Osteoporosis
Conditions
Keywords
osteoporosis, prevention, care management, focus groups
Brief summary
Osteoporosis (OP) and subsequent fractures (OP fractures) are a source of morbidity and high mortality in the elderly. Despite numerous programs aiming at improving OP care, the prevention, diagnostic and treatment remain suboptimal. Barriers to a better care are multiple, both in the general and at-risk population, and in medical practitioners. Since they do not perceive their susceptibility to OP, people do not see the benefit of prevention. In addition, physicians do not give sufficient importance to OP prevention and care, despite the existence of guidelines. The investigators implemented a qualitative study to explore the knowledge and representations regarding osteoporosis in the general and at-risk population and in doctors in Rhône-Alpes Region, France, using focus groups with women and men and semi-structured face-to-face interviews with general practitioners. Understanding barriers to osteoporosis care in patients and general practitioners will help to set up effective strategies to improve prevention and treatment.
Interventions
OTHERqualitative study
Sponsors
Hospices Civils de Lyon
Study design
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* group 1: women aged 50 to 85 years with a history of fragility fracture or an osteoporosis diagnostic * group 2: women aged 50 to 85 years without a history of fragility fracture or an osteoporosis diagnostic * group 3: men aged 60 to 85 years with a history of fragility fracture or an osteoporosis diagnostic * group 4: men aged 60 to 85 years without a history of fragility fracture or an osteoporosis diagnostic * group 5: general practitioners in Region Rhône-Alpes, France * who signed the consent form
Exclusion criteria
* no signed consent * legal disability * difficulty in understanding French * psychiatric disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Focus Group Interview | 24 hours | Representations of osteoporosis, in general practitioners and in 4 groups of people. Representations were drawn from focus groups interviews based on the theory of social representations of illness developed by Moscovici and Durkheim. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Factors favoring and barriers to a better management of OP in each group | At the day of inclusion | Factors favoring and barriers to a better management of OP were collected during the focus groups interviews. Specific questions were asked to collect information on reasons for not complying with recommendations or prescriptions. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners |
| Specific communication needs for the different groups: men/women, fractured/non-fractured. | At the day of inclusion | Needs for communication tools were collected by specific questions asked during the focus groups interviews. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners |
Countries
France
Outcome results
None listed