Effectiveness of a community-based osteoporosis education and self-management course: a wait list controlled trial
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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.
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.
The results indicate that the OPSMC is an effective intervention for improving understanding of osteoporosis and some aspects of behaviour in the short term.
KeywordEvaluation Knowledge Osteoporosis Patient education Self-management
Conflicts of interest
No disclosures or conflict of interests to report.
- 4.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 67–79Google Scholar
- 5.Lorig K, Gonzalez V, Laurent D; Stanford Patient Education Research Centre (1999) The chronic disease self-management program leaders manual. Palo Alto, CAGoogle Scholar
- 9.Burckhardt P (2004) Nutrition and osteoporosis. In: Sambrook PN, Geusens P, Lindsay R (eds) Osteoporosis in clinical practice. 2nd edn. Springer, USA, pp 187–192Google Scholar
- 10.Wark J, Nowson C (2003) Calcium supplementation: the bare bones. Aust Prescr 26:126–127Google Scholar
- 13.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 3–7Google Scholar
- 17.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 1–28Google Scholar
- 24.Australian Government Department of Health and Ageing (2006) COAG health services—promoting good health, prevention and early intervention. Fact sheet. Commonwealth Government, Canberra. http://www.health.gov.au/internet/budget/publishing.nsf/Content/budget2006-hfact37.htm (accessed May 2006)
- 25.Australian Government (2006) Budget. Part 2: expense measures. Canberra: Commonwealth Government. http://www.budget.gov.au/2006-07/bp2/download/bp2_expense.pdf (accessed May 2006)
- 26.Osteoporosis Victoria (2001a) Everybody’s bones, 3rd edn. Arthritis Foundation of Victoria, Melbourne, AustraliaGoogle Scholar
- 29.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, OHGoogle Scholar