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Self-Efficacy Program to Prevent Osteoporosis Among Chinese Immigrants: A Randomized Controlled Trial.
MedLine Citation:
PMID:  22048557     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND:: Recent Chinese immigrants have a low bone mineral density and are at a great risk for developing osteoporosis. The majority of Chinese men and women of all ages have inadequate information about their risks for developing osteoporosis and are seldom involved in preventive activities. OBJECTIVES:: The aim of this study was to evaluate the preliminary effectiveness of an educational intervention based on the self-efficacy theory aimed at increasing the knowledge of osteoporosis and adoption of preventive behaviors, including regular exercise and osteoporosis medication adherence, designed for Chinese immigrants, aged 45 years or above, living in the United States. METHODS:: A randomized controlled trial was employed, using a repeated-measure design. Foreign-born Mandarin-speaking Asians (n = 110) were recruited to the study, and 83 of them (mean age = 64.08 years, SD = 9.48 years) were assigned randomly to either the intervention group (n = 42) or the attention control group (n = 41). There were 63 (75.9%) women and 20 (24.1%) men. Data were collected at baseline and 2 weeks after the intervention. RESULTS:: The participants who received the intervention had statistically significant improvements (p < .05) at 2 weeks postintervention with respect to osteoporosis-related knowledge, self-efficacy for exercise, and osteoporosis medication adherence. Moreover, the participants in the treatment group spent more time on moderate exercise, had higher energy expenditure on exercise, and had more osteoporosis medication use at 2 weeks postintervention when compared with controls. DISCUSSION:: The intervention targeting Mandarin-speaking immigrants was effective in increasing the knowledge of osteoporosis and improving the adoption of preventive behaviors. Future research is needed to explore the long-term effect of this intervention on bone health behavior.
Authors:
Bing-Bing Qi; Barbara Resnick; Suzanne C Smeltzer; Barker Bausell
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-1
Journal Detail:
Title:  Nursing research     Volume:  -     ISSN:  1538-9847     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Bing-Bing Qi, PhD, RN, is Assistant Professor, College of Nursing, Villanova University, Pennsylvania. Barbara Resnick, PhD, CRNP, FAAN, FAANP, is Professor, School of Nursing, University of Maryland, Baltimore. Suzanne C. Smeltzer, EdD, RN, FAAN, is Professor, College of Nursing, Villanova University, Pennsylvania. Barker Bausell, PhD, is Professor, School of Nursing, University of Maryland, Baltimore.
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