Abstract
Background
Patient education about osteoporosis is an important component of osteoporosis treatment.
Aim
To compare the effectiveness of osteoporosis education between video-based learning and traditional lecture-based learning.
Methods
Participants who attended the Outpatient Department of Siriraj Hospital during June 2017 to November 2017 were recruited. Ten-question pre- and post-tests were used to evaluate participant osteoporosis knowledge. After finishing the pre-test, patients were randomized to receive osteoporosis education via either traditional lecture-based or video-based learning for 25 min. After the training, patient questions about the subject matter were answered, and then the post-test was administered. Change in score was compared between groups using non-inferiority test at a non-inferiority margin of − 1.
Results
Of 413 participants, 207 and 206 people were allocated to the lecture-based group and the video-based group, respectively. There were no significant differences in baseline characteristics, change in score between pre-test and post-test, or change in score between pre-test and retention test between groups. Non-inferiority test revealed the change in score after video-based learning to be non-inferior to traditional lecture-based learning at a difference of > − 1, α = 0.05 (p < 0.001).
Discussion
Video-based osteoporosis education can be used as part of a fracture liaison service to provide essential information about osteoporosis to both patients and caregivers. Video-based education is an efficient and effective tool that will reduce dependency on clinicians to provide lecture-based osteoporosis instruction.
Conclusions
Since video- and lecture-based education were found to be equally effective, a standard package for both education techniques should be developed and implemented for all patients.
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Acknowledgements
We thank Ms. Wachirapan Narktang of the Division of Research, Department of Orthopedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand for her assistance with data collection and statistical analysis. The authors gratefully acknowledge the subjects that generously agreed to participate in this study.
Funding
This was an unfunded study.
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Design/conception: PC, AU. Literature search: PC, AU. Data collection: PC, WB, CC. Data analysis: PC, CC, AU. Interpretation of results: PC, AU. Writing of paper and review: all authors.
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All authors report no conflict of interests.
Ethical approval
Each author certifies that his/her institution approved the human protocol for this investigation, and that all investigations were conducted in conformity with ethical principles of research. The study protocol, questionnaire, and consent forms used in this prospective randomized controlled trial (RCT) were approved by the Siriraj Institutional Review Board (SIRB) of the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand (COA no. Si 290/2017).
Human and animal rights
All procedures performed in this study involving human participants were and will be in accordance with the ethical standards of the institutional and/or national research committee (Siriraj Institutaional Review Board of the Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand (COA no Si 290/2017) and the Thai Clinial Trials Registry (reg. no 20170623005) and with the 1964 Helsinki declaration. This article does not contain any studies with animal performed by any of the authors.
Informed consent
For each participant, verbal information was given on the aims of the study and the implications of taking part, and a consent form was read aloud. Participants were also given the opportunity to ask questions. Consent was then obtained by signature.
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Chotiyarnwong, P., Boonnasa, W., Chotiyarnwong, C. et al. Video-based learning versus traditional lecture-based learning for osteoporosis education: a randomized controlled trial. Aging Clin Exp Res 33, 125–131 (2021). https://doi.org/10.1007/s40520-020-01514-2
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DOI: https://doi.org/10.1007/s40520-020-01514-2