title: Patient education in groups increases knowledge of osteoporosis and adherence to treatment: a two-year randomized controlled trial.
abstract: OBJECTIVE
  Non-adherence to pharmacological treatment in osteoporosis is a well-recognized problem. We hypothesized that a group-based educational programme would increase patients' knowledge and level of adherence with medical treatment.
  
  
  METHODS
  A total of 300 patients (32 men aged 65 ± 9 years and 268 women aged 63 ± 8 years), recently diagnosed with osteoporosis, were randomised to either an osteoporosis school programme (four classes of 8-12 participants over four weeks) or a control group. Teaching was multidisciplinary, based on patients' experiences and background and designed to encourage empowerment. Patients' knowledge about osteoporosis and adherence to treatment was assessed with self-completed questionnaires at baseline and after 3, 12, and 24 months.
  
  
  RESULTS
  There were no significant differences at baseline between the two groups with respect to knowledge score or level of adherence. At two years' follow-up, the improvement in knowledge score was 2 [0-4] points (median [25-75 percentiles]) in the school group and 0 [-2 to 2] in controls (p<0.001) and self-reported adherence to pharmacological therapy was significantly higher in the school group (92%) compared to the control group (80%), p<0.001.
  
  
  CONCLUSIONS
  The programme increased knowledge about osteoporosis and increased self-reported adherence to pharmacological treatment over a period of two years.
authors.affiliation: Department of Endocrinology, Odense University Hospital, Odense C, Denmark. dnielsen@health.sdu.dk
authors.forename: Dorthe
authors.initials: D
authors.lastname: Nielsen
authors.forename: Jesper
authors.initials: J
authors.lastname: Ryg
authors.forename: Winnie
authors.initials: W
authors.lastname: Nielsen
authors.forename: Berit
authors.initials: B
authors.lastname: Knold
authors.forename: Nis
authors.initials: N
authors.lastname: Nissen
authors.forename: Kim
authors.initials: K
authors.lastname: Brixen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy*; D010353:Patient Education as Topic; D015397:Program Evaluation; D012657:Self-Help Groups; D011795:Surveys and Questionnaires; D016896:Treatment Outcome