Improvement of osteoporosis Care Organized by Nurses: ICON study - Protocol of a quasi-experimental study to assess the (cost)-effectiveness of combining a decision aid with motivational interviewing for improving medication persistence in patients with a recent fracture being treated at the fracture liaison service
| Autor: | Silvia M. A. A. Evers, Mickaël Hiligsmann, Marsha van Oostwaard, Caroline E. Wyers, Sander M. J. van Kuijk, Annelies Boonen, D. Cornelissen, Trudy van der Weijden, Sandrine Bours, Joop P. W. van den Bergh |
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| Přispěvatelé: | RS: CAPHRI - R2 - Creating Value-Based Health Care, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Health Services Research, Interne Geneeskunde, MUMC+: MA Reumatologie (9), RS: NUTRIM - R3 - Respiratory & Age-related Health, Family Medicine, Epidemiologie, MUMC+: KIO Kemta (9), RS: CAPHRI - R6 - Promoting Health & Personalised Care |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Sports medicine Cost effectiveness medicine.medical_treatment Medication persistence Cost-Benefit Analysis Decision quality Motivational interviewing Nurses Diseases of the musculoskeletal system Motivational Interviewing Cost-effectiveness Process evaluation Decision aid Osteoporosis persistence Fracture liaison service Nurse Decision Support Techniques Medication Adherence Study Protocol ADHERENCE Rheumatology medicine Protocol QUALITY TOOL Humans Orthopedics and Sports Medicine Patient participation METAANALYSIS RISK DENOSUMAB Rehabilitation business.industry Medication adherence Medication WOMEN EDUCATION RC925-935 Medication Persistence Economic evaluation Physical therapy business Osteoporotic Fractures INTERVENTIONS |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, 22(1):913. BioMed Central Ltd BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-10 (2021) |
| ISSN: | 1471-2474 |
| Popis: | Background Given the health and economic burden of fractures related to osteoporosis, suboptimal adherence to medication and the increasing importance of shared-decision making, the Improvement of osteoporosis Care Organized by Nurses (ICON) study was designed to evaluate the effectiveness, cost-effectiveness and feasibility of a multi-component adherence intervention (MCAI) for patients with an indication for treatment with anti–osteoporosis medication, following assessment at the Fracture Liaison Service after a recent fracture. The MCAI involves two consultations at the FLS. During the first consultation, a decision aid is will be used to involve patients in the decision of whether to start anti-osteoporosis medication. During the follow-up visit, the nurse inquires about, and stimulates, medication adherence using motivational interviewing techniques. Methods A quasi-experimental trial to evaluate the (cost-) effectiveness and feasibility of an MCAI, consisting of a decision aid (DA) at the first visit, combined with nurse-led adherence support using motivational interviewing during the follow-up visit, in comparison with care as usual, in improving adherence to oral anti-osteoporosis medication for patients with a recent fracture two Dutch FLS. Medication persistence, defined as the proportion of patients who are persistent at one year assuming a refill gap Discussion We expect that the ICON-study will show that the MCAI is a (cost-)effective intervention for improving persistence with anti-osteoporosis medication and that it is feasible for implementation at the FLS. Trial registration This trial has been registered in the Netherlands Trial Registry, part of the Dutch Cochrane Centre (Trial NL7236 (NTR7435)). Version 1.0; 26-11-2020. |
| Databáze: | OpenAIRE |
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