title: Managing a Bone Healthy Lifestyle After Attending Multifaceted Group Education.
abstract: We examined patients with osteoporosis implementation of recommendations regarding a bone healthy lifestyle after the patients attended multifaceted osteoporosis group education (GE). Our findings suggest that GE can support and influence patients' transfer of preventive actions. Still patients are challenged by concerns related to social roles and physical ability. We investigated if and how patients implemented knowledge from attending multifaceted osteoporosis GE in their daily lives. An interpretive description design using ethnographic field work was applied. In all 14 women and three men diagnosed with osteoporosis who attended multifaceted GE at a Danish hospital participated. Data consisted of field work and individual interviews in the participants' everyday environment after completion of GE. After attending multifaceted GE, participants experienced increased attention to and reflected more on how to implement osteoporosis preventive actions or activities. Participants who felt confident on how to act and experienced a clear need and motivation, or who could make the preventive activity into a social event, demonstrated an increased implementation of the preventive activity. On the contrary, attending GE was in some cases not sufficient to overcome social and physical concerns, or to eliminate uncertainty about recommendations or to make participants identify with the osteoporosis diagnosis, which thus impeded implementation of a bone healthy lifestyle. Attending multifaceted GE can support and influence participants' transfer of preventive actions into daily life. Being aware of how concerns about valued social roles and physical ability interfere with the implementation of medical recommendations obviously needs attention during GE.
authors.affiliation: Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Tage Hansen-Gade 2, 8000, Aarhus, Denmark. anejns@rm.dk.
authors.forename: Annesofie Lunde
authors.initials: AL
authors.lastname: Jensen
authors.affiliation: Department of Clinical Medicine and Department of Public Health, Aarhus University, Norrebrogade 44, Building 12A, 8000, Aarhus, Denmark.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Lomborg
authors.affiliation: Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Tage Hansen-Gade 2, 8000, Aarhus, Denmark.
authors.forename: Bente Lomholt
authors.initials: BL
authors.lastname: Langdahl
authors.affiliation: Institute of Nursing, Metropolitan University College, Tagensvej 86, 2200, Copenhagen N, Denmark.
authors.forename: Gitte
authors.initials: G
authors.lastname: Wind
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001842:Bone and Bones / Q000378:metabolism; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D000070497:Healthy Lifestyle; D006801:Humans; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy*; D010353:Patient Education as Topic
keywords: Chronic condition; Daily life; Interpretive description; Multifaceted group education; Osteoporosis; Patient education