title: Strategies used by an osteoporosis patient group to navigate for bone health care after a fracture.
abstract: OBJECTIVE
  To examine experiences and behaviours with bone health management post-fracture among members of a national osteoporosis (OP) patient group.
  
  
  METHODS
  A qualitative study was conducted in English-speaking members of the group who had sustained a fragility fracture at 50+ years old and were not taking OP pharmacotherapy at the time of that fracture. Participants were recruited through an advertisement in the patient group newsletter and interviewed for ~1 h by telephone, responding to questions regarding visits to health care providers and their behaviours regarding bone health. We analysed the data following Giorgi's methodology.
  
  
  RESULTS
  Twenty-eight eligible participants (26 females, two males; 78% response rate) aged 51-89 years old completed an interview. More than half of our participants described effective consumer behaviours, including making requests of health care providers for referrals to bone specialists, bone mineral density tests, and prescription medication.
  
  
  CONCLUSIONS
  Members of an OP patient group described effective consumer behaviours that could be incorporated as skill sets in post-fracture interventions to improve bone health.
authors.affiliation: Mobility Program Clinical Research Unit, Li Ka Shing Knowledge Institute, St. Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada, salej@smh.ca.
authors.forename: Joanna E M
authors.initials: JE
authors.lastname: Sale
authors.forename: Cathy
authors.initials: C
authors.lastname: Cameron
authors.forename: Gillian
authors.initials: G
authors.lastname: Hawker
authors.forename: Susan
authors.initials: S
authors.lastname: Jaglal
authors.forename: Larry
authors.initials: L
authors.lastname: Funnell
authors.forename: Ravi
authors.initials: R
authors.lastname: Jain
authors.forename: Earl
authors.initials: E
authors.lastname: Bogoch
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005598:Fractures, Spontaneous / Q000628:therapy; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D058866:Osteoporotic Fractures / Q000628:therapy*; D010349:Patient Compliance; D062526:Patient Navigation / Q000379:methods*; D036301:Qualitative Research; D011787:Quality of Health Care; D012017:Referral and Consultation; D012648:Self Care