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Education intervention for older adults with osteoporosis: a systematic review

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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).

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Acknowledgements

The study was funded by the supported by “The Fundamental Research Funds for the Central Universities, No. 30918013115”.

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Iris Chi (School of Social Work, University of Southern California) contribute the language editing and suggestions for this version.

Corresponding authors

Correspondence to Q. M. Fu or P. Li.

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The authors have no conflicts to report.

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H. Lv the co-first author contributed equally to this manuscript.

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Gai, Q.Y., Lv, H., Li, Y.P. et al. Education intervention for older adults with osteoporosis: a systematic review. Osteoporos Int 31, 625–635 (2020). https://doi.org/10.1007/s00198-019-05166-5

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  • DOI: https://doi.org/10.1007/s00198-019-05166-5

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