title: Effects of bone density feedback and group education on osteoporosis knowledge and osteoporosis self-efficacy in premenopausal women: a randomized controlled trial.
abstract: In this 2-yr randomized controlled trial, we examined the effect of bone mineral density feedback and two different educational interventions (an osteoporosis information leaflet and group-based behavioral education [OPSMC]) on osteoporosis knowledge and self-efficacy in 470 women aged 25-44 yr. Osteoporosis knowledge increased across all intervention groups. Women receiving the OPSMC had a greater increase in both short (beta = +1.33, 95% confidence interval [CI] = 0.72-1.94) and long-term (beta = +0.64, 95% CI = 0.0034-1.25) osteoporosis knowledge, compared to those receiving the leaflet. In contrast, a low T-score was associated with a significant increase in long-term (beta = +0.66, 95% CI = 0.0034-1.25) but not short-term (beta = +0.57, 95% CI = -0.036 to 1.17) osteoporosis knowledge, compared to a normal T-score. Changes in osteoporosis self-efficacy were not associated with either low bone mineral density or receiving the OPSMC but were negatively associated with number of children (beta = -0.9, 95% CI = - 1.4 to -0.3) and working more than 20 h per week (beta = -2.7, 95% CI = -4.6 to -0.8). In conclusion, both the OPSMC and bone density feedback increased osteoporosis knowledge but not self-efficacy over 2 yr. Women with children or who worked full time have decreased osteoporosis self-efficacy, suggesting that this group should be a specific target for future interventional strategies.
authors.affiliation: Menzies Research Institute, Private Bag 23, Hobart, Tasmania, Australia. tania.winzenberg@utas.edu.au
authors.forename: T M
authors.initials: TM
authors.lastname: Winzenberg
authors.forename: B
authors.initials: B
authors.lastname: Oldenburg
authors.forename: S
authors.initials: S
authors.lastname: Frendin
authors.forename: L
authors.initials: L
authors.lastname: De Wit
authors.forename: G
authors.initials: G
authors.lastname: Jones
mesh_terms: D000328:Adult; D015519:Bone Density; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007721:Knowledge of Results, Psychological; D010024:Osteoporosis / Q000523:psychology*; D017697:Premenopause; D020377:Self Efficacy