In the United States, 10 million individuals have osteoporosis and another 18 million are at-risk for developing the asymptomatic disease. Osteoporosis costs almost $14 billion annually in direct medical expenses, and contributes to a decreased quality of life. The need for effective osteoporosis prevention and control programs is of great concern, particularly for those individuals with arthritis because long-term glucocorticosteroid use can cause bone loss. Glucocorticosteroids are commonly prescribed for people with arthritis, asthma, systemic lupus, allergic conditions, and other disorders. The associated bone loss with glucocorticosteroid use depends on the dose and the duration. The purpose of this study was to evaluate the effectiveness of the Arthritis Foundation's Osteoporosis and You! curriculum. The 6-week program consisted of classes regarding bone density tests, nutrition, exercise, fall prevention, and medications. Each class lasted approximately one hour and involved lecture, discussion, and a question and answer session. The overall goal of the program was to increase the skills and knowledge to effectively prevent or control osteoporosis for people with arthritis. Theoretical constructs, including stage of change, self-efficacy, benefits, and barriers were measured with respect to three behaviors: taking a bone mineral density test, calcium intake, and exercise. In a preliminary study, pre- and post-tests were completed by 54 individuals between the ages of 57 and 96 years. That study examined changes in attitude and behavior, the relationships between constructs, and attrition. This presentation will discuss results from the preliminary study along with results from studies conducted in four additional locations.
Learning Objectives: At the conclusion of the presentation, the participant will be able to: 1. Describe changes in attitude and behavior over time after participation in an osteoporosis prevention and control program. 2. Explain the differences between consistent and inconsistent participants in an osteoporosis prevention and control program. 3. Summarize recommendations for future osteoporosis prevention and control programs
Keywords: Elderly, Evaluation
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Arthritis Foundation
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
The 128th Annual Meeting of APHA