#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies


Autoři: Jude des Bordes aff001;  Seema Prasad aff002;  Greg Pratt aff003;  Maria E. Suarez-Almazor aff001;  Maria A. Lopez-Olivo aff001
Působiště autorů: Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America aff001;  Department of Gastroenterology Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America aff002;  Research Medical Library, The University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America aff003
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227765

Souhrn

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.

Klíčová slova:

Bone density – Bone fracture – Database searching – Health care providers – Health education and awareness – Osteoporosis – Primary care – Qualitative studies


Zdroje

1. Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. 1993 Jun. Report No.: 0002-9343 (Print) 0002-9343 Contract No.: 6.

2. World Health Organization. WHO Scientific Group on the Assessment of Osteoporosis at Primary Health Care Level. Geneva, Switzerland: WHO, 2007.

3. National Osteoporosis Foundation. What is Osteoporosis and What Causes It? 2017 [cited 2018 March 15]. Available from: https://www.nof.org/patients/what-is-osteoporosis.

4. Office of the Surgeon General. Reports of the Surgeon General. Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville (MD): Office of the Surgeon General (US); 2004.

5. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. Journal of bone and mineral research: the official journal of the American Society for Bone and Mineral Research. 2007;22(3):465–75. Epub 2006/12/06. doi: 10.1359/jbmr.061113 17144789.

6. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Annals of internal medicine. 2009;151(4):W65–94. Epub 2009/07/23. doi: 10.7326/0003-4819-151-4-200908180-00136 19622512.

7. Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, et al. Chapter 2: Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer's Manual: The Joanna Briggs Institute; 2017.

8. Backett-Milburn K, Parry O, Mauthner N. 'I'll worry about that when it comes along': osteoporosis, a meaningful issue for women at mid-life? Health Educ Res. 2000;15(2):153–62. doi: 10.1093/her/15.2.153 10751374.

9. Baheiraei A, Ritchie JE, Eisman JA, Nguyen TV. Exploring factors influencing osteoporosis prevention and control: a qualitative study of Iranian men and women in Australia. Maturitas. 2006;54(2):127–34. doi: 10.1016/j.maturitas.2005.09.010 16257152.

10. Besser SJ, Anderson JE, Weinman J. How do osteoporosis patients perceive their illness and treatment? Implications for clinical practice. Arch Osteoporos. 2012;7:115–24. doi: 10.1007/s11657-012-0089-9 23225289.

11. Burgener M, Arnold M, Katz JN, Polinski JM, Cabral D, Avorn J, et al. Older adults' knowledge and beliefs about osteoporosis: results of semistructured interviews used for the development of educational materials. J Rheumatol. 2005;32(4):673–7. 15801024.

12. Edwards BJ, Iris M, Ferkel E, Feinglass J. Postmenopausal women with minimal trauma fractures are unapprised of the existence of low bone mass or osteoporosis. Maturitas. 2006;53(3):260–6. doi: 10.1016/j.maturitas.2005.05.008 16039809.

13. Hagy LF, Brochetti D, Duncan SE. Focus groups identified women's perceptions of dairy foods. J Women Aging. 2000;12(3-4):99–115. doi: 10.1300/J074v12n03_07 11151357.

14. Iversen MD, Vora RR, Servi A, Solomon DH. Factors affecting adherence to osteoporosis medications: a focus group approach examining viewpoints of patients and providers. J Geriatr Phys Ther. 2011;34(2):72–81. doi: 10.1097/JPT.0b013e3181ff03b4 21937896; PubMed Central PMCID: PMCNIHMS275883 PMC3181084.

15. Jachna CM, Forbes-Thompson S. Osteoporosis: Health beliefs and barriers to treatment in an assisted living facility. J Gerontol Nurs. 2005;31(1):24–30; quiz 42-3. doi: 10.3928/0098-9134-20050101-09 15675781.

16. Lau E, Papaioannou A, Dolovich L, Adachi J, Sawka AM, Burns S, et al. Patients' adherence to osteoporosis therapy: exploring the perceptions of postmenopausal women. Can Fam Physician. 2008;54(3):394–402. 18337534; PubMed Central PMCID: PMC2278357.

17. Mazor KM, Velten S, Andrade SE, Yood RA. Older women's views about prescription osteoporosis medication: a cross-sectional, qualitative study. Drugs Aging. 2010;27(12):999–1008. doi: 10.2165/11584790-000000000-00000 21087069.

18. Nielsen D, Huniche L, Brixen K, Sahota O, Masud T. Handling knowledge on osteoporosis--a qualitative study. Scand J Caring Sci. 2013;27(3):516–24. doi: 10.1111/j.1471-6712.2012.01055.x 22924528.

19. Nielsen DS, Brixen K, Huniche L. Men's experiences of living with osteoporosis: focus group interviews. Am j. 2011;5(2):166–76. doi: 10.1177/1557988310372800 20798147.

20. Quantock C, Beynon J. Evaluating an osteoporosis service using a focus group. Nurs Stand. 1997;11(42):45–7. doi: 10.7748/ns.11.42.45.s49 9283416.

21. Reventlow S, Bang H. Brittle bones: ageing or threat of disease exploring women's cultural models of osteoporosis. Scand J Public Health. 2006;34(3):320–6. doi: 10.1080/14034940500327869 16754591.

22. Reventlow SD. Perceived risk of osteoporosis: restricted physical activities? Qualitative interview study with women in their sixties. Scand J Prim Health Care. 2007;25(3):160–5. doi: 10.1080/02813430701305668 17846934; PubMed Central PMCID: PMC3379775.

23. Richardson JC, Hassell AB, Hay EM, Thomas E. "I'd rather go and know": women's understanding and experience of DEXA scanning for osteoporosis. Health Expect. 2002;5(2):114–26. doi: 10.1046/j.1369-6513.2002.00173.x 12031052.

24. Roberto KA, Reynolds SG. The meaning of osteoporosis in the lives of rural older women. Health Care for Women International. 2001;22(6):599–611 13p. doi: 10.1080/07399330127198 12141850. Language: English. Entry Date: 20050712. Revision Date: 20150818. Publication Type: Journal Article.

25. Rothmann MJ, Huniche L, Ammentorp J, Barkmann R, Gluer CC, Hermann AP. Women's perspectives and experiences on screening for osteoporosis (Risk-stratified Osteoporosis Strategy Evaluation, ROSE). Arch Osteoporos. 2014;9:192. doi: 10.1007/s11657-014-0192-1 25134980.

26. Sale JE, Beaton DE, Sujic R, Bogoch ER. 'If it was osteoporosis, I would have really hurt myself.' Ambiguity about osteoporosis and osteoporosis care despite a screening programme to educate fragility fracture patients. J Eval Clin Pract. 2010;16(3):590–6. doi: 10.1111/j.1365-2753.2009.01176.x 20102434.

27. Sale JE, Gignac MA, Hawker G, Beaton D, Bogoch E, Webster F, et al. Non-pharmacological strategies used by patients at high risk for future fracture to manage fracture risk--a qualitative study. Osteoporos Int. 2014;25(1):281–8. doi: 10.1007/s00198-013-2405-7 23740423.

28. Skolbekken JA, Osterlie W, Forsmo S. Brittle bones, pain and fractures--lay constructions of osteoporosis among Norwegian women attending the Nord-Trondelag Health Study (HUNT). Soc Sci Med. 2008;66(12):2562–72. doi: 10.1016/j.socscimed.2008.02.022 18384922.

29. Solimeo SL, Weber TJ, Gold DT. Older men's explanatory model for osteoporosis. Gerontologist. 2011;51(4):530–9. doi: 10.1093/geront/gnq123 21310768; PubMed Central PMCID: PMC3146803.

30. Unson CG, Dunbar N, Curry L, Kenyon L, Prestwood K. The effects of knowledge, attitudes, and significant others on decisions to enroll in a clinical trial on osteoporosis: implications for recruitment of older African-American women. J Natl Med Assoc. 2001;93(10):392–401; discussion 2-4. 11688920; PubMed Central PMCID: PMC2594076.

31. Weston JM, Norris EV, Clark EM. The invisible disease: making sense of an osteoporosis diagnosis in older age. Qual Health Res. 2011;21(12):1692–704. doi: 10.1177/1049732311416825 21810994; PubMed Central PMCID: PMC3240909.

32. Hvas L, Reventlow S, Jensen HL, Malterud K. Awareness of risk of osteoporosis may cause uncertainty and worry in menopausal women. Scand J Public Health. 2005;33(3):203–7. doi: 10.1080/14034940510005716 16040461.

33. Gaines JM, Marx KA. Older men's knowledge about osteoporosis and educational interventions to increase osteoporosis knowledge in older men: a systematic review. Maturitas. 2011;68(1):5–12. Epub 2010/10/19. doi: 10.1016/j.maturitas.2010.08.013 20950969.

34. Gaines JM, Marx KA, Caudill J, Parrish S, Landsman J, Narrett M, et al. Older men's knowledge of osteoporosis and the prevalence of risk factors. Journal of clinical densitometry: the official journal of the International Society for Clinical Densitometry. 2010;13(2):204–9. Epub 2010/03/30. doi: 10.1016/j.jocd.2010.01.004 20347370.

35. Giangregorio L, Dolovich L, Cranney A, Adili A, Debeer J, Papaioannou A, et al. Osteoporosis risk perceptions among patients who have sustained a fragility fracture. Patient Educ Couns. 2009;74(2):213–20. doi: 10.1016/j.pec.2008.08.001 18977628.

36. Saw SM, Hong CY, Lee J, Wong ML, Chan MF, Cheng A, et al. Awareness and health beliefs of women towards osteoporosis. Osteoporos Int. 2003;14(7):595–601. doi: 10.1007/s00198-003-1403-6 12830368.

37. Werner P. Knowledge about osteoporosis: assessment, correlates and outcomes. Osteoporos Int. 2005;16(2):115–27. Epub 2004/11/02. doi: 10.1007/s00198-004-1750-y 15517187.

38. Giangregorio L, Thabane L, Cranney A, Adili A, deBeer J, Dolovich L, et al. Osteoporosis knowledge among individuals with recent fragility fracture. Orthopedic nursing. 2010;29(2):99–107. Epub 2010/03/26. doi: 10.1097/NOR.0b013e3181d2436c 20335769; PubMed Central PMCID: PMC5101069.

39. Sharts-Hopko NC, Sullivan MP. Beliefs, perceptions, and practices related to osteoporosis risk reduction among women with multiple sclerosis. Rehabil Nurs. 2002;27(6):232–6. doi: 10.1002/j.2048-7940.2002.tb02020.x 12432671.

40. Meadows LM, Mrkonjic LA, Lagendyk LE, Petersen KM. After the fall: women's views of fractures in relation to bone health at midlife. Women Health. 2004;39(2):47–62. doi: 10.1300/J013v39n02_04 15130861.

41. Gerend MA, Erchull MJ, Aiken LS, Maner JK. Reasons and risk: factors underlying women's perceptions of susceptibility to osteoporosis. Maturitas. 2006;55(3):227–37. doi: 10.1016/j.maturitas.2006.03.003 16650699.

42. Nadler M, Alibhai S, Catton P, Catton C, To MJ, Jones JM. Osteoporosis knowledge, health beliefs, and healthy bone behaviours in patients on androgen-deprivation therapy (ADT) for prostate cancer. BJU international. 2013;111(8):1301–9. Epub 2013/01/29. doi: 10.1111/j.1464-410X.2012.11777.x 23351062.

43. Siris ES, Gehlbach S, Adachi JD, Boonen S, Chapurlat RD, Compston JE, et al. Failure to perceive increased risk of fracture in women 55 years and older: the Global Longitudinal Study of Osteoporosis in Women (GLOW). Osteoporos Int. 2011;22(1):27–35. Epub 2010/04/02. doi: 10.1007/s00198-010-1211-8 PubMed Central PMCID: PMC3017306. 20358360

44. Wright NC, Melton ME, Sohail M, Herbey I, Davies S, Levitan EB, et al. Race Plays a Role in the Knowledge, Attitudes, and Beliefs of Women with Osteoporosis. J Racial Ethn Health Disparities. 2019. Epub 2019/02/13. doi: 10.1007/s40615-019-00569-w 30747331.

45. Meadows LM, Mrkonjic LA. Breaking -- bad news: women's experiences of fractures at midlife. Canadian Journal of Public Health. 2003;94(6):427–30 4p. 14700241. Language: English. Entry Date: 20040813. Revision Date: 20150711. Publication Type: Journal Article.

46. Juby AG, Davis P. A prospective evaluation of the awareness, knowledge, risk factors and current treatment of osteoporosis in a cohort of elderly subjects. Osteoporos Int. 2001;12(8):617–22. Epub 2001/10/03. doi: 10.1007/s001980170060 11580074.

47. Kutsal YG, Atalay A, Arslan S, Basaran A, Canturk F, Cindas A, et al. Awareness of osteoporotic patients. Osteoporos Int. 2005;16(2):128–33. doi: 10.1007/s00198-004-1678-2 15197545.


Článek vyšel v časopise

PLOS One


2020 Číslo 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

KOST
Koncepce osteologické péče pro gynekology a praktické lékaře
nový kurz
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Svět praktické medicíny 5/2023 (znalostní test z časopisu)

Imunopatologie? … a co my s tím???
Autoři: doc. MUDr. Helena Lahoda Brodská, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#