Osteoporosis education improves osteoporosis knowledge and dietary calcium: comparison of a 4 week and a one-session education course
Laslett, LL and Lynch, J and Sullivan, TR and McNeil, JD, Osteoporosis education improves osteoporosis knowledge and dietary calcium: comparison of a 4 week and a one-session education course, International Journal of Rheumatic Diseases, 14, (3) pp. 239-247. ISSN 1756-1841 (2011) [Refereed Article]
Background: Education is ideal for osteoporosis because many risk factors are modifiable. However, the efficacy of shortened education courses compared to a standard 4week course for improving osteoporosis knowledge and healthy behaviours is not known. This study aimed to assess whether education changed knowledge and healthy behaviours over 3months of follow-up; and whether changes in these outcomes were different between participants receiving the different education courses. Methods: Adults aged ¡Ý50years presenting to Emergency with mild to moderate trauma fractures received either the Osteoporosis Prevention and Self-Management Course (OPSMC) (4¡Á2.5h) (n=75) or a one-session course (1¡Á2.5h) (n=71) in a non-randomised prospective study with single-blinded allocation. Participants completed questionnaires measuring osteoporosis knowledge, dietary calcium, physical activity, calcium and exercise self-efficacy, and osteoporosis medications at baseline and 3months. Data were analysed using mixed models and GEE regression models. Results: Osteoporosis knowledge and calcium from food (% of RDI) increased from baseline to 3months in both groups (P<0.01). Use of osteoporosis medications increased between baseline and 3months in the OPSMC group while decreasing in the one-session group (P=0.039). There were no differences between the groups or over time in physical activity, calcium or exercise self-efficacy. Conclusions: Osteoporosis education (either the OPSMC or the one-session course) improved osteoporosis knowledge and calcium intake after 3months. Participants attending the OPSMC maintained medication compliance. We were unable to determine other differences between the courses. This study confirms the value of osteoporosis education for improving osteoporosis knowledge.
adult/aged/middle aged; calcium/therapeutic use; exercise; osteoporosis/prevention and control; patient education/trends/questionnaires