Journal article
Evaluation of a "Just-in-Time" Nurse Consultation on Bone Health: A Pilot Randomized Controlled Trial
Permanente journal, Vol.21(4), pp.16-112
2017
DOI: 10.7812/TPP/16-112
PMCID: PMC5528825
PMID: 28746019
Abstract
Evidence is inconclusive whether a nurse consultation can improve osteoporosis-related patient outcomes.
To evaluate whether a nurse consultation immediately after dual-energy x-ray absorptiometry (DXA) produced better osteoporosis-related outcomes than a simple intervention to activate adults in good bone health practices or usual care.
Pilot randomized controlled trial, conducted within the larger Patient Activation After DXA Result Notification (PAADRN) trial (NCT01507662). After DXA, consenting adults age 50 years or older were randomly assigned to 3 groups: nurse consultation, PAADRN intervention (mailed letter with individualized fracture risk and an educational brochure), or usual care (control). Nurse consultation included reviewing DXA results, counseling on bone health, and ordering needed follow-up tests or physician referrals.
Change from baseline to 52 weeks in participant-reported osteoporosis-related pharmacotherapy, lifestyle, activation and self-efficacy, and osteoporosis care satisfaction.
Nurse consultation participants (n = 104) reported 52-week improvements in strengthening and weight-bearing exercise (p = 0.09), calcium intake (p < 0.01), osteoporosis knowledge (p = 0.04), activation (p < 0.01), dietary self-efficacy (p = 0.06), and osteoporosis care satisfaction (p < 0.01). Compared with PAADRN intervention participants (n = 39), nurse consultation participants had improved dietary self-efficacy (p = 0.07) and osteoporosis care satisfaction (p = 0.05). No significant improvements in osteoporosis-related outcomes were achieved vs PAADRN controls (n = 70).
"Just-in-time" nurse consultation yielded a few improvements over 52 weeks in osteoporosis-related outcomes; however, most changes were not different from those obtained through the lower-cost PAADRN intervention or usual care.
Details
- Title: Subtitle
- Evaluation of a "Just-in-Time" Nurse Consultation on Bone Health: A Pilot Randomized Controlled Trial
- Creators
- Douglas W Roblin - Georgia State UniversityDavid Zelman - SoutheastSally Plummer - At the time of this study was a Consulting Nurse Educator at the Center for Clinical and Outcomes Research in Atlanta, GA.Brandi E Robinson - Center for Outcomes Research and Clinical EpidemiologyYiyue Lou - University of IowaStephanie W Edmonds - University of IowaFredric D Wolinsky - University of IowaKenneth G Saag - University of Alabama at BirminghamPeter Cram - University of Toronto
- Resource Type
- Journal article
- Publication Details
- Permanente journal, Vol.21(4), pp.16-112
- DOI
- 10.7812/TPP/16-112
- PMID
- 28746019
- PMCID
- PMC5528825
- ISSN
- 1552-5775
- eISSN
- 1552-5775
- Grant note
- K24 AR062133 / NIAMS NIH HHS K24 AR052361 / NIAMS NIH HHS R01 AG033035 / NIA NIH HHS
- Language
- English
- Date published
- 2017
- Academic Unit
- Health Management and Policy; Nursing
- Record Identifier
- 9984364431702771
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