Abstract

Background

Various education interventions were developed for preventing or managing OP, but the effects of those interventions on older adults were inconclusive.

Purpose

This study evaluated the effectiveness of educational interventions in preventing osteoporosis in older adults. A literature search was performed in MEDLINE (PubMed), Cochrane Library, and CBM (China BioMed Database) from the initial date of each database to Oct 2016.

Data Extraction

Two investigators independently extracted essential data from qualified studies concerning the settings, population, interventions, follow-ups, and outcomes of interest, namely effects of bone mineral density tests, changes in behavior, knowledge increase, self-efficacy, medication adherence (calcium and vitamin D), and quality of life, respectively.

Data Synthesis

A total of 17 studies met the inclusion criteria and therefore were included in the current study. The overall quality of the included studies was moderate. We were unable to carry out a meta-analysis due to the heterogeneity of these studies. We fond that compared with control groups, patients’ knowledge of osteoporosis increased significantly (p < .05) through all five interventions, which included PowerPoint presentations and discussion, class-based educational programs, osteoporosis self-management courses, revised health belief model and classes, computerized support programs and brush-up courses.

Limitation

Studies included in the present study were all conducted in Western countries and only descriptive methods were applied in synthesis due to heterogeneity in interventions and outcomes.

Conclusion

Education interventions were effective in preventing osteoporosis in older adults. Future research should focus on approaching this issue quantitatively (i.e., through meta-analysis).

中文翻译：

---

老年人骨质疏松症的教育干预：系统评价

摘要

背景

已经开发了各种预防或控制OP的教育干预措施，但是这些干预措施对老年人的影响尚无定论。

目的

这项研究评估了教育干预措施在预防老年人骨质疏松症中的有效性。从每个数据库的初始日期到2016年10月，在MEDLINE（PubMed），Cochrane图书馆和CBM（China BioMed数据库）中进行文献检索。

数据提取

两名研究人员从合格的研究中独立地提取了有关背景，人群，干预措施，随访情况和感兴趣的结果的基本数据，即骨矿物质密度测试的效果，行为改变，知识增加，自我效能，药物依从性（钙和钙）。维生素D）和生活质量。

数据综合

共有17项研究符合纳入标准，因此被纳入当前研究。纳入研究的总体质量中等。由于这些研究的异质性，我们无法进行荟萃分析。我们喜欢，与对照组相比，患者的骨质疏松症的认识显著增加（p  <0.05）通过所有五个干预措施，其中包括PowerPoint演示文稿和讨论，基于类的教育计划，骨质疏松症的自我管理课程，修订后的健康信念模式和课程，计算机化的支持程序和补习课程。

局限性

本研究中的研究全部在西方国家进行，由于干预和结果的异质性，仅采用描述性方法进行综合。

结论

教育干预措施可有效预防老年人的骨质疏松症。未来的研究应侧重于定量解决此问题（即通过荟萃分析）。