Osteoporosis
Conditions
Keywords
Osteoporosis, BMD, Bisphosphonates, Educational materials, Patient Stories
Brief summary
The purpose of this study is to rigorously test the incremental impact of simple, generalizable interventions to improve healthcare among older women at high risk for osteoporosis. Building on the experience of our University of Alabama at Birmingham (UAB) interdisciplinary team we have designed an innovative, scientifically rigorous, and highly feasible implementation research project in partnership with two Kaiser Permanente (KP) research centers. Kaiser Permanente, one of the Nation's largest Healthcare Organizations, uses an integrated electronic medical record (EMR), with full capture of pharmacy, clinical (including BMD results), and claims data, and cares for a racially/ethnically, socio-economically, and geographically diverse population. To address innovative questions in implementation research, we will perform a multi-modal group randomized trial involving over 18,000 patients seen by over 330 primary care providers (PCPs) at 25 KP facilities in the Northwest and Southeast. If proven effective, our system-centered and patient-centered approach will advance the state of implementation science and be applicable to evidence implementation in other musculoskeletal disorders and to other health care settings.
Interventions
BEHAVIORALPatient educational DVD and brochure
Construct a tailored direct-to-patient intervention to educate and activate older women about osteoporosis testing and treatment and aimed at improving patient-provider communication and closing the loop between knowledge communication and action. The intervention will include risk assessment, will be delivered through culturally/ethnically tailored story-telling, and will be mailed-out as both a paper copy (Booklet) and an interactive DVD (allowing the patient to use the delivery mediums they are most comfortable with). A follow-up brochure will be sent as a booster.
BEHAVIORALPhysician web modules
Web based osteoporosis continuing medical education (CME) materials
BEHAVIORALSystem
Create a practice redesign strategy to alert patients that they should receive a BMD test and provide them with direct patient access to schedule their own test
Sponsors
Kaiser Permanente
University of Alabama at Birmingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* female * age 65 or older
Exclusion criteria
* prior osteoporosis testing (BMD) * prior osteoporosis treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bone Mineral Density (BMD) testing | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Osteoporosis prescription medications | 12 months |
| Patient-Physician communication regarding osteoporosis treatment and testing | 12 months |
Countries
United States
Outcome results
None listed