Abstract
Our objective was to ascertain whether the Theory of Planned Behaviour (TPB) explains patient intentions to use antiresorptive medication after a fracture. A qualitative study was conducted with English-speaking members of the Canadian Osteoporosis Patient Network (COPN) who had sustained a fragility fracture at 50+ years of age and were not taking antiresorptive medication at the time of that fracture. Questions during a 1-h telephone interview were guided by the domains of the TPB: they addressed the antecedent constructs regarding antiresorptive medication (attitudes, subjective norms, and perceived behavioural control) as well as intentions regarding antiresorptive medication use. We created a coding template a priori based on the TPB domains and applied this template to the interview data. Twenty-six eligible participants (24 females, 2 males) aged 51–89 completed an interview. The TPB appeared to be predictive of intentions in 19 (73%) participants. In the majority of participants where the TPB did not appear to be predictive (57%), a positive attitude toward antiresorptive medication was the most important antecedent variable in determining intentions. The TPB appeared to be predictive of intentions to use antiresorptive medication among individuals who had experienced a fragility fracture. Attitudes towards medication were especially important.
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Joanna Sale, Cathy Cameron, Stephen Thielke, Lynn Meadows, and Kevin Senior declare that they have no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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This study was funded by the Canadian Institutes of Health Research (Funding Reference Number-CBO-109629). Joanna Sale was funded by a Canadian Institutes of Health Research New Investigator Salary Award (Funding Reference Number-COB-136622).
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Informed consent was obtained from all individual participants included in the study.
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Sale, J.E.M., Cameron, C., Thielke, S. et al. The theory of planned behaviour explains intentions to use antiresorptive medication after a fragility fracture. Rheumatol Int 37, 875–882 (2017). https://doi.org/10.1007/s00296-017-3712-7
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DOI: https://doi.org/10.1007/s00296-017-3712-7