Education for Osteoporosis in Persons With Existing Fractures

Osteoporosis Education Clinic Study

We wish to investigate whether a weekly, 2½ hour group-based osteoporosis education intervention (the Osteoporosis Prevention and Self-Management Course), is different to one session course (1x 2½ hours) on osteoporosis knowledge, confidence to eat calcium-containing foods, confidence to exercise, and amount of exercise undertaken after three and nine months of follow-up in people aged over 50 years who have already had a bone fracture.

Instruments used to determine change after 3 and 9 months:

Osteoporosis knowledge: Osteoporosis Knowledge Assessment Test (Winzenberg et al. BMC Musculoskelet Disord 2003) Calcium intake: Food frequency questionnaire (Angus et al. J Am Diet Assoc 1989) Calcium and exercise self-efficacy: Osteoporosis Self-Efficacy Scale (Horan et al Res Nurs Health 1998) Physical activity: CHAMPS II (Stewart et al. J Gerontol A Biol Sci Med Sci 2001)

Inclusion Criteria:

• Presented to Modbury Hospital's Accident and Emergency Department with a new bone fracture

Exclusion Criteria:

• Residence in nursing home
• Fracture sustained in motor bike, push bike or motor vehicle accident
• Fracture sustained due to high trauma, such as fall from roof or ladder
• Dementia
• Inability to participate in group settings
• Inability to understand spoken English
• Inability to provide informed consent
• Pathological fracture
• Usual place of residence outside South Australia