| An Educational Intervention for Providers to Promote Bone Health in High-Risk Older Patients. | |
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MedLine Citation:
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PMID: 21288231 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVES: To design, implement, and assess an educational intervention for providers focused on osteoporosis screening and management in older patients with chronic obstructive pulmonary disease or asthma who have been prescribed prolonged courses of oral or high-dose inhaled corticosteroids or both and are therefore at high risk for bone loss and fractures. DESIGN: One-group pretest-posttest. SETTING: Academic outpatient pulmonary practice. PARTICIPANTS: Nineteen pulmonary specialists at an academic medical center. INTERVENTION: Educational theory and a needs assessment and attitude survey guided the development of a multicomponent educational intervention. MEASUREMENTS: Change in provider behavior was assessed by auditing the electronic medical records for adherence to osteoporosis management guidelines in high-risk patients seen by participants at baseline and for 6 months after the educational intervention. Knowledge transfer and changes in attitude were assessed using pre- and posttests and surveys. RESULTS: A 19% increase in overall rate of adherence to osteoporosis management guidelines in high-risk patients was observed: 45% before intervention to 64% after intervention (n=249 patients, P=.003). Postintervention surveys and test scores also showed statistically significant gains from baseline. CONCLUSION: An educational intervention improved adherence to osteoporosis management guidelines of academic pulmonary specialists. The results of this study provide evidence for the positive effect of a multimodal educational program in altering practice behaviors. |
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Authors:
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Mark J Simone; David H Roberts; Julie T Irish; Naama Neeman; Joanne E Schulze; Lewis A Lipsitz; Richard Schwartzstein; Mark D Aronson; Zaldy S Tan |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-2-2 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: - ISSN: 1532-5415 ISO Abbreviation: - Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-2-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society. |
Affiliation:
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From the *Division of Gerontology, §Division of Pulmonary, Critical Care, and Sleep Medicine, ∥Carl J. Shapiro Institute for Education and Research#Department of Medicine, **Division of General Medicine, and ††Division of Aging, Beth Israel Deaconess Medical Center, Boston, Massachusetts; †Mount Auburn Hospital, Cambridge, Massachusetts; ‡Harvard Medical School, Boston, Massachusetts; and ‡‡Geriatric Research, Educational and Clinical Center, Veterans Affairs Boston Healthcare System, Boston, Massachusetts. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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