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Patient counseling for osteoporosis prevention.
  • Published Date:
    1989 Sep-Oct
  • Source:
    Public Health Rep. 104(Suppl):84-87
  • Language:
    English
Filetype[PDF-648.46 KB]


Details:
  • Personal Authors:
    Bartlett, E E
  • Keywords:
  • Pubmed ID:
    2517708
  • Pubmed Central ID:
    PMCnull
  • Description:
    Counseling techniques and methods are more important parameters than message content for ensuring that a desired change in behavior occurs. Knowledge is necessary but not sufficient for behavior change, and teaching should not be confused with learning. The education of patients with osteoporosis poses two problems: patient involvement in deciding whether to initiate treatments such as estrogen replacement therapy, calcium supplements, and weight-bearing exercises, and assuring that the patient adheres to the prescribed regimen. The physician, while adequately outlining the risks of treatments, should also simplify the explanation to assist patients in making a decision about treatment. Guidelines are provided to aid the clinician in this task. Indicators of potential nonadherence should be evaluated, and obstacles to nonadherence removed by suggesting behavior modifications that will ensure the patient's continuation of the prescribed regimen.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Conference executive summary: priority education messages on the prevention and treatment of osteoporosis.
      Personal Author:
      Kuntze, P M; Fitzpatrick, S C; Troendle, G; Hamilton, D R; Vanderveen, J; Veiga, R V; Danello, M A;
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):1-6
      File Type:
      Filetype[PDF - 1.24 MB]
    2. Osteoporosis: prevention and the quality of life for older Americans.
      Personal Author:
      Bowen, O R
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):11-13
      File Type:
      Filetype[PDF - 567.78 KB]
    3. Osteoporosis: a priority women's health concern
      Personal Author:
      Kirschstein, Ruth L.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):8-9
      File Type:
      Filetype[PDF - 322.09 KB]
    4. Welcoming Remarks
      Personal Author:
      Norris, John A.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):7-8
      File Type:
      Filetype[PDF - 335.34 KB]
    5. Foreword
      Personal Author:
      Windom, Robert E.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):iii-iv
      File Type:
      Filetype[PDF - 212.46 KB]
    6. Science and education as the essential equation for successful prevention
      Personal Author:
      Windom, Robert E.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):9
      File Type:
      Filetype[PDF - 155.77 KB]
    7. Confronting the challenges with women at risk for osteoporosis
      Personal Author:
      Young, Frank E.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):10
      File Type:
      Filetype[PDF - 147.78 KB]
    8. The calcium controversy: finding a middle ground between the extremes.
      Personal Author:
      Heaney, R P
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):36-46
      Description:
      Involutional bone loss, and the fracture syndromes that are designated "osteoporosis," are multifactorial phenomena. Gonadal hormone deficiency, inadequate exercise, and a multitude of lifestyle factors are involved in their pathogenesis. Calcium is ...
      File Type:
      Filetype[PDF - 2.08 MB]
    9. Risk factors for osteoporosis and associated fractures.
      Personal Author:
      Kelsey, J L
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):14-20
      Description:
      Established risk factors for osteoporosis and associated fractures are increasing age, female sex, white race, removal of the ovaries at an early age, prolonged immobility, and prolonged use of corticosteroids. Obesity and use of estrogen replacement...
      File Type:
      Filetype[PDF - 1.41 MB]
    10. Factors to consider in the selection of a calcium supplement.
      Personal Author:
      Shangraw, R F
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):46-50
      Description:
      Calcium supplements are widely used, yet many questions remain as to the absorption of various calcium salts. Because the solubility of many calcium salts is dependent upon pH, the type of salt used, the condition of the patient, and the time of admi...
      File Type:
      Filetype[PDF - 670.92 KB]
    11. Technical aspects and clinical interpretation of bone mineral measurements.
      Personal Author:
      Wahner, H
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):27-30
      Description:
      Four procedures--single photon absorptiometry, dual photon absorptiometry, dual energy radiography, and quantitative computed tomography--allow nontraumatic measurement of bone mineral, with high accuracy and precision, under conditions generally enc...
      File Type:
      Filetype[PDF - 895.05 KB]
    12. Bone mass measurement, fracture risk, and screening for osteoporosis.
      Personal Author:
      Rosenthal, D I; Tosteson, A N;
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):31-33
      Description:
      There is a positive relationship between bone mass and resistance to breaking. Measurements of the spine made by quantitative computed tomography (QCT) and dual photon absorptiometry (DPA) appear to allow a determination of the risk of vertebral comp...
      File Type:
      Filetype[PDF - 586.36 KB]
    13. Usefulness of bone mass measurements by photon absorptiometry.
      Personal Author:
      Hassager, C; Christiansen, C;
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):23-26
      Description:
      We compared three different methods of measuring bone mass for their diagnostic value and their usefulness in follow-up measurements. The three methods were: measurement of (1) bone mineral content in the distal forearm by single photon (125I) absorp...
      File Type:
      Filetype[PDF - 1.00 MB]
    14. Panel Summary
      Personal Author:
      Riggs, B. Lawrence
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):34-36
      File Type:
      Filetype[PDF - 532.13 KB]
    15. Panel Summary
      Personal Author:
      Pappas, Virginia M.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):21-22
      File Type:
      Filetype[PDF - 355.83 KB]
    16. The awareness of osteoporosis among health professionals, consumers, and journalists.
      Personal Author:
      Renner, J H
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):87-90
      Description:
      A survey of physicians, consumers, journalists, and experts on osteoporosis showed that the level of awareness, particularly among consumers and physicians, regarding osteoporosis and calcium supplementation is high. Professionals and consumers alike...
      File Type:
      Filetype[PDF - 523.13 KB]
    17. Prospectus: research advances
      Personal Author:
      Peck, William A.
      Published:
      Sep 1989
      Source:
      Public Health Rep. 104(Suppl):91
      File Type:
      Filetype[PDF - 186.86 KB]
    18. Alternative strategies for prevention of postmenopausal osteoporosis.
      Personal Author:
      Lindsay, R
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):66-70
      Description:
      Osteoporosis is more readily prevented than treated, and early intervention with effective therapy would be expected to reduce significantly the impact of osteoporotic fractures among the aging population. For the postmenopausal female population, es...
      File Type:
      Filetype[PDF - 949.82 KB]
    19. The role of exercise in preventing osteoporosis.
      Personal Author:
      Birge, S J; Dalsky, G;
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):54-58
      Description:
      Evidence from a variety of sources indicates that exercise can increase the mineral content of bone, raising the expectation that exercise programs may be effective therapy for the treatment of osteoporosis, and the prevention of hip and spinal fract...
      File Type:
      Filetype[PDF - 880.87 KB]
    20. Hormonal therapy in climacteric women: compliance and its socioeconomic impact.
      Personal Author:
      Notelovitz, M
      Published:
      1989 Sep-Oct
      Source:
      Public Health Rep. 104(Suppl):70-75
      Description:
      Hormonal therapy can effectively enhance the quality of life for postmenopausal women, and prevent climacteric-related conditions such as osteoporosis. Since long-term therapy is often required, compliance becomes an important issue. This can best be...
      File Type:
      Filetype[PDF - 1.49 MB]
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