title: Can Educational Interventions Improve Osteoporotic Women's Adherence to Treatment? A Literature Review.
abstract: Poor adherence to medication and an unhealthy lifestyle increase risk of fracture, hospitalization, and medical costs in osteoporotic individuals. Therefore, a literature review was conducted using PubMed, CINAHL, Cochrane Library, and Scopus databases to identify educational interventions that improve adherence to medications and healthy lifestyles in osteoporotic women. The search was limited to the articles published between January 2002 and January 2015, and they were selected only if they were interventional studies. Twelve studies were included, in which 7 studies were focused on interventions to improve medication adherence, 4 studies on improving adherence to healthy lifestyles, and 1 study was focused on both. Educational interventions, such as tailored interventions with counseling sessions, were effective in improving adherence to medications and healthy lifestyles; however, educational materials such as leaflets did not improve adherence. Further studies are needed to investigate adherence to healthy lifestyles because this is poorly described in the literature.
authors.affiliation: Rosaria Alvaro, MSN, RN, Associate Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Fabio D'Agostino, PhD, RN, Research fellow, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Noemi Cittadini, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Emanuela Basilici Zannetti, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Cecilia Rao, MD, Resident in Orthopaedics and Traumatology, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy. Maurizio Feola, MD, Resident in Orthopaedics and Traumatology, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy. Ercole Vellone, PhD, RN, Research fellow, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Annalisa Pennini, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy. Umberto Tarantino, MD, PhD, Ordinary Professor, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy.
authors.forename: Rosaria
authors.initials: R
authors.lastname: Alvaro
authors.forename: Fabio
authors.initials: F
authors.lastname: DʼAgostino
authors.forename: Noemi
authors.initials: N
authors.lastname: Cittadini
authors.forename: Emanuela Basilici
authors.initials: EB
authors.lastname: Zannetti
authors.forename: Cecilia
authors.initials: C
authors.lastname: Rao
authors.forename: Maurizio
authors.initials: M
authors.lastname: Feola
authors.forename: Ercole
authors.initials: E
authors.lastname: Vellone
authors.forename: Annalisa
authors.initials: A
authors.lastname: Pennini
authors.forename: Umberto
authors.initials: U
authors.lastname: Tarantino
mesh_terms: D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D010024:Osteoporosis / Q000188:drug therapy*; D010349:Patient Compliance
chemical_list: D050071:Bone Density Conservation Agents