Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: a randomized controlled trial
Authors Kloseck M, Fitzsimmons DA, Speechley M, Savundranayagam MY, Crilly RG
Received 18 December 2016
Accepted for publication 24 March 2017
Published 16 May 2017 Volume 2017:12 Pages 823—833
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Akshita Wason
Peer reviewer comments 3
Editor who approved publication: Dr Richard Walker
Marita Kloseck,1,2 Deborah A Fitzsimmons,1,3,4 Mark Speechley,5 Marie Y Savundranayagam,1 Richard G Crilly1,2
1Sam Katz Community Health and Aging Research Unit, 2Division of Geriatric Medicine, Western University, London, ON, Canada; 3School of Nursing and Allied Health, Liverpool John Moores University, Liverpool, 4School of Health and Related Research, The University of Sheffield, Sheffield, UK; 5Department of Epidemiology and Biostatistics, Western University, London, ON, Canada
Background: This randomized controlled trial (RCT) evaluated a 6-month peer-led community education and mentorship program to improve the diagnosis and management of osteoporosis.
Methods: Ten seniors (74–90 years of age) were trained to become peer educators and mentors and deliver the intervention. In the subsequent RCT, 105 seniors (mean age =80.5±6.9; 89% female) were randomly assigned to the peer-led education and mentorship program (n=53) or control group (n=52). Knowledge was assessed at baseline and 6 months. Success was defined as discussing osteoporosis risk with their family physician, obtaining a bone mineral density assessment, and returning to review their risk profile and receive advice and/or treatment.
Results: Knowledge of osteoporosis did not change significantly. There was no difference in knowledge change between the two groups (mean difference =1.3, 95% confidence interval [CI] of difference −0.76 to 3.36). More participants in the intervention group achieved a successful outcome (odds ratio 0.16, 95% CI 0.06–0.42, P<0.001).
Conclusion: Peer-led education and mentorship can promote positive health behavior in seniors. This model was effective for improving osteoporosis risk assessment, diagnosis, and treatment in a community setting.
Keywords: prevention, seniors, mentor, bone mineral density, capacity building, community knowledge translation
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]