Scand J Caring Sci 27(3):516–24PubMedCrossRef
Metadaten
Titel
Effectiveness and characteristics of multifaceted osteoporosis group education—a systematic review
verfasst von
A. L. Jensen
K. Lomborg
G. Wind
B. L. Langdahl
Publikationsdatum
01.04.2014
Verlag
Springer London
Erschienen in
Osteoporosis International / Ausgabe 4/2014
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-013-2573-5

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