title: Women's experiences of their osteoporosis diagnosis at the time of diagnosis and 6 months later: a phenomenological hermeneutic study.
abstract: This paper describes a phenomenological hermeneutic study of experiences of women who were recently diagnosed with osteoporosis. The research objective was to investigate women's experiences of living with osteoporosis during the first 6 months after diagnosis when treatment was first prescribed. Fifteen women were included in the study. The inclusion criteria were a DXA scan at one of the two hospitals showing a T-score below -2.5 (lower back or hip), age 65 years or older; no previous known osteoporotic fracture; at least one of the known risk factors for osteoporosis; and prescription of anti-osteoporotic treatment. Exclusion criteria were previous diagnosis of osteoporosis or previous treatment with anti-osteoporotic medication. Data were collected through in-depth interviews shortly after diagnosis and 6 months later. The performed analyses were inspired by Paul Ricoeur's theory of interpretation of texts comprising three levels: naïve reading, structural analysis, and critical interpretation and discussion. Three key themes emerged: 1) being diagnosed, 2) being prescribed medical treatment, and 3) being on the path of learning to live with osteoporosis. The findings suggest a need for improved support for the patients to gain understanding of their diagnosis and the risk of osteoporotic fracture as well as to learn to live with osteoporosis. The study highlights new health promotion areas for targeting interventions at newly diagnosed patients, helping them accept and interpret the diagnosis, and the medical treatment.
authors.affiliation: Research Unit of Nursing, Faculty of Health Sciences, Institute of Clinical Research, University of Southern Denmark, Odense M, Denmark; Gentofte University Hospital, Hellerup, Denmark; chansen@health.sdu.dk.
authors.forename: Carrinna
authors.initials: C
authors.lastname: Hansen
authors.affiliation: Gentofte University Hospital, Hellerup, Denmark.
authors.forename: Hanne
authors.initials: H
authors.lastname: Konradsen
authors.affiliation: Gentofte University Hospital, Hellerup, Denmark; Faculty of Health Sciences, Institute of Clinical Research, University of Southern Denmark, Odense M, Denmark.
authors.forename: Bo
authors.initials: B
authors.lastname: Abrahamsen
authors.affiliation: Research Unit of Nursing, Faculty of Health Sciences, Institute of Clinical Research, University of Southern Denmark, Odense M, Denmark.
authors.forename: Birthe D
authors.initials: BD
authors.lastname: Pedersen
mesh_terms: D015502:Absorptiometry, Photon / Q000379:methods; D000368:Aged; D001294:Attitude to Health; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D015663:Osteoporosis, Postmenopausal / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology*; D058866:Osteoporotic Fractures / Q000517:prevention & control; D011788:Quality of Life / Q000523:psychology; D012107:Research Design; D014930:Women / Q000523:psychology*
keywords: Interpretation; Ricoeur; interview; nursing research; qualitative research