title: Perceived messages about bone health after a fracture are not consistent across healthcare providers.
abstract: To examine messages perceived by members of an osteoporosis (OP) patient group from various healthcare providers regarding bone health. We conducted a phenomenological (qualitative) study in members of an OP patient group who resided in Canada, had sustained a fragility fracture at 50+ years old, and were not taking antiresorptive medication at the time of that fracture. Participants were interviewed for approximately 1 h by telephone and responded to questions about visits to healthcare providers for their bone health and what was discussed during those visits. We analyzed the data guided by Giorgi's methodology. We interviewed 28 members (2 males, 26 females; 78 % response rate), aged 51-89 years old. Most participants perceived that their specialist was more interested than their primary care physician in bone health and took the time to discuss issues with them. Participants perceived very few messages from the fracture clinic and other providers. We found many instances where perceived messages within and across various healthcare providers were inconsistent, suggesting there is a need to raise awareness of bone health management guidelines to providers who treat fracture patients.
authors: 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: Joanna E M
authors: JE
authors: Sale
authors: Gillian
authors: G
authors: Hawker
authors: Cathy
authors: C
authors: Cameron
authors: Earl
authors: E
authors: Bogoch
authors: Ravi
authors: R
authors: Jain
authors: Dorcas
authors: D
authors: Beaton
authors: Susan
authors: S
authors: Jaglal
authors: Larry
authors: L
authors: Funnell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D001842:Bone and Bones / Q000502:physiology*; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000188:drug therapy / Q000503:physiopathology*; D058866:Osteoporotic Fractures / Q000188:drug therapy / Q000503:physiopathology*; D017060:Patient Satisfaction; D010465:Perception
chemical_list: D050071:Bone Density Conservation Agents