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Erschienen in: Osteoporosis International 9/2009

01.09.2009 | Original Article

Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial

verfasst von: K. L. Francis, B. L. Matthews, W. Van Mechelen, K. L. Bennell, R. H. Osborne

Erschienen in: Osteoporosis International | Ausgabe 9/2009

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Abstract

Summary

Osteoporosis is an increasing burden on individuals and health resources. The Osteoporosis Prevention and Self-Management Course (OPSMC) was designed to assist individuals to prevent and manage osteoporosis; however, it had not been evaluated in an Australian setting. This randomised controlled trial showed that the course increased osteoporosis knowledge.

Introduction and hypothesis

Osteoporosis is a major and growing public health concern. An OPSMC was designed to provide individuals with information and skills to prevent or manage osteoporosis, but its effectiveness has not previously been evaluated. This study aimed to determine whether OPSMC attendance improved osteoporosis knowledge, self-efficacy, self-management skills or behaviour.

Materials and methods

Using a wait list randomised controlled trial design, 198 people (92% female) recruited from the community and aged over 40 (mean age = 63) were randomised into control (n = 95) and intervention (n = 103) groups. The OPSMC consists of four weekly sessions which run for 2 h and are led by two facilitators. The primary outcome were osteoporosis knowledge, health-directed behaviour, self-monitoring and insight and self-efficacy.

Results

The groups were comparable at baseline. At 6-week follow-up, the intervention group showed a significant increase in osteoporosis knowledge compared with the control group; mean change 3.5 (p < 0.001) on a measure of 0–20. The intervention group also demonstrated a larger increase in health-directed behaviour, mean change 0.16 (p < 0.05), on a measure of 0–6.

Conclusion

The results indicate that the OPSMC is an effective intervention for improving understanding of osteoporosis and some aspects of behaviour in the short term.
Literatur
1.
Zurück zum Zitat Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733PubMedCrossRef Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17:1726–1733PubMedCrossRef
3.
Zurück zum Zitat Gass M, Dawson-Hughes B (2006) Preventing osteoporosis-related fractures: an overview. Am J Med 119:3S–11SCrossRef Gass M, Dawson-Hughes B (2006) Preventing osteoporosis-related fractures: an overview. Am J Med 119:3S–11SCrossRef
4.
Zurück zum Zitat Gold D (2005) Quality of life and its measurement in osteoporosis. In: Maricic M, Gluck OS (eds) Bone disease in rheumatology. Lippincott Williams & Wilkins, Philadelphia, PA, pp 67–79 Gold D (2005) Quality of life and its measurement in osteoporosis. In: Maricic M, Gluck OS (eds) Bone disease in rheumatology. Lippincott Williams & Wilkins, Philadelphia, PA, pp 67–79
5.
Zurück zum Zitat Lorig K, Gonzalez V, Laurent D; Stanford Patient Education Research Centre (1999) The chronic disease self-management program leaders manual. Palo Alto, CA Lorig K, Gonzalez V, Laurent D; Stanford Patient Education Research Centre (1999) The chronic disease self-management program leaders manual. Palo Alto, CA
6.
Zurück zum Zitat Conn V, Russell C (2005) Self-management of chronic illnesses among aging adults. J Gerontol Nurs 31:4PubMed Conn V, Russell C (2005) Self-management of chronic illnesses among aging adults. J Gerontol Nurs 31:4PubMed
7.
Zurück zum Zitat Wagner EH (2000) The role of patient care teams in chronic disease management. Br Med J 320:569–572CrossRef Wagner EH (2000) The role of patient care teams in chronic disease management. Br Med J 320:569–572CrossRef
8.
Zurück zum Zitat Pearson JA, Burkhart E, Pifalo WB, Palaggo-Toy T, Krohn K (2005) A lifestyle modification intervention for the treatment of osteoporosis. Am J Health Promot 20:28–33PubMed Pearson JA, Burkhart E, Pifalo WB, Palaggo-Toy T, Krohn K (2005) A lifestyle modification intervention for the treatment of osteoporosis. Am J Health Promot 20:28–33PubMed
9.
Zurück zum Zitat Burckhardt P (2004) Nutrition and osteoporosis. In: Sambrook PN, Geusens P, Lindsay R (eds) Osteoporosis in clinical practice. 2nd edn. Springer, USA, pp 187–192 Burckhardt P (2004) Nutrition and osteoporosis. In: Sambrook PN, Geusens P, Lindsay R (eds) Osteoporosis in clinical practice. 2nd edn. Springer, USA, pp 187–192
10.
Zurück zum Zitat Wark J, Nowson C (2003) Calcium supplementation: the bare bones. Aust Prescr 26:126–127 Wark J, Nowson C (2003) Calcium supplementation: the bare bones. Aust Prescr 26:126–127
11.
Zurück zum Zitat Delaney MF (2006) Strategies for the prevention and treatment of osteoporosis during early postmenopause. Am J Obstet Gynecol 194:S12–S23PubMedCrossRef Delaney MF (2006) Strategies for the prevention and treatment of osteoporosis during early postmenopause. Am J Obstet Gynecol 194:S12–S23PubMedCrossRef
12.
Zurück zum Zitat Kannus P, Uusi-Rasi K, Palvanen M, Parkkari J (2005) Non-pharmacological means to prevent fractures among older adults. Ann Med 37:303–310PubMedCrossRef Kannus P, Uusi-Rasi K, Palvanen M, Parkkari J (2005) Non-pharmacological means to prevent fractures among older adults. Ann Med 37:303–310PubMedCrossRef
13.
Zurück zum Zitat Sambrook PN, Geusens P (2004) Normal skeletal structure and function. In: Sambrook PN, Geusens P, Lindsay R (eds) Osteoporosis in clinical practice. 2nd edn. Springer, USA, pp 3–7 Sambrook PN, Geusens P (2004) Normal skeletal structure and function. In: Sambrook PN, Geusens P, Lindsay R (eds) Osteoporosis in clinical practice. 2nd edn. Springer, USA, pp 3–7
14.
Zurück zum Zitat Eisman J, Clapham S, Kehoe L (2004) Osteoporosis prevalence and levels of treatment in primary care: the Australian bone care study. J Bone Miner Res 19:1969–1975PubMedCrossRef Eisman J, Clapham S, Kehoe L (2004) Osteoporosis prevalence and levels of treatment in primary care: the Australian bone care study. J Bone Miner Res 19:1969–1975PubMedCrossRef
15.
Zurück zum Zitat Laslett LL, McNeil JD, Lynch J (2004) Patient education—the forgotten link in managing osteoporosis. Aust Fam Physician 33:121–124PubMed Laslett LL, McNeil JD, Lynch J (2004) Patient education—the forgotten link in managing osteoporosis. Aust Fam Physician 33:121–124PubMed
16.
Zurück zum Zitat Coates VE, Boore JRP (1995) Self-management of chronic illness: implications for nursing. Int J Nurs Stud 32:628–640PubMedCrossRef Coates VE, Boore JRP (1995) Self-management of chronic illness: implications for nursing. Int J Nurs Stud 32:628–640PubMedCrossRef
17.
Zurück zum Zitat Conner M, Norman P (2005) Predicting health behaviour: a social cognition approach. In: Conner M, Norman P (eds) Predicting health behaviour: research and practice with social cognition models. 2nd edn. Open University Press, New York, pp 1–28 Conner M, Norman P (2005) Predicting health behaviour: a social cognition approach. In: Conner M, Norman P (eds) Predicting health behaviour: research and practice with social cognition models. 2nd edn. Open University Press, New York, pp 1–28
18.
Zurück zum Zitat Tanner EK (2004) Chronic illness demands for self-management in older adults. Geriatr Nurs 25:313–317PubMedCrossRef Tanner EK (2004) Chronic illness demands for self-management in older adults. Geriatr Nurs 25:313–317PubMedCrossRef
19.
Zurück zum Zitat Chodosh J, Morton SC, Mojica W, Maglione M, Suttorp MJ, Hilton L, Rhodes S, Shekelle P (2005) Improving patient care. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med 143:427–438PubMed Chodosh J, Morton SC, Mojica W, Maglione M, Suttorp MJ, Hilton L, Rhodes S, Shekelle P (2005) Improving patient care. Meta-analysis: chronic disease self-management programs for older adults. Ann Intern Med 143:427–438PubMed
20.
Zurück zum Zitat Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH (2003) Arthritis self-management education programs a meta-analysis of the effect on pain and disability. Arthritis Rheum 48:2207–2213PubMedCrossRef Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH (2003) Arthritis self-management education programs a meta-analysis of the effect on pain and disability. Arthritis Rheum 48:2207–2213PubMedCrossRef
21.
Zurück zum Zitat Nolte S, Elsworth GR, Sinclair AJ, Osborne RH (2006) The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey. Patient Educ Couns 65:351–360PubMedCrossRef Nolte S, Elsworth GR, Sinclair AJ, Osborne RH (2006) The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey. Patient Educ Couns 65:351–360PubMedCrossRef
22.
Zurück zum Zitat Winzenberg TM, Oldenburg B, Frendin S, De Wit L, Jones G (2005) Effects of bone density feedback and group education on osteoporosis knowledge and osteoporosis self-efficacy in premenopausal women. J Clin Densitom 8:95–103PubMedCrossRef Winzenberg TM, Oldenburg B, Frendin S, De Wit L, Jones G (2005) Effects of bone density feedback and group education on osteoporosis knowledge and osteoporosis self-efficacy in premenopausal women. J Clin Densitom 8:95–103PubMedCrossRef
23.
Zurück zum Zitat Gold DT, Silverman SL (2004) Osteoporosis self-management: choices for better bone health. South Med J 97(6):551–554PubMedCrossRef Gold DT, Silverman SL (2004) Osteoporosis self-management: choices for better bone health. South Med J 97(6):551–554PubMedCrossRef
26.
Zurück zum Zitat Osteoporosis Victoria (2001a) Everybody’s bones, 3rd edn. Arthritis Foundation of Victoria, Melbourne, Australia Osteoporosis Victoria (2001a) Everybody’s bones, 3rd edn. Arthritis Foundation of Victoria, Melbourne, Australia
27.
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 4:17PubMedCrossRef 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 4:17PubMedCrossRef
28.
Zurück zum Zitat Osborne R, Whitfield K, Elsworth G (2007) The health education impact questionnaire (HeiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions. Patient Educ Couns 66(2):192–201PubMedCrossRef Osborne R, Whitfield K, Elsworth G (2007) The health education impact questionnaire (HeiQ): An outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions. Patient Educ Couns 66(2):192–201PubMedCrossRef
29.
Zurück zum Zitat Horan M, Kim K, Gendler P (1993) Development and evaluation of osteoporosis self-efficacy scale. Paper presented at the Paper presented at the Midwest Nursing Researching Society Conference, Cleveland, OH Horan M, Kim K, Gendler P (1993) Development and evaluation of osteoporosis self-efficacy scale. Paper presented at the Paper presented at the Midwest Nursing Researching Society Conference, Cleveland, OH
30.
Zurück zum Zitat Kulp JL, Rane S, Bachmann G (2004) Impact of preventive osteoporosis education on patient behavior: immediate and 3-month follow-up. Menopause 11:116–119PubMedCrossRef Kulp JL, Rane S, Bachmann G (2004) Impact of preventive osteoporosis education on patient behavior: immediate and 3-month follow-up. Menopause 11:116–119PubMedCrossRef
31.
Zurück zum Zitat Brecher LS, Pomerantz SC, Synder BA, Janora DM, Klotzbach-Shimomura KM, Cavaleri TA (2002) Osteoporosis prevention project: a model multidisciplinary educational intervention. J Am Osteopath Assoc 102:327–335PubMed Brecher LS, Pomerantz SC, Synder BA, Janora DM, Klotzbach-Shimomura KM, Cavaleri TA (2002) Osteoporosis prevention project: a model multidisciplinary educational intervention. J Am Osteopath Assoc 102:327–335PubMed
32.
Zurück zum Zitat Solomon DH, Finkelstein JS, Polinski JM, Arnold M, Licari A, Cabral D, Canning C, Avorn J, Katz JN (2006) A randomized controlled trial of mailed osteoporosis education to older adults. Osteoporos Int 17:760–767PubMedCrossRef Solomon DH, Finkelstein JS, Polinski JM, Arnold M, Licari A, Cabral D, Canning C, Avorn J, Katz JN (2006) A randomized controlled trial of mailed osteoporosis education to older adults. Osteoporos Int 17:760–767PubMedCrossRef
33.
Zurück zum Zitat Lorig KR, Ritter P, Stewart AL, Sobel DS, Brown BW Jr, Bandura A, Gonzalez VM, Laurent DD, Holman HR (2001) Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care 39:1217–1223PubMedCrossRef Lorig KR, Ritter P, Stewart AL, Sobel DS, Brown BW Jr, Bandura A, Gonzalez VM, Laurent DD, Holman HR (2001) Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care 39:1217–1223PubMedCrossRef
34.
Zurück zum Zitat Osborne R, Wilson T, Lorig K, McColl G (2007) Does self-management lead to sustainable health benefits in people with arthritis? A two-year transition study of 452 Australians. J Rheumatol 34:1112–1117PubMed Osborne R, Wilson T, Lorig K, McColl G (2007) Does self-management lead to sustainable health benefits in people with arthritis? A two-year transition study of 452 Australians. J Rheumatol 34:1112–1117PubMed
Metadaten
Titel
Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial
verfasst von
K. L. Francis
B. L. Matthews
W. Van Mechelen
K. L. Bennell
R. H. Osborne
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 9/2009
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-0834-0

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