Healthy risk awareness motivates fracture prevention behaviour: A grounded theory study of women with osteoporosis

Hjalmarson, Helene; Straudmark, Margaretha; Klässbo, Maria

doi:10.3402/qhw.v2i4.4964

Cited by 4 publications

(7 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to fracture preventive behavior, it has been found to be a motivational process through which healthy risk awareness can be developed. The knowledge of fracture risk in everyday life may be handled well by some patients, but may affect others in a degree which could limit their daily activities (Hjalmarsson, Strandmark, & Klässbo, 2007 ; Nielsen et al, 2013 ).…”

mentioning

confidence: 99%

Women's experiences of their osteoporosis diagnosis at the time of diagnosis and 6 months later: A phenomenological hermeneutic study

Hansen

Konradsen

Abrahamsen

et al. 2014

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

This paper describes a phenomenological hermeneutic study of experiences of women who were recently diagnosed with osteoporosis. The research objective was to investigate women's experiences of living with osteoporosis during the first 6 months after diagnosis when treatment was first prescribed. Fifteen women were included in the study. The inclusion criteria were a DXA scan at one of the two hospitals showing a T-score below −2.5 (lower back or hip), age 65 years or older; no previous known osteoporotic fracture; at least one of the known risk factors for osteoporosis; and prescription of anti-osteoporotic treatment. Exclusion criteria were previous diagnosis of osteoporosis or previous treatment with anti-osteoporotic medication. Data were collected through in-depth interviews shortly after diagnosis and 6 months later. The performed analyses were inspired by Paul Ricoeur's theory of interpretation of texts comprising three levels: naïve reading, structural analysis, and critical interpretation and discussion. Three key themes emerged: 1) being diagnosed, 2) being prescribed medical treatment, and 3) being on the path of learning to live with osteoporosis. The findings suggest a need for improved support for the patients to gain understanding of their diagnosis and the risk of osteoporotic fracture as well as to learn to live with osteoporosis. The study highlights new health promotion areas for targeting interventions at newly diagnosed patients, helping them accept and interpret the diagnosis, and the medical treatment.

show abstract

mentioning

confidence: 99%

Women's experiences of their osteoporosis diagnosis at the time of diagnosis and 6 months later: A phenomenological hermeneutic study

Hansen

Konradsen

Abrahamsen

et al. 2014

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Similarities may be drawn to the grounded theory study of “healthy risk awareness” [ 27 ], which develops through an emotional cognitive process of acceptance. Being motivated to act in a preventative way was found to impact upon acceptance, which underwent a development through the fear of having fragile bones [ 27 ]. Descriptions of fear in the current study were primarily elaborated through concerns related to the medical treatment, side effects and making the right choice, but also concerns regarding possible fractures [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although this is of a smaller scale when compared to international findings [ 21 , 22 , 24 , 25 ], it is still a problem from a fracture prevention perspective [ 16 ]. The decision-making process has been reported in other studies to be an emotional and cognitive learning process [ 27 ]; a sense-making process [ 8 ]; and a process of trial and error to find useful strategies [ 28 ]. One common limitation of these and other qualitative studies that investigate the decision-making process regarding medication use of individuals with osteoporosis appears to be the lack of studies with longitudinal design following patients’ experiences over time (no qualitative studies on this matter were found).…”

Section: Discussionmentioning

confidence: 99%

“…Despite extensive investigations of this phenomenon, it seems that the underlying causal explanations of medication failure (such as quitting treatment early or low compliance to treatment leading to lack of treatment efficacy) [ 23 ] have not yet been fully explored. It has been suggested that the research in the field of fracture prevention treatment needs to focus on patients’ own perceptions [ 23 , 27 , 28 ]. This type of research calls for the use of qualitative research methods to make the voices of those involved heard.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Women’s lived experiences of learning to live with osteoporosis: a longitudinal qualitative study

et al. 2017

View full text Add to dashboard Cite

BackgroundA vast amount of literature exists concerning pharmaceutical adherence in osteoporosis. However, the process of learning to live with osteoporosis over time remains largely unknown. The purpose of this study was to gain a deeper understanding of the continued process of how women learn to live with osteoporosis. Our objective was to explore what characterizes women’s experiences of living with osteoporosis during the first year after diagnosis, when patients are prescribed anti-osteoporotic treatment, without having experienced an osteoporotic fracture.MethodsForty-two narrative qualitative interviews were conducted with fifteen recently diagnosed Danish women. A longitudinal design was chosen since this allows an investigation of the perspective over time. The interviews were conducted in the period of March 2011 to August 2012. Data were analyzed using a phenomenological-hermeneutic interpretation of text. No medical records were available for the researchers. All information with the exception of T-score was self-reported.ResultsThe participants’ experiences could be described in two key themes developed through the analysis: 1) “To become influenced by the medical treatment” which consisted of two sub-themes “taking the medication”, and “discontinuing the medication”. 2) “Daily life with osteoporosis”, which was characterized by three sub-themes: “interpretation of symptoms”, “interpretation of the scan results” and “lifestyle reflections”. The results highlighted that learning to live with osteoporosis is a multifaceted process that is highly influenced by the medical treatment. In some cases, this is a prolonged process that can take around one year.ConclusionsThe results suggest a need for improved support for individual women during the complex process of learning to live with osteoporosis. The study adds new knowledge that can be useful for healthcare professionals taking a health-oriented stance when supporting women in self-management of their illness. Further investigations of lived experiences over time in the field of osteoporosis research are therefore needed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12905-017-0377-z) contains supplementary material, which is available to authorized users.

show abstract

Help at hand: Women’s experiences of using a mobile health application upon diagnosis of asymptomatic osteoporosis

et al. 2018

View full text Add to dashboard Cite

Objectives:This study aims to test a mobile health application (mHealth app) developed to meet the needs of women newly diagnosed with asymptomatic osteoporosis. We investigate how the women experience using an mHealth app upon diagnosis of osteoporosis and whether the app can help them to be prepared for treatment decision-making and support them in osteoporosis self-management. We also tested the usability of the app, to find out whether any adjustments were necessary prior to implementation.Methods:A test was conducted at a Danish university hospital with 18 women aged 50–65, newly diagnosed with asymptomatic osteoporosis. On presenting for a bone density scan at the hospital, they were provided with the app, which was named ‘My Osteoporosis Journey’. Data were collected through semi-structured interviews. Giorgi’s descriptive phenomenological method guided the data analysis in four steps.Findings:In total, 17 women succeeded in downloading the app, thereby accessing information on asymptomatic osteoporosis, their bone density scan results and treatment recommendations prior to visiting their general practitioner. Three overall themes were identified. Women experienced that the app (1) gave a feeling of confidence and reassurance, (2) prepared the women on treatment decision-making in the general practitioner visit and (3) provided help at hand in self-management of osteoporosis.Conclusion:Our findings show that the mHealth app helps women to feel confident and reassured upon diagnosis of asymptomatic osteoporosis. The women felt that the app promoted an equal dialogue in the osteoporosis consultation since they felt prepared for visiting their general practitioner and were able to articulate their individual needs regarding treatment. After diagnosis, the women felt that the app provided support in self-management, right at their fingertips.

show abstract

Healthy risk awareness motivates fracture prevention behaviour: A grounded theory study of women with osteoporosis

Cited by 4 publications

References 39 publications

Women's experiences of their osteoporosis diagnosis at the time of diagnosis and 6 months later: A phenomenological hermeneutic study

Women's experiences of their osteoporosis diagnosis at the time of diagnosis and 6 months later: A phenomenological hermeneutic study

Women’s lived experiences of learning to live with osteoporosis: a longitudinal qualitative study

Help at hand: Women’s experiences of using a mobile health application upon diagnosis of asymptomatic osteoporosis

Contact Info

Product

Resources

About