None listed
Conditions
Brief summary
Aims This study aims to test the effect of informing and reminding patients, GPs and practice nurses opportunistically about care aimed at preventing, detecting and treating osteoporosis. Research design Cluster randomised controlled trial Methods Existing opportunistic reminder software used in general practices will be enhanced to provide reminders about osteoporosis-related care. Ten general practices will be randomised to a ‘usual care’ control group or to the intervention group, in which patients attending for consultations for whom osteoporosis-related care is due will receive an automatically-printed sheet of information and advice when they arrive for their consultation. The sheet will advise them to ask their GP or nurse about the care that is due. GPs and practice nurses will receive on-screen reminders during those consultations about the osteoporosis-related care that is due to be performed for the patient. Likely outcomes and benefits Performance of osteoporosis-related care will be significantly improved by the intervention. Widespread implementation of this strategy is expected to reduce the prevalence of osteoporosis and the loss of healthy life years resulting from preventable fractures. This will improve population health and reduce costs of health care.
Interventions
Sheets with bone health related education, information based on the patients' electronic clinical record, and advice about possible desirable activities, that are generated and printed automatically when the patient is marked in the practice's electronic appointments system as 'arrived'. The education will be a few brief sentences about what osteoporosis is, and the risks that it poses to health and well-being. The information will tell the patient, depending on data in his or her electronic clinical record, that he or she either may be at high risk of osteoporosis, and why, or that they have been diagnosed with osteoporosis, what appropriate treatment(s) he or she is currently receiving, and what other treatments may be indicated. The advice will be to ask the doctor in the consultation to review the patient's bone health and treatments for it. Each eligible patient will be able to receive a sheet only once during the three month trial.
Sponsors
Study design
Eligibility
Inclusion criteria
Attend a participating general practice during the trial
Exclusion criteria
None