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Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies.
PLOS ONE ( IF 2.9 ) Pub Date : 2020-01-15 , DOI: 10.1371/journal.pone.0227765 Jude des Bordes 1 , Seema Prasad 2 , Greg Pratt 3 , Maria E Suarez-Almazor 1 , Maria A Lopez-Olivo 1
PLOS ONE ( IF 2.9 ) Pub Date : 2020-01-15 , DOI: 10.1371/journal.pone.0227765 Jude des Bordes 1 , Seema Prasad 2 , Greg Pratt 3 , Maria E Suarez-Almazor 1 , Maria A Lopez-Olivo 1
Affiliation
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BACKGROUND
Patients with low bone density or osteoporosis need information for effective prevention or disease management, respectively. However, patients may not be getting enough information from their primary care providers or other sources. Inadequate disease information leaves patients ill-informed and creates misconceptions and unnecessary concerns about the disease.
OBJECTIVE
We systematically reviewed and synthesized the available literature to determine patient knowledge, beliefs, and concerns about osteoporosis and identify potential gaps in knowledge.
METHODS
A systematic search was conducted for full-text qualitative studies addressing understanding, literacy, and/or perceptions about osteoporosis and its management, using Medline, EMBASE, Web of Science, Cochrane Library, CINAHL, ERIC, PsychINFO, Psyc Behav Sci Collec, and PubMed, from inception through September 2016. Studies were selected by two reviewers, assessed for quality, and themes extracted using the Joanna Briggs Institute data extraction tool. Thematic analysis was used to identify themes and subthemes.
RESULTS
Twenty-five studies with a total of 757 participants (including 105 men) were selected for analysis out of 1031 unique citations. Selected studies were from Australia, Canada, Denmark, Norway, the United Kingdom, and the United States. Four main themes emerged: inadequate knowledge, beliefs and misconceptions, concerns about osteoporosis, and lack of information from health care providers. Participants had inadequate knowledge about osteoporosis and were particularly uninformed about risk factors, causes, treatment, and prevention. Areas of concern for participants included diagnosis, medication side effects, and inadequate information from primary care providers.
CONCLUSION
Although there was general awareness of osteoporosis, many misconceptions and concerns were evident. Education on bone health needs to reinforce areas of knowledge and address deficits, misconceptions, and concerns.
中文翻译：
通过对定性研究的系统回顾和综合研究，获得有关骨骼健康的知识，信念和担忧。
背景技术低骨密度或骨质疏松症患者分别需要有效预防或疾病管理的信息。但是，患者可能无法从其初级保健提供者或其他来源获得足够的信息。疾病信息不足会使患者不了解病情，并对疾病产生误解和不必要的担忧。目的我们系统地回顾和综合了现有文献，以确定患者对骨质疏松症的知识，信念和担忧，并确定潜在的知识差距。方法使用Medline，EMBASE，Web of Science，Cochrane图书馆，CINAHL，ERIC，PsychINFO，Psyc Behav Sci Collec，Medline，EMBASE，Web of Science对全文进行了定性研究，以解决有关骨质疏松症及其管理的理解，素养和/或看法。和PubMed，从成立到2016年9月。研究由两名评价员进行选择，对质量进行评估，并使用Joanna Briggs Institute数据提取工具提取主题。主题分析用于确定主题和子主题。结果从1031个独特的引文中选择了25个研究，总共757名参与者（包括105名男性）进行分析。选定的研究来自澳大利亚，加拿大，丹麦，挪威，英国和美国。出现了四个主要主题：知识不足，信仰和误解，对骨质疏松症的担忧以及医疗保健提供者缺乏信息。参与者对骨质疏松症的知识不足，尤其对危险因素，病因，治疗和预防一无所知。参与者关注的领域包括诊断，药物副作用，以及来自初级保健提供者的信息不足。结论尽管人们对骨质疏松症普遍了解，但仍存在许多误解和担忧。有关骨骼健康的教育需要加强知识领域，并解决缺陷，误解和关注。
更新日期：2020-01-16
中文翻译：
通过对定性研究的系统回顾和综合研究，获得有关骨骼健康的知识，信念和担忧。
背景技术低骨密度或骨质疏松症患者分别需要有效预防或疾病管理的信息。但是，患者可能无法从其初级保健提供者或其他来源获得足够的信息。疾病信息不足会使患者不了解病情，并对疾病产生误解和不必要的担忧。目的我们系统地回顾和综合了现有文献，以确定患者对骨质疏松症的知识，信念和担忧，并确定潜在的知识差距。方法使用Medline，EMBASE，Web of Science，Cochrane图书馆，CINAHL，ERIC，PsychINFO，Psyc Behav Sci Collec，Medline，EMBASE，Web of Science对全文进行了定性研究，以解决有关骨质疏松症及其管理的理解，素养和/或看法。和PubMed，从成立到2016年9月。研究由两名评价员进行选择，对质量进行评估，并使用Joanna Briggs Institute数据提取工具提取主题。主题分析用于确定主题和子主题。结果从1031个独特的引文中选择了25个研究，总共757名参与者（包括105名男性）进行分析。选定的研究来自澳大利亚，加拿大，丹麦，挪威，英国和美国。出现了四个主要主题：知识不足，信仰和误解，对骨质疏松症的担忧以及医疗保健提供者缺乏信息。参与者对骨质疏松症的知识不足，尤其对危险因素，病因，治疗和预防一无所知。参与者关注的领域包括诊断，药物副作用，以及来自初级保健提供者的信息不足。结论尽管人们对骨质疏松症普遍了解，但仍存在许多误解和担忧。有关骨骼健康的教育需要加强知识领域，并解决缺陷，误解和关注。
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