Universität zu Köln

Morfeld, Jana-Carina, Vennedey, Vera, Mueller, Dirk, Pieper, Dawid and Stock, Stephanie (2017). Patient education in osteoporosis prevention: a systematic review focusing on methodological quality of randomised controlled trials. Osteoporosis Int., 28 (6). S. 1779 - 1804. LONDON: SPRINGER LONDON LTD. ISSN 1433-2965

Full text not available from this repository.

Abstract

This review summarizes evidence regarding the effects of patient education in osteoporosis prevention and treatment. The included studies reveal mixed results on a variety of endpoints. Methodological improvement of future RCTs (e.g. with regard to randomization and duration of follow-up) might yield more conclusive evidence on the effects of patient education in osteoporosis Introduction This review aims to evaluate the effects of patient education on osteoporosis prevention and treatment results. Methods Multiple databases including PubMed and Embase were searched until February 2016. Randomised controlled trials (RCTs) were eligible if they included adults diagnosed with or at risk of osteoporosis and assessed patient education interventions (group-or individual-based). Outcomes regarding osteoporosis management including initiation of and adherence to pharmacological therapy, physical activity, calcium and vitamin D intake, changes in smoking behaviour, fractures, quality of life (QoL) and osteoporosis knowledge were evaluated. The Cochrane collaboration's tool for assessing the risk of bias was used to assess the internal validity of included trials. Results Fifteen articles (13 different studies) published between 2001 and 2013 were included (group-based education = 7, individual-based education = 5, both = 1). The general risk of bias was considered as moderate to high. The effects on 'bone mineral density (BMD) testing and/or pharmacological therapy' (composite endpoint), 'calcium intake' and 'vitamin D intake' as well as 'osteoporosis knowledge' were statistically significant in favour of the intervention in >= 50% of the studies analysing these outcomes. Differences between the intervention and the control group regarding 'pharmacological therapy', 'medication adherence', 'physical activity', 'fractures' and 'QoL' were found to be statistically significant in <50% of the trials. Conclusions This review indicates that it is still unclear whether patient education is beneficial and whether it has a significant and clinically relevant impact on osteoporosis management results. Educational programmes for osteoporosis require further investigation within the context of well-conducted RCTs.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Morfeld, Jana-Carina UNSPECIFIED UNSPECIFIED UNSPECIFIED Vennedey, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED Pieper, Dawid UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-229075
DOI:	10.1007/s00198-017-3946-y
Journal or Publication Title:	Osteoporosis Int.
Volume:	28
Number:	6
Page Range:	S. 1779 - 1804
Date:	2017
Publisher:	SPRINGER LONDON LTD
Place of Publication:	LONDON
ISSN:	1433-2965
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SELF-MANAGEMENT; POSTMENOPAUSAL OSTEOPOROSIS; MEDICATION ADHERENCE; HIP FRACTURE; HIGH-RISK; INTERVENTION; PROGRAM; IMPACT; COSTS; WOMEN Multiple languages Endocrinology & Metabolism Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/22907