title: Understanding Preferences for Osteoporosis Information to Develop an Osteoporosis Patient Education Brochure.
abstract: Patient education materials can provide important information related to osteoporosis prevention and treatment. However, available osteoporosis education materials fail to follow best-practice guidelines for patient education.
  
  
  
  To develop an educational brochure on bone health for adults aged 50 years and older using mixed-method, semistructured interviews.
  
  
  
  This project consisted of 3 phases. In Phase 1, we developed written content that included information about osteoporosis. Additionally, we designed 2 graphic-rich brochures, Brochure A (photographs) and Brochure B (illustrations). In Phase 2, interviewers presented the text-only document and both brochure designs to 53 participants from an academic Medical Center in the Midwest and an outpatient clinic in the Southeastern region of the US. Interviewers used open- and closed-ended questions to elicit opinions regarding the brochures. In Phase 3, using feedback from Phase 2, we revised the brochure and presented it to 11 participants at a third site in the Southeastern US.
  
  
  
  Participants' comprehension of brochure text and acceptability of brochure design.
  
  
  
  We enrolled 64 participants. Most were women, white, and college-educated, with an average age of 66.1 years. Participants were able to restate the basic content of the brochure and preferred Brochure A's use of photographs.
  
  
  
  Using feedback from older adults, we developed and refined a brochure for communicating bone health information to older adults at risk of osteoporosis and fragility fractures. The methods outlined in this article may serve to guide others in developing health educational brochures for chronic medical conditions.
authors.affiliation: Project Coordinator and a Doctoral Candidate at the College of Nursing, University of Iowa in Iowa City and a Veterans Affairs Quality Scholar at the Iowa City Veterans Affairs Health Care System. stephanie-edmonds@uiowa.edu.
authors.forename: Stephanie W
authors.initials: SW
authors.lastname: Edmonds
authors.affiliation: Assistant Professor at the Carver College of Medicine University of Iowa and an Investigator at the Iowa City Veterans Affairs Health Care System. samantha-solimeo@uiowa.edu.
authors.forename: Samantha L
authors.initials: SL
authors.lastname: Solimeo
authors.affiliation: Graduate Research Assistant and Doctoral Candidate at the College of Public Health, University of Iowa in Iowa City. thuy-v-nguyen@uiowa.edu.
authors.forename: Vu-Thuy
authors.initials: VT
authors.lastname: Nguyen
authors.affiliation: Assistant Professor in the Department of Epidemiology at the University of Alabama at Birmingham. ncwright@uab.edu.
authors.forename: Nicole C
authors.initials: NC
authors.lastname: Wright
authors.affiliation: Professor at the School of Public Health at Georgia State University and a Consulting Research Scientist with the Center for Clinical and Outcomes Research at Kaiser Permanente in Atlanta. droblin@gsu.edu.
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Roblin
authors.affiliation: Professor of Medicine in the Division of Clinical Immunology and Rheumatology at the University of Alabama at Birmingham. ksaag@uabmc.edu.
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Saag
authors.affiliation: Director of the Division of General Internal Medicine and Geriatrics at University Health Network and Mount Sinai Hospital and a Professor of Internal Medicine at the University of Toronto in Ontario, Canada. peter.cram@uhn.ca.
authors.forename: Peter
authors.initials: P
authors.lastname: Cram
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D057220:Health Literacy; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis / Q000517:prevention & control / Q000628:therapy; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards*; D010358:Patient Participation; D057240:Patient Preference; D010865:Pilot Projects; D014481:United States