Attitudes toward bone health among rural‐dwelling veterans identified as at risk of fracture: a qualitative analysis

Jennifer M. Van Tiem; Melissa J.A. Steffen; Aaron T. Seaman; Karla Miller; Shylo E. Wardyn; Christopher C. Richards; Samantha L. Solimeo

doi:10.1002/jbm4.10501

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$Attitudes toward bone health among rural‐dwelling veterans identified as at risk of fracture: a qualitative analysis$

Journal article

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Attitudes toward bone health among rural‐dwelling veterans identified as at risk of fracture: a qualitative analysis

Jennifer M. Van Tiem, Melissa J.A. Steffen, Aaron T. Seaman, Karla Miller, Shylo E. Wardyn, Christopher C. Richards and Samantha L. Solimeo

JBMR plus, Vol.5(6), pp.e10501-n/a

05/14/2021

DOI: 10.1002/jbm4.10501

PMCID: PMC8216131

PMID: 34189387

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Abstract

Although much is known about system‐level barriers to prevention and treatment of bone health problems, little is known about patient‐level barriers. The objective of this study was to identify factors limiting engagement in bone health care from the perspective of rural‐dwelling patients with known untreated risk. Over 6 months, 39 patients completed a qualitative interview. Interview questions focused on the patient's experience of care, their decision to not accept care, as well as their knowledge of osteoporosis and the impact it has had on their lives. Participants were well‐informed and could adequately describe osteoporosis and its deleterious effects, and their decision making around accepting or declining a dual‐energy x‐ray absorptiometry (DXA) scan and treatment was both cautious and intentional. Decisions about how to engage in treatment were tempered by expectations for quality of life. Our findings suggest that people hold beliefs about bone health treatment that we can build on. Work to improve care of this population needs to recognize that bone health providers are not adding a behavior of medication taking to patients, they are changing a behavior or belief. Published 2021. This article is a U.S. Government work and is in the public domain in the USA. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.

AGING

HEALTH SERVICES RESEARCH

Original

OSTEOPOROSIS

PATIENT‐CENTERED

PRACTICE‐RELATED ISSUES

Details

Title: Subtitle: Attitudes toward bone health among rural‐dwelling veterans identified as at risk of fracture: a qualitative analysis
Creators: Jennifer M. Van Tiem - Iowa City VA Health Care System
Melissa J.A. Steffen - Iowa City VA Health Care System
Aaron T. Seaman - University of Iowa
Karla Miller - University of Utah
Shylo E. Wardyn - Iowa City VA Health Care System
Christopher C. Richards - Iowa City VA Health Care System
Samantha L. Solimeo - Iowa City VA Health Care System
Resource Type: Journal article
Publication Details: JBMR plus, Vol.5(6), pp.e10501-n/a
DOI: 10.1002/jbm4.10501
PMID: 34189387
PMCID: PMC8216131
NLM abbreviation: JBMR Plus
ISSN: 2473-4039
eISSN: 2473-4039
Publisher: John Wiley & Sons, Inc
Grant note: CIN 13‐412 / VA Health Services Research and Development (HSR&D) Service 10707 / ;
Alternative title: ATTITUDES TOWARD BONE HEALTH
Language: English
Date published: 05/14/2021
Academic Unit: Center for Social Science Innovation; General Internal Medicine; Community and Behavioral Health; Otolaryngology; Internal Medicine
Record Identifier: 9984359778902771

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