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Kloseck, M, Fitzsimmons, DA, Speechley, M, Savundranayagam, ML and Crilly, RG (2017) Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: a randomized controlled trial. Clinical Interventions in Aging, 12. pp. 823-833. ISSN 1176-9092
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CIA-130573-improving-the-diagnosis-and-treatment-of-osteoporosis-using-_051617.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (1MB) | Preview |
Abstract
Background: This randomized controlled trial (RCT) evaluated a 6-month peer-led community education and mentorship program to improve the diagnosis and management of osteoporosis. Methods: Ten seniors (74–90 years of age) were trained to become peer educators and mentors and deliver the intervention. In the subsequent RCT, 105 seniors (mean age =80.5±6.9; 89% female) were randomly assigned to the peer-led education and mentorship program (n=53) or control group (n=52). Knowledge was assessed at baseline and 6 months. Success was defined as discussing osteoporosis risk with their family physician, obtaining a bone mineral density assessment, and returning to review their risk profile and receive advice and/or treatment. Results: Knowledge of osteoporosis did not change significantly. There was no difference in knowledge change between the two groups (mean difference =1.3, 95% confidence interval [CI] of difference −0.76 to 3.36). More participants in the intervention group achieved a successful outcome (odds ratio 0.16, 95% CI 0.06–0.42, P<0.001). Conclusion: Peer-led education and mentorship can promote positive health behavior in seniors. This model was effective for improving osteoporosis risk assessment, diagnosis, and treatment in a community setting.
| Item Type: | Article |
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| Additional Information: | This work is published and licensed by Dove Medical Press Limited. |
| Uncontrolled Keywords: | 1103 Clinical Sciences |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RT Nursing |
| Divisions: | Nursing & Allied Health |
| Publisher: | Dove Medical Press |
| Date Deposited: | 19 May 2017 08:41 |
| Last Modified: | 04 Sep 2021 11:32 |
| DOI or ID number: | 10.2147/CIA.S130573 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/6499 |
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