title: A model of health education and management for osteoporosis prevention.
abstract: Osteoporosis, a chronic disease with no therapeutic cure, affects a growing number of people as the aging population in China rapidly increases. Therefore, developing an evidence-based model of health education and management for osteoporosis prevention is required. In the present study, an osteoporosis club was established, which is a novel model of health education and management for osteoporosis prevention. A unified management of membership was used based on a digitized database. A total of 436 patients with osteoporosis were randomly assigned to the osteoporosis club group or the self-management control group. For the osteoporosis club group, multiple activities of health education were performed, including monthly systematic health education lectures, exercise programs and communication parties once a year. For the control group, the participants took charge of their own musculoskeletal health. All data of the participants were collected and evaluated prior to and following intervention. In the pre-intervention assessment, no significant difference was identified in the health education between the two groups. Through the four-year intervention, the osteoporosis knowledge, health beliefs, living behavior, medication compliance, quality of life and bone mineral density of the osteoporosis club group were improved significantly compared with the control group (P<0.001), while the pain degree of the osteoporosis club group was relieved significantly more compared with the control group (P<0.001). The results in the present study suggest that setting up an osteoporosis club is an evidence-based model of health education and management for osteoporosis prevention in China.
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Liang
authors.initials: L
authors.lastname: Wang
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Xiaowen
authors.initials: X
authors.lastname: Xu
authors.affiliation: Center for Systems Biomedical Sciences, University of Shanghai for Science and Technology, Shanghai 200093, P.R. China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Hongxia
authors.initials: H
authors.lastname: Hao
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Liying
authors.initials: L
authors.lastname: Chen
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Tianjiao
authors.initials: T
authors.lastname: Su
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Weifeng
authors.initials: W
authors.lastname: Ma
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Xie
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Tiantian
authors.initials: T
authors.lastname: Wang
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Fan
authors.initials: F
authors.lastname: Yang
authors.affiliation: Division of Science and Technology, National Institute for Nutrition and Food Safety, Chinese Center for Disease Control and Prevention, Beijing 100050, P.R. China.
authors.forename: Li
authors.initials: L
authors.lastname: He
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Wenjiao
authors.initials: W
authors.lastname: Wang
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Xuemei
authors.initials: X
authors.lastname: Fu
authors.affiliation: Center of Orthopedics, The 309th Hospital of People's Liberation Army, Beijing 100091, P.R. China.
authors.forename: Yuanzheng
authors.initials: Y
authors.lastname: Ma
keywords: bone mineral density; compliance; health education; osteoporosis; quality of life