Joanna E M Sale1, Dorcas E Beaton, Rebeka Sujic, Earl R Bogoch. 1. Mobility Program Clinical Research Unit, Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada. salej@smh.toronto.on.ca
Abstract
RATIONALE, AIMS AND OBJECTIVES: Behaviour change models suggest that people need clear information about their susceptibility to disease and knowledge of treatment recommendations in order to change their behaviour. The purpose of this qualitative study was to examine fracture patients' understanding of osteoporosis (OP) and OP care after being screened for, and educated about, OP in a fracture clinic. METHODS: We conducted five focus groups with 24 patients (18 women, six men) aged 47-80 years old who were screened for OP through an urban fracture clinic. Participants were asked about their awareness of OP and their status of bone mineral density (BMD) testing and OP treatment. RESULTS: Twenty participants vocalized at least one expression of ambiguity regarding OP and/or treatment recommendations conveyed by the screening programme staff. Participants were ambiguous about the cause of their fracture, the BMD test process and results, and the presentation of OP. They were also ambiguous about the amount and type of medication and supplements recommended. CONCLUSIONS: Despite a standardized screening programme in which OP was addressed in fragility fracture patients, ambiguity about diagnosis, testing and treatment were described. Efforts to clarify information relayed to fracture patients about their condition and recommended care need to extend beyond the fracture clinic so that health care providers can promote long-term adherence to these recommendations.
RATIONALE, AIMS AND OBJECTIVES: Behaviour change models suggest that people need clear information about their susceptibility to disease and knowledge of treatment recommendations in order to change their behaviour. The purpose of this qualitative study was to examine fracturepatients' understanding of osteoporosis (OP) and OP care after being screened for, and educated about, OP in a fracture clinic. METHODS: We conducted five focus groups with 24 patients (18 women, six men) aged 47-80 years old who were screened for OP through an urban fracture clinic. Participants were asked about their awareness of OP and their status of bone mineral density (BMD) testing and OP treatment. RESULTS: Twenty participants vocalized at least one expression of ambiguity regarding OP and/or treatment recommendations conveyed by the screening programme staff. Participants were ambiguous about the cause of their fracture, the BMD test process and results, and the presentation of OP. They were also ambiguous about the amount and type of medication and supplements recommended. CONCLUSIONS: Despite a standardized screening programme in which OP was addressed in fragility fracturepatients, ambiguity about diagnosis, testing and treatment were described. Efforts to clarify information relayed to fracturepatients about their condition and recommended care need to extend beyond the fracture clinic so that health care providers can promote long-term adherence to these recommendations.
Authors: J E M Sale; M A Gignac; L Frankel; G Hawker; D Beaton; V Elliot-Gibson; E Bogoch Journal: Osteoporos Int Date: 2012-02-07 Impact factor: 4.507
Authors: Aaron T Seaman; Melissa Steffen; Taisha Doo; Heather S Healy; Samantha L Solimeo Journal: J Gen Intern Med Date: 2018-07-27 Impact factor: 5.128
Authors: J E M Sale; M A Gignac; G Hawker; D Beaton; L Frankel; E Bogoch; V Elliot-Gibson Journal: Osteoporos Int Date: 2015-06-27 Impact factor: 4.507
Authors: Joanna E M Sale; Gillian Hawker; Cathy Cameron; Earl Bogoch; Ravi Jain; Dorcas Beaton; Susan Jaglal; Larry Funnell Journal: Rheumatol Int Date: 2014-06-25 Impact factor: 2.631
Authors: L Chou; P Shamdasani; A M Briggs; F M Cicuttini; K Sullivan; K L M D Seneviwickrama; A E Wluka Journal: Osteoporos Int Date: 2017-07-31 Impact factor: 4.507