Effects of a DXA result letter on satisfaction, quality of life, and osteoporosis knowledge: a randomized controlled trial

Stephanie W Edmonds; Peter Cram; Yiyue Lou; Michael P Jones; Douglas W Roblin; Kenneth G Saag; Nicole C Wright; Fredric D Wolinsky; PAADRN Investigators

doi:10.1186/s12891-016-1227-0

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Effects of a DXA result letter on satisfaction, quality of life, and osteoporosis knowledge: a randomized controlled trial

Journal article

Open access

Peer reviewed

Effects of a DXA result letter on satisfaction, quality of life, and osteoporosis knowledge: a randomized controlled trial

Stephanie W Edmonds, Peter Cram, Yiyue Lou, Michael P Jones, Douglas W Roblin, Kenneth G Saag, Nicole C Wright, Fredric D Wolinsky and PAADRN Investigators

BMC musculoskeletal disorders, Vol.17(1), pp.369-369

08/26/2016

DOI: 10.1186/s12891-016-1227-0

PMCID: PMC5000520

PMID: 27562713

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Abstract

Undiagnosed, or diagnosed and untreated osteoporosis (OP) increases the likelihood that falls result in hip fractures, decreased quality of life (QOL), and significant medical expenditures among older adults. We tested whether a tailored dual energy x-ray absorptiometry (DXA) test result letter and an accompanying educational bone-health brochure affected patient satisfaction, QOL, or OP knowledge. The Patient Activation after DXA Result Notification (PAADRN) study was a double-blinded, pragmatic, randomized trial which enrolled patients from 2012 to 2014. We randomized 7,749 patients presenting for DXA at three health care institutions in the United States who were ≥ 50 years old and able to understand English. Intervention patients received a tailored letter four weeks after DXA containing their results, 10-year fracture risk, and a bone-health educational brochure. Control patients received the results of their DXA per the usual practices of their providers and institutions. Satisfaction with bone health care, QOL, and OP knowledge were assessed at baseline and 12- and 52-weeks after DXA. Intention-to-treat analyses used multiple imputation for missing data and random effects regression models to adjust for clustering within providers and covariates. At 12-weeks 6,728 (86.8 %) and at 52-weeks 6,103 participants (78.8 %) completed their follow-up interviews. The intervention group was more satisfied with their bone health care compared to the usual care group at both their 12- and 52-week follow-ups (standardized effect size = 0.28 at 12-weeks and 0.17 at 52-weeks, p < 0.001). There were no differences between the intervention and usual care groups in QOL or OP knowledge at either time point. A tailored DXA result letter and bone-health educational brochure sent to patients improved patient satisfaction with bone-related health care. Clinical Trials.gov Identifier: NCT01507662 First received: December 8, 2011.

Quality of Life

United States

Bone Density

Age Factors

Double-Blind Method

Telephone

Humans

Middle Aged

Risk Factors

Self Report

Male

Pamphlets

Hip Fractures - epidemiology

Health Knowledge, Attitudes, Practice

Absorptiometry, Photon

Patient Satisfaction

Accidental Falls - prevention & control

Osteoporosis - diagnostic imaging

Hip Fractures - prevention & control

Female

Aged

Patient Education as Topic

Details

Title: Subtitle: Effects of a DXA result letter on satisfaction, quality of life, and osteoporosis knowledge: a randomized controlled trial
Creators: Stephanie W Edmonds - College of Nursing, University of Iowa, Iowa City, IA, USA. stephanie-edmonds@uiowa.edu
Peter Cram - University Health Network and Mount Sinai Hospital, Toronto, ON, Canada
Yiyue Lou - College of Public Health, Department of Biostatistics, University of Iowa, Iowa City, IA, USA
Michael P Jones - Iowa City Veterans Affairs Health System, Iowa City, IA, USA
Douglas W Roblin - School of Public Health, Department of Health Management and Policy, Georgia State University, Atlanta, GA, USA
Kenneth G Saag - Department of Internal Medicine, Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA
Nicole C Wright - School of Public Health, Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
Fredric D Wolinsky - College of Public Health, Department of Health Management and Policy, University of Iowa, Iowa, IA, USA
PAADRN Investigators
Contributors: PAADRN Investigators (Author)
Resource Type: Journal article
Publication Details: BMC musculoskeletal disorders, Vol.17(1), pp.369-369
DOI: 10.1186/s12891-016-1227-0
PMID: 27562713
PMCID: PMC5000520
NLM abbreviation: BMC Musculoskelet Disord
ISSN: 1471-2474
eISSN: 1471-2474
Publisher: England
Grant note: K24 AR062133 / NIAMS NIH HHS K12 HS023009 / AHRQ HHS K24 AR052361 / NIAMS NIH HHS R01 AG033035 / NIA NIH HHS
Language: English
Date published: 08/26/2016
Academic Unit: Statistics and Actuarial Science; Health Management and Policy; Biostatistics; Nursing; Public Policy Center (Archive); Internal Medicine
Record Identifier: 9983985850302771

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