Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies

Autor: Maria E. Suarez-Almazor, Jude K.A. des Bordes, Maria A. Lopez-Olivo, Greg Pratt, Seema Prasad
Rok vydání: 2020
Předmět:
Health Knowledge
Attitudes
Practice
Critical Care and Emergency Medicine
Health Care Providers
Cochrane Library
Literacy
Database and Informatics Methods
0302 clinical medicine
Bone Density
Health care
Medicine and Health Sciences
030212 general & internal medicine
Database Searching
Disease management (health)
Connective Tissue Diseases
Trauma Medicine
Qualitative Research
media_common
Multidisciplinary
Qualitative Studies
Health Education and Awareness
Bone Fracture
Connective Tissue
Research Design
Medicine
Anatomy
Thematic analysis
Psychology
Traumatic Injury
Research Article
medicine.medical_specialty
Science
media_common.quotation_subject
MEDLINE
030209 endocrinology & metabolism
CINAHL
Research and Analysis Methods
03 medical and health sciences
Rheumatology
Patient Education as Topic
medicine
Humans
Bone
Primary Care
business.industry
Biology and Life Sciences
Health Care
Biological Tissue
Family medicine
Osteoporosis
business
Qualitative research
Zdroj: PLoS ONE
PLoS ONE, Vol 15, Iss 1, p e0227765 (2020)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0227765
Popis: Background Patients with low bone density or osteoporosis need information for effective prevention or disease management, respectively. However, patients may not be getting enough information from their primary care providers or other sources. Inadequate disease information leaves patients ill-informed and creates misconceptions and unnecessary concerns about the disease. Objective We systematically reviewed and synthesized the available literature to determine patient knowledge, beliefs, and concerns about osteoporosis and identify potential gaps in knowledge. Methods A systematic search was conducted for full-text qualitative studies addressing understanding, literacy, and/or perceptions about osteoporosis and its management, using Medline, EMBASE, Web of Science, Cochrane Library, CINAHL, ERIC, PsychINFO, Psyc Behav Sci Collec, and PubMed, from inception through September 2016. Studies were selected by two reviewers, assessed for quality, and themes extracted using the Joanna Briggs Institute data extraction tool. Thematic analysis was used to identify themes and subthemes. Results Twenty-five studies with a total of 757 participants (including 105 men) were selected for analysis out of 1031 unique citations. Selected studies were from Australia, Canada, Denmark, Norway, the United Kingdom, and the United States. Four main themes emerged: inadequate knowledge, beliefs and misconceptions, concerns about osteoporosis, and lack of information from health care providers. Participants had inadequate knowledge about osteoporosis and were particularly uninformed about risk factors, causes, treatment, and prevention. Areas of concern for participants included diagnosis, medication side effects, and inadequate information from primary care providers. Conclusion Although there was general awareness of osteoporosis, many misconceptions and concerns were evident. Education on bone health needs to reinforce areas of knowledge and address deficits, misconceptions, and concerns.
Databáze: OpenAIRE
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